儿童患者因鼻炎引起的头痛:临床见解和诊断影响
Eu Gene Park1,2, Seung Beom Han1, Jin Lee1,2
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Translational pediatrics
|March 21, 2025
概括
儿童头痛往往被误诊为主要头痛疾病,但这项研究发现了归因于鼻炎 (HRS) 和其亚型,细菌鼻炎 (BRS) 和非BRS的头痛的关键差异.
科学领域:
- 儿科神经学 儿科神经学
- 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:
- 归因于鼻炎 (HRS) 的头痛在儿童中不常见,并且经常被误诊.
- 区分细菌性鼻炎 (BRS) 和非BRS是有效治疗的关键.
研究的目的:
- 为了确定HRS亚型 (BRS和非BRS) 的临床特征.
- 确定与鼻炎相关的儿科头痛的适当治疗方法.
主要方法:
- 对1777名患有头痛的儿科患者进行了回顾性审查,这些患者接受了神经影像.
- 从2014年1月到2023年12月的两所机构的医疗记录分析.
主要成果:
- 203名患者 (11.3%) 被诊断为HRS (47名BRS,90名非BRS).
- BRS组有更多的男性和呼吸道症状;非BRS组有更多的视力模糊.
- BRS涉及更多的鼻,导致抗生素/抗组胺剂的使用增加.
结论:
- 识别BRS和非BRS之间的临床差异对于准确的儿科头痛诊断至关重要.
- 儿科HRS的最佳管理可以改善生活质量和学业表现.
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