临床检查结果与结构性鼻腔阻塞中的客观鼻腔通透度测量之间的关系:系统性审查
Pavithran Maniam1, Ian Wei Lim2, Kim Hui Lim3
1Ear, Nose & Throat Department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
The Journal of laryngology and otology
|January 3, 2025
概括
临床检查结果与一些鼻阻塞病例的客观鼻腔通透度相关. 然而,证据有限,特别是在鼻腔吸气流峰值和轻微隔膜偏差方面.
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.
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 在有结构性鼻腔阻塞的患者中,临床评估与鼻气流的客观测量之间的相关性尚未得到充分证实.
- 现有的研究提出了一个混合的图片,关于物理检查的可靠性预测鼻孔透度.
研究的目的:
- 系统地审查研究临床鼻腔检查结果与鼻腔通透性的客观测量之间的关系的文献.
- 评估声学鼻计,鼻腔吸气流峰值,鼻腔计和鼻肺计在评估鼻腔阻塞时的实用性.
主要方法:
- 进行了定性系统审查.
- 系统审查和元分析的首选报告项目 (PRISMA) 2020年指导方针被遵循.
主要成果:
- 包括17篇文章,表明一些客观的鼻孔透度测量与临床发现之间存在积极的关联.
- 像声学鼻计,鼻计和鼻气计等客观测量方法在严重的前隔膜偏差中显示出正相关性.
- 由于证据有限,这些措施在轻度/中度或后隔膜偏差中的作用以及与鼻腔吸气流峰值的关系需要进一步调查.
结论:
- 虽然一些客观的鼻腔通透度测量与临床发现一致,特别是在严重病例中,但整体证据基础有限.
- 需要进一步的研究,以澄清临床评估和客观措施之间的关系,在鼻阻塞严重程度和类型的全谱.
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