良性甲状腺疾病中局部症状的发生率:系统性综述与元分析
Vikash Yogaraj1,2, Catherine Sinclair1,2, Ayden Tchernegovski1,2
1Faculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, Victoria, Australia.
The Laryngoscope
|December 31, 2024
概括
当地症状如呼吸困难 (呼吸不良),吞困难 (吞困难) 和说话困难 (听力障碍) 在良性甲状腺疾病中很常见. 问卷可能更好地评估这些普遍的症状.
科学领域:
- 内分泌学 在内分泌学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 一般外科 整体外科
背景情况:
- 良性甲状腺疾病是常见的内分泌疾病.
- 局部症状可以显著影响患者的生活质量.
- 这些症状的患病率数据往往是不一致的报道.
研究的目的:
- 系统地审查和评估良性甲状腺疾病患者局部症状的患病率.
- 综合现有的关于症状频率和患者报告结果的文献.
主要方法:
- 在主要的生物医学数据库 (PubMed,Embase,Medline,Cochrane) 进行了全面的文献搜索.
- 包括21项涉及4063名患者的研究的数据.
- 使用随机效应模型计算调整后的症状患病率,并对子组进行分析以解决异质性问题.
主要成果:
- 最常见的症状是呼吸障碍 (29%),消化障碍 (23%) 和语音障碍 (18%).
- 在患有甲状腺结节的患者中,环球体感觉 (54%) 和美容问题 (77%) 高.
- 与单独的结节相比,痛风与呼吸障碍的更高患病率有关.
结论:
- 在良性甲状腺疾病中,局部症状很常见,呼吸和吞困难是最常见的.
- 基于问卷的数据显示,症状发病率高于临床医生的数据,这表明它们在评估中的有用性.
- 需要对标准化报告进行进一步的研究,以澄清症状与疾病的关系,并为患者咨询提供信息.
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