吸烟包年和尤斯塔基管功能障碍
Arjun Sharma1, Sam MacDowell1, Nihal Punjabi2,3
1School of Medicine California University of Science and Medicine Colton California USA.
OTO open
|July 8, 2024
概括
吸烟显著增加了发展阻塞性尤斯塔希管功能障碍 (OETD) 的风险. 吸烟者有两倍的风险,更高的包年历史显示OETD的几率增加.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 阻塞性欧斯塔基管功能障碍 (OETD) 影响中耳压力.
- 吸烟是众所周知的各种呼吸道和心血管疾病的危险因素.
- 吸烟史对OETD风险的具体影响需要进一步调查.
研究的目的:
- 调查吸烟史与发展阻塞性尤斯塔希管功能障碍 (OETD) 的风险之间的关联.
主要方法:
- 从国家健康和营养检查调查 (1999年至今) 获得的国家数据库数据的横截面审查.
- OETD被定义为中耳压力<-100dC (dPa).
- 对吸烟者和非吸烟者计算了相对风险 (RR) 和不同的包年 (py) 门 (10+, 20+, 30+ py),不包括特定的患者群体.
主要成果:
- 分析包括9472名符合条件的患者,其中20.3%被确定为吸烟者.
- 与非吸烟者相比,吸烟者的OETD风险是吸烟者的1.75倍 (95%CI:1.45-2.11).
- 10+,20+和30+包年患者的OETD风险增加 (RR分别为1.97,2.29,2.08).
结论:
- 吸烟大约会使患有OETD的风险增加一倍,这是通过负的中耳压力来表明的.
- 该研究的OETD定义受限于排除症状学.
- 这些发现表明需要进一步研究,并可能为患者提供咨询和OETD查提供信息.
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