用盐溶液灌鼻子,治疗儿科急性上呼吸道感染:系统性审查
Márcia Cruz1, Catarina Roteia2, Adriana Marques Ferreira3
1Family Medicine, USF Physis, Unidade Local de Saúde de Alto Ave, Guimarães, PRT.
Cureus
|December 13, 2024
概括
用盐水灌鼻子可能有助于减少急性上呼吸道感染 (URTI) 的儿童的症状严重程度. 这一发现表明,这种常见的儿科疾病可能有好处,尽管需要更多的研究.
科学领域:
- 儿科医学 儿科医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 急性上呼吸道感染 (URTI) 在儿童中很常见,尽管主要是病毒性,但经常用药物治疗.
- 用盐溶液灌鼻腔是儿童患者中URTI症状的常用补充疗法.
- 关于盐水鼻灌在缓解儿童URTI症状严重性的有效性,目前仍在进行辩论.
研究的目的:
- 系统地审查有关盐水鼻灌的有效性的科学证据,以减少儿科URTI的症状严重程度.
- 评估证据水平和推强度,建议在患有URTI的儿童中使用盐水鼻灌.
主要方法:
- 从2010年1月到2024年5月,在主要数据库 (PubMed,Cochrane图书馆,Medline,Scopus) 中进行了系统的文献搜索.
- 纳入标准侧重于随机对照试验 (RCT),调查儿科URTI的盐水鼻灌.
- 偏差风险使用ROBIS 2.0进行评估,并应用了推分类学 (SORT) 的强度.
主要成果:
- 从158篇文章的初步搜索中,只有四个RCT符合纳入标准.
- 一些包含的研究表明,盐水鼻灌可缓解儿科URTI的症状,并可能加快恢复时间.
- 分析表明,用盐水灌鼻子有潜在的益处,可以减少儿童的URTI症状严重程度.
结论:
- 盐水鼻水可能提供有益的辅助治疗,以减少儿科URTI的症状严重程度.
- 目前的证据提供了2的证据水平和B的推强度.
- 建议进一步进行高质量的研究,采用可靠的方法,以证实这些发现并巩固建议.
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