在多病患者中优化慢性鼻炎与鼻和喘的护理:一个多学科的Delphi共识
Eugenio De Corso1, Adriano Vaghi2, Marco Corbò1
1Otorhinolaryngology Unit, Head and Neck Department, Fondazione Policlinico Universitario A. Gemelli Hospital IRCCS, Rome, Italy.
概括
治疗具有鼻息肉 (CRSwNP) 和喘的慢性鼻炎需要多学科的方法. 共识声明强调综合护理,以内型为导向的疗法,如生物药物,以及定期重新评估以改善患者的结果.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 过敏和免疫学 过敏和免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 慢性鼻炎与鼻息肉 (CRSwNP) 和喘经常同时发生.
- 共享的病理生理机制将CRSwNP和喘联系在一起,使患者的管理复杂化.
- 在这些疾病中,多病症带来了诊断和治疗方面的挑战.
研究的目的:
- 制定共识陈述来管理患有同时存在严重CRSwNP和喘的患者.
- 为了应对疾病负担,评估,治疗和多学科护理策略.
- 为这些多病症患者的临床管理提供新的见解.
主要方法:
- 使用了经过修改的Delphi方法.
- 一个由40名意大利临床医生组成的小组 (肺病学家,过敏学家/免疫学家,耳鼻喉科专家) 参加了会议.
- 在涵盖疾病负担,评估,治疗和多学科管理的陈述上达成共识.
主要成果:
- 专家们认识到与CRSwNP和喘并发症相关的重大疾病负担.
- 2型炎症被确定为一个关键的病理生理因素.
- 生物药物被认为是高度有效的优化多病患者的结果.
- 综合护理途径和定期的多学科再评估至关重要.
结论:
- 多学科的方法对于管理CRSwNP和喘患者至关重要.
- 建议在临床实践中使用内型驱动疗法和标准化护理途径.
- 这种共识为改善多病性呼吸道和鼻疾病的治疗提供了一个框架.
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