鼻后滴水综合征:一个新的定义和成功的口腔法治疗
Yeon-Hee Joo1, Hyun Jung Kim2, Yung-Jin Jeon3
1Department of Otorhinolaryngology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea; Gyeongsang National University School of Medicine, Gyeongsang National University, Republic of Korea; Institute of Health Sciences, Gyeongsang National University, Jinju, Republic of Korea.
American journal of otolaryngology
|May 8, 2025
概括
口腔为患有鼻后滴水 (PND) 而不咳的患者提供安全有效的治疗方法. 这种方法显著改善了症状,这表明PNDS的新定义侧重于感觉而不是内镜发现.
科学领域:
- 鼻科 鼻科是指鼻科的专家.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 症状管理 症状管理
背景情况:
- 鼻后滴水 (PND) 是鼻科诊所常见的投诉,有时被称为上呼吸道咳综合征 (UACS).
- 一些患者呈现PND不适,但没有咳或明显的鼻分泌物的内镜迹象.
- 该研究解决了这些特定PND患者的诊断和治疗差距.
研究的目的:
- 调查PND患者内镜检测结果和症状之间的相关性,作为他们唯一的投诉.
- 为了评估口腔的有效性,作为治疗PND在没有咳的患者.
- 建议对鼻后滴水综合征 (PNDS) 提出一个精确的定义.
主要方法:
- 回顾PND患者治疗口腔的医疗记录.
- 纳入标准:PND作为唯一的鼻症状.
- 使用中鼻结局测试22 (SNOT-22) 和鼻滴后症状表 (PNDSS) 评分评估PND不适.
- 进行了客观的内镜检查.
主要成果:
- 在12周内用正常盐水进行口腔,导致症状显著改善.
- 无论是SNOT-22还是PNDSS分数,都显示在治疗后显著下降.
- 没有发现内镜检查结果和症状评分之间的相关性.
- 没有报告严重的不良事件.
结论:
- 口腔是对PNDS的安全和潜在有效干预措施.
- 该机制可能涉及从鼻和口的粘液的稀释和清除.
- 提出了PNDS的新定义:感觉PND没有咳,独立于鼻腔疾病或内镜发现.
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