慢性鼻炎患者内镜鼻手术后喘严重程度的现实世界评估
Anyull D B Caballero1, Estephania Candelo1, Karol Avila-Castano1
1Department of Otolaryngology Mayo Clinic Florida Jacksonville Florida USA.
OTO open
|September 19, 2024
概括
透视鼻手术 (ESS) 在慢性鼻炎 (CRS) 患者中没有改变喘严重程度的分类. 然而,ESS可能提供症状缓解,通过减少手术后的救援吸入器使用来说明这一点.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 手术创新 在外科创新.
背景情况:
- 喘和慢性鼻炎 (CRS) 经常同时存在,影响患者的生活质量.
- 透视鼻手术 (ESS) 是一种常见的CRS治疗方法,但其对喘严重性的影响需要进一步研究.
研究的目的:
- 评估ESS对喘严重性的影响,干预后长达12个月.
- 评估ESS后喘药物需求和症状控制的变化.
主要方法:
- 65名喘和CRS患者进行ESS的回顾性队列研究.
- 喘严重程度使用全球喘倡议 (GINA) 准则进行分类. 手术前和后.
- 统计分析以比较手术前和手术后的喘指标.
主要成果:
- 在整体喘严重程度分类 (P = .175) 或吸入性皮质类固醇 (ICS) 剂量 (P = .999) 中没有发现显著差异.
- 在ESS后,最后一次使用救援吸入器的时间显著增加 (中位数为6.71至23.1周,P = .004).
- 没有发现药物总数或恶化的显著变化.
结论:
- 在CRS患者中,ESS不会改变喘严重程度的分类.
- 对于喘患者来说,ESS可能会提供症状缓解,这可以通过减少对救援吸入器的依赖来证明.
- 需要进一步的研究,以充分阐明ESS在喘患者的长期呼吸系统益处.
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