慢性鼻炎的诊断和治疗方法
Tanja Hildenbrand1, Katrin Milger-Kneidinger, Ingo Baumann
1Department of Otorhinolaryngology - Head and Neck Surgery, Medical Center - University of Freiburg, Freiburg, Germany; Ludwig-Maximilians-University Hospital (LMU) Munich, Medical Clinic V - Pneumology, Munich, Germany; Department of Otorhinolaryngology, Heidelberg University Hospital, Heidelberg, Germany; Division of Sinus and Skull Base Surgery, Traumatology, Department of Otorhinolaryngology, Hospital Karlsruhe, Karlsruhe, Germany; Sinus Academy, Karlsruhe, Germany.
慢性鼻炎 (CRS) 是一种常见的鼻和鼻炎症,影响5%的人口. 治疗包括为改善生活质量而量身定制的医疗或手术方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 过敏和免疫学 过敏和免疫学
- 肺部病理学 肺部病理学
背景情况:
- 慢性鼻炎 (CRS) 是一种普遍的炎症状况,影响鼻和鼻粘膜,影响全球约5%的人口.
- 这种情况显著降低了患者的生活质量,并造成了大量的医疗保健费用.
研究的目的:
- 提供慢性鼻炎 (CRS) 的全面概述,包括其定义,诊断,并发症和治疗策略.
- 根据国家和国际指导方针,综合现有关于CRS管理的知识.
主要方法:
- 进行了选择性的文献搜索,重点关注相关出版物以及CRS的当前国家和国际指南.
- 该审查综合了关于CRS诊断标准,相关疾病和治疗干预措施的信息.
主要成果:
- 通过症状,鼻腔内镜和成像来诊断CRS,显著影响生活质量并产生医疗保健费用.
- 与CRS相关的并发症包括喘 (20-45%),COPD,抑郁症,阻塞性睡眠呼吸暂停,以及增加癌症风险.
- 诸如局部类固醇,鼻和全身类固醇/抗生素等医疗治疗是主要的选择;耐火病例可接受内镜外科手术,而严重的多重症CRS可使用生物药物.
结论:
- 慢性鼻炎 (CRS) 需要个性化医疗和/或手术治疗计划.
- 有效的CRS管理旨在缓解症状,改善生活质量,并解决相关的并发症.
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