鼻腔隔膜偏差与鼻炎之间的关系:一个系统性审查
Aidan Shulkin1, Alexandra Katz1, Marc A Tewfik2
1Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
概括
鼻隔膜偏差 (NSD) 和鼻炎 (RS) 之间的联系尚不清楚. 当前的研究显示了不一致的关联,突出了需要标准化的报告,以提高理解和患者护理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学研究方法学 医学研究方法学
背景情况:
- 鼻隔膜偏差 (NSD) 和鼻炎 (RS) 是普遍存在的症状重叠的疾病,需要不同的治疗策略.
- 了解NSD和RS之间的关系对于开发有效的预防管理至关重要.
研究的目的:
- 系统地审查和分析有关鼻腔隔膜偏差和鼻炎之间的关联的现有文献.
主要方法:
- 根据PRISMA指南进行了系统审查,搜索了Embase,MEDLINE和Web of Science.
- 包括的研究集中在成人参与者 (≥18岁) 上,并根据患病率,严重程度和鼻腔隔膜角 (NSA) 检查了NSD和RS之间的关联.
- 评估了偏差风险和整体研究质量.
主要成果:
- 在34项研究中,40%的个别结果指标表明NSD和RS之间存在关联.
- 评估NSD患病率的研究显示,RS与41.2%的相关性,而40%的NSD严重程度研究发现与中度/重度NSD有联系.
- 只有35.3%的研究被认为具有低偏差风险,较少的研究表明存在关联.
结论:
- 目前的证据表明,鼻腔隔膜偏差和鼻炎之间存在不确定的关系.
- 定义,诊断标准,结果指标的变化以及偏差控制不足限制了最终的结论.
- 建议制定标准化报告准则,以提高一致性,并为未来的研究和患者护理提供更有意义的比较.
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