在患有喘和慢性阻塞性肺病的患者中评估鼻腔参与
Omur Aydin1, Nilay Orak Akbay1, Zahide Ciler Buyukatalay2
1From the Division of Immunology and Allergy, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.
Allergy and asthma proceedings
|May 17, 2024
概括
与COPD患者相比,喘患者的鼻症状更频繁,慢性鼻炎 (CRS) 的发生率更高. 中鼻结局测试 (SNOT-22) 有效预测这些阻塞性气道疾病中的CRS.
科学领域:
- 肺部病理学 肺部病理学
- 过敏 免疫学 免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 喘和COPD是常见的阻塞性呼吸道疾病.
- 这些相似之处表明,上呼吸道可能有共同的参与.
- 在喘和COPD中评估鼻症状至关重要.
研究的目的:
- 评估喘和COPD患者的鼻症状.
- 为了比较喘和COPD之间的上呼吸道干扰.
- 为了确定这些条件下慢性鼻炎 (CRS) 的患病率.
主要方法:
- 进行了肺功能测试,皮肤刺伤测试和疾病严重程度评估.
- 进行了鼻腔内镜评估和鼻CT扫描,使用隆德-麦凯评分.
- 慢性鼻炎 (CRS) 的诊断遵循最近的指导方针.
主要成果:
- 喘患者 (98%) 的鼻腔症状明显比COPD (52%) 和对照组 (38%) 更频繁.
- 喘患者的Sino-Nasal Outcome Test (SNOT-22) 评分较高 (中位数为33),与COPD (中位数为8) 和对照组 (中位数为3.5) 相比.
- 鼻炎的患病率在喘患者 (36%) 和COPD (15.6%) 和对照组 (8.3%) 中较高.
结论:
- 喘和COPD患者都可能出现上呼吸道症状.
- 慢性鼻炎 (CRS) 在喘患者中更为普遍.
- 在喘患者中,较高的SNOT-22得分表明上呼吸道受影响较大,可能需要耳鼻科医生转诊.
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