在内镜外科手术后非药物中间肉包装的有效性:系统性审查
Haissan Iftikhar1, Ammaar M A Abbasi2, Khawaja Mustafa2
1Department of Surgery University Hospitals Birmingham Birmingham UK.
World journal of otorhinolaryngology - head and neck surgery
|December 16, 2024
概括
在慢性鼻炎 (CRS) 进行内镜鼻手术 (ESS) 后,非药物中间肉包装并不能防止鼻形成. 这项系统性审查发现,在手术后12周内,包装和不包装的鼻之间,在鼻发育方面没有显著的差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性鼻炎 (CRS) 的管理通常涉及内镜鼻手术 (ESS).
- 中部肉包装是ESS后的常见做法,但其在预防鼻 (鼻) 的有效性仍在争论中.
- 非药物包装的目的是保持透明度,减少没有药物干预的并发症.
研究的目的:
- 系统地审查和评估非药物中间肉包装与没有包装在预防突形成方面的有效性.
- 评估包装对CRS在ESS后4周和8-12周内发育的影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在主要数据库 (PubMed,CINAHL,CENTRAL,ClinicalTrials.org) 搜索英语随机对照试验的文献.
- 使用Cochrane风险偏见工具 (v2) 和建议评估,开发和评估 (GRADE) 的评级进行质量评估.
主要成果:
- 包括四项随机对照试验,涉及139名患者.
- 在4周 (RR 0.77,95% CI:0.48-1.25) 或8-12周 (RR 0.68,95% CI:0.42-1.20) 没有观察到突形成的统计学上显著差异.
- 一项研究报告说,在随访时,包装组的鼻塞减少了.
结论:
- 有限的证据表明,非药物中间肉包装不会减少CRSES后的突形成.
- 需要进一步的研究来探索不同包装材料的影响和长期结果.
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