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法国鼻息肉病的流行病学和临床特征;ORLI 研究组的经验

Epidemiological and clinical aspects of nasal polyposis in France; the ORLI group experience.

作者信息

Rugina M, Serrano E, Klossek J M, Crampette L, Stoll D, Bebear J P, Perrahia M, Rouvier P, Peynegre R

机构信息

Hôpital Intercommunal, Service ORL, Créteil, France.

出版信息

Rhinology. 2002 Jun;40(2):75-9.

Abstract

Nasal polyposis (NP) is a common condition in patients consulting ENT practitioners in France. A multicenter prospective study was performed to evaluate symptoms, demography, environmental factors, personal and family history and associated conditions like asthma, and food or drugs sensitivity (FDS) in patients suffering from NP. In each investigation center assessments were performed at the moment of the initial consultation by the same investigator, then updated with complementary exploration results required by the protocol. The chi 2 test and the Fisher test were used for statistical analysis. In this study 224 patients were included. Males were predominant at 63%. Asthma was found in 45% of cases without relevant sex difference. However, FDS, positive in 31% of the patients, was statistically higher in females than in males (42.9% vs. 24.4%). Severe and major symptoms were more frequently found in the female population. Environment and habitat factors did not appear to be relevant. High rates of NP (52.66%) and asthma (43.58%) were found in the family history. Hereditary factors were suggested and lead us to further study the genetic factors potentially involved in this pathology.

摘要

鼻息肉病(NP)在法国咨询耳鼻喉科医生的患者中是一种常见病症。开展了一项多中心前瞻性研究,以评估NP患者的症状、人口统计学特征、环境因素、个人及家族病史以及哮喘等相关病症,以及食物或药物过敏(FDS)情况。在每个研究中心,由同一名研究人员在初次就诊时进行评估,然后根据方案要求的补充检查结果进行更新。采用卡方检验和费舍尔检验进行统计分析。本研究纳入了224例患者。男性占主导,比例为63%。45%的病例发现患有哮喘,无明显性别差异。然而,31%的患者存在FDS,女性的FDS发生率在统计学上高于男性(42.9%对24.4%)。严重和主要症状在女性人群中更为常见。环境和居住因素似乎无关。家族病史中NP(52.66%)和哮喘(43.58%)的发生率较高。提示存在遗传因素,促使我们进一步研究可能与这种病理状况相关的遗传因素。

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