在儿童中,与表观症相关的危险因素包括:
Melissa Cummins1, Connor Hunt2, Hassan H Ramadan3
1West Virginia School of Osteopathic Medicine, Lewisburg, WV, USA.
International journal of pediatric otorhinolaryngology
|June 17, 2025
概括
儿科表 (鼻血) 在冬季更为常见. 鼻内皮质类固醇喷雾剂 (INCS) 的使用可能会降低儿童鼻血的风险,而年龄,性别和隔膜偏差并不是重要因素.
科学领域:
- 儿科 儿科 儿科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 环境健康 环境健康
背景情况:
- 鼻出血 (epistaxis) 是一个常见的儿科问题.
- 之前的研究表明,表与气候变化和温度波动等环境因素之间存在联系.
- 了解儿科表风险因素对于预防和管理至关重要.
研究的目的:
- 调查环境因素与儿科表观症之间的关联.
- 确定导致儿童鼻血的特定危险因素.
- 为了评估鼻内皮质类固醇喷雾 (INCS) 在儿科表观症中的作用.
主要方法:
- 从2020年8月到2024年2月进行了一项追溯病例控制研究,涉及儿科患者.
- 病例是患有表病的儿童;对照组是患有其他鼻科疾病的儿童.
- 排除标准包括慢性鼻炎,出血障碍以及抗血小板或抗凝剂的使用.
主要成果:
- 这项研究包括332名儿童 (98例表,234例对照).
- 在冬季,表病例更为频繁 (p=0.013).
- 在INCS使用时,表风险降低 (OR=0.19,95%CI=0.06-0.66),而冬季季节性增加风险 (OR=1.79,95%CI=1.07-2.99).
结论:
- 儿科表显著与寒冷的季节有关.
- 鼻内皮质类固醇喷雾剂 (INCS) 的使用似乎是对儿科表的保护因素.
- 过敏性鼻炎,鼻腔隔膜偏差,年龄和性别并不是显著的风险因素.
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