鼻内镜得分值引发考虑慢性鼻炎治疗升级和对疾病控制的影响
A R Sedaghat1, R A Cotter1, I Alobid2
1Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Rhinology
|October 10, 2024
概括
专家鼻科医生建议修改后的隆德-肯尼迪 (MLK) 评分为4或更高,或鼻息肉评分 (NPS) 为3或更高,可能表明慢性鼻炎 (CRS) 治疗升级. 这些发现为评估使用内镜评估CRS疾病控制提供了指导.
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.
- 医学实践模式 医学实践模式
背景情况:
- 缺乏使用鼻腔内镜检查结果指导慢性鼻炎 (CRS) 疾病控制的直接证据.
- 专家实践模式可以为管理CRS提供有价值的见解.
- 评估CRS疾病控制通常依赖于临床症状和客观措施.
研究的目的:
- 根据鼻腔内镜检查结果,确定专家鼻科医生考虑CRS治疗升级的门.
- 调查CRS症状的存在如何影响这些值.
- 建立基于证据的指导方针,用于在CRS管理中使用内镜标准.
主要方法:
- 29名鼻科医生评估了各种修改的隆德-肯尼迪 (MLK) 和鼻息肉评分 (NPS) 结果的组合.
- 参与者表示他们是否会在每个场景中升级CRS治疗,有或没有负担性症状.
- 他们决定升级治疗的强度也被记录下来.
主要成果:
- 治疗升级的中位数值是MLK得分≥4和NPS≥3.3.
- 75.9%的参与者有MLK值在1分之4的范围内;62.5%的NPS值在1分之3的范围内.
- 随着严重症状的出现,内镜评分升级值下降.
结论:
- MLK分数≥4或NPS≥3可以作为考虑CRS治疗升级的门.
- 相反,MLK得分<4或NPS<3可能代表CRS治疗的内镜目标.
- 这些发现为利用鼻腔内镜评估CRS疾病控制提供了实际指导.
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