对CRSsNP患者嗅觉功能障碍风险因素的分析:一个前性病例对照研究
Weiqun Gong1, Meng Wang1, Jun Huo1
1Department of Otorhinolaryngology, Shanghai Xuhui Center Hospital, China.
Ear, nose, & throat journal
|January 30, 2026
概括
在没有鼻息肉的慢性鼻炎 (CRSsNP) 中,嗅觉功能障碍 (OD) 与鼻腔体积较小和IL-5和IgE等炎症标志物较高有关. 这些因素有助于早期发现OD,以获得更好的治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 嗅觉科学 嗅觉科学
背景情况:
- 没有鼻的慢性鼻炎 (CRSsNP) 是一种常见的疾病.
- 嗅觉功能障碍 (OD) 显著影响患者的生活质量.
- 在CRSsNP中识别OD的风险因素对于管理至关重要.
研究的目的:
- 在没有鼻息肉的慢性鼻炎 (CRSsNP) 患者中识别嗅觉功能障碍 (OD) 的独立风险因素.
- 评估OD所识别的因素的预测价值.
- 为CRSsNP患者的临床管理策略提供信息.
主要方法:
- 一项前性研究涉及93名受试者,包括有或没有OD的CRSsNP患者,以及健康的对照.
- 进行了嗅觉测试,CT扫描 (Lund-Mackay),内镜评估 (Lund-Kennedy) 和生化分析 (IL-5,IgE,STOMP).
- 使用后勤回归和ROC曲线分析来识别风险因素并评估预测价值.
主要成果:
- 患有OD的患者鼻腔体积和STOMP数量显著降低.
- 在OD组中观察到升高的隆德-麦凯CT得分,隆德-肯尼迪得分,IL-5和IGE.
- 鼻腔体积,隆德-麦凯得分,隆德-肯尼迪得分,IL-5,IgE和STOMP被证实是OD的独立预测因素.
结论:
- 鼻腔体积,CT/内镜评分,IL-5,IgE和STOMP与CRSsNP中的OD显著相关.
- 这些参数有效地选CRSsNP患者的嗅觉异常.
- 使用这些因素早期识别OD可以优化临床策略并改善患者的治疗结果.
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