西班牙多学科共识关于喉回流的诊断和管理 (ReFaL共识)
María Agustina Sevilla García1, Carlos Miguel ChiesaEstomba2, Luz Barona Lleó3
1Departamento de Otorrinolaringología, Hospital Universitario Virgen de la Arrixaca de Murcia, Murcia, Spain.
Acta otorrinolaringologica espanola
|December 14, 2025
概括
喉回流 (LPR) 的诊断和治疗仍然具有挑战性. 这项研究使用了经过修改的Delphi方法,以在LPR定义,诊断和管理方面的专家之间达成全国共识.
科学领域:
- 耳鼻喉科和胃肠道学
- 医学共识和德尔菲方法论
背景情况:
- 喉喉逆流 (LPR) 由于非特异性症状和缺乏客观生物标志物,因此存在诊断和治疗方面的挑战.
- 目前对LPR的理解和管理是分散的,需要采用统一的方法.
研究的目的:
- 建立关于喉回流症 (LPR) 的定义,诊断和治疗的国家共识.
- 整合耳鼻喉科医生 (ENT) 和胃肠科医生 (GI) 的观点,以制定全面的LPR管理策略.
主要方法:
- 采用了经过修改的Delphi方法,涉及科学委员会和73名专家小组成员 (63.1%的ENT,36.9%的GI).
- 在七个主题部分共开发了117个项目,并在两轮投票中对其进行了投票.
- 专家小组成员代表了西班牙多样化的自治社区,具有丰富的临床经验.
主要成果:
- 在两轮投票后,在117个项目中的76个项目 (64.9%) 上达成了积极的共识.
- 共识涵盖了关键领域,包括LPR定义,病理生理学,症状,诊断方法,治疗建议和临床后续.
- 在定义 (14),症状 (12),诊断 (10),治疗 (15) 和后续 (11) 项目方面达成了具体的共识数字.
结论:
- 德尔菲方法论在为LPR创建统一的共识文件方面被证明是有效的.
- 这种共识为LPR定义,呈现,诊断和管理提供了急需的标准化框架.
- 该文件整合了ENT和GI专业的标准,支持日常临床实践中的专家.
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