对空鼻综合征的管理选项进行系统审查和元分析:建议的管理算法
Salman Hussain1, Jafar Hayat2, Hamad Almhanedi3
1Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada.
概括
审查了空鼻综合征 (ENS) 管理选项. 手术干预显示显著改善症状,但证据有限,这表明医疗和心理治疗的作用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 空鼻综合征 (ENS) 是一种获得的疾病,导致矛盾的鼻腔阻塞和干燥,通常是在鼻腔外科手术后.
- 肠道神经系统可能与心理困扰有关,包括抑郁和焦虑.
- 目前对ENS的管理策略需要进一步的研究和标准化.
研究的目的:
- 系统地审查和评估空鼻综合征报告的管理选择.
- 评估各种干预措施对ENS症状和相关心理状况的有效性.
- 为了识别ENS治疗目前的证据基础上的差距.
主要方法:
- 在PubMed,Scopus和Web of Science进行了系统的文献搜索,寻找自1990年以来发表的文章.
- 研究报告了对ENS进行干预的选,包括35篇文章,涵盖957名患者.
- 使用随机效应模型进行的聚合分析通过SNOT,ENS6Q,焦虑和抑郁等分数评估了结果.
主要成果:
- 手术干预,主要是肌肉增大植入物,是最常见的治疗方法 (26/35篇文章).
- 在剩余的十篇文章中,包括了医疗和心理管理选择.
- 在干预后的一年内,在SNOT,ENS6Q,焦虑和抑郁等得分上观察到有统计学意义的改善.
结论:
- 关于空鼻综合征的管理,证据显著缺乏,随机对照试验缺乏.
- 目前,手术干预是ENS的主要治疗方法.
- 医疗和心理管理策略显示出潜在的潜力,并为全面的ENS护理提供进一步的研究.
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