大鼻孔穿孔:在船上的衰退洞察力中的传统程序
Fabian Paperlein1, Johanna Klinger-König2, Chia-Jung Busch1
1Department of Otorhinolaryngology, Head and Neck Surgery, University Medicine Greifswald, 17475 Greifswald, Germany.
Journal of clinical medicine
|August 14, 2025
概括
上鼻腔穿刺 (MSP) 已经下降,特别是在年轻人中,并且对长期生活质量产生了适度的影响. 这表明人们正在转向治疗急性鼻炎 (ARS) 的少入侵方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 上鼻穿刺 (MSP) 从历史上来看是诊断和治疗急性鼻炎 (ARS) 的核心.
- 较少的侵入性技术导致MSP利用率下降.
- 本研究调查了MSP趋势和长期生活质量影响.
研究的目的:
- 分析鼻孔穿刺 (MSP) 的患病率和人口统计相关性.
- 评估MSP对生活质量的长期影响.
- 了解MSP在管理中所扮演的角色的变化.
主要方法:
- 分析了波默兰的健康研究 (SHIP-START-2,SHIP-START-3,SHIP-TREND-0) 的三个队列的数据.
- 使用SNOT-20-D,EQ-5D-3L和SF-12调查问卷评估MSP流行,与年龄相关的相关性和生活质量.
- 统计分析以确定MSP与健康结果之间的关联.
主要成果:
- 在60岁以上的老年群体和参与者中,MSP的患病率更高,这表明历史性下降.
- MSP与症状负担增加有关 (SNOT-20-D得分).
- 观察到一般健康评分 (EQ-5D-3L,SF-12心理健康) 的轻微减少,这表明长期一般健康影响有限.
结论:
- 与年龄和时间相关的MSP下降凸显了MSP在当代医疗实践中的作用日益减弱.
- 虽然MSP为ARS提供了诊断价值,但其有限的长期生活质量影响支持使用替代性,最少侵入性手术.
- 对于对鼻腔疾病进行最小侵入性技术的进一步研究是有必要的.
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