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头颈部非肿瘤性疾病的医学治疗证据及证据空白

Evidence and evidence gaps of medical treatment of non-tumorous diseases of the head and neck.

作者信息

Bas Murat

机构信息

Department of Otolaryngology, Technische Universität München, Germany.

出版信息

GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016 Dec 15;15:Doc02. doi: 10.3205/cto000129. eCollection 2016.

DOI:10.3205/cto000129
PMID:28025602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5169075/
Abstract

Unfortunately, the treatment of numerous otolaryngological diseases often lacks of evidence base because appropriate studies are missing. Whereas sufficient high-quality trials exist for the specific immunotherapy of allergic rhinitis and in a limited measure also for the angiotensin-converting enzyme inhibitor induced angioedema, the evidence for Menière's disease or for pharmacotherapy of postoperative laryngeal edema is rather poor. This contribution will discuss the trial situation and evidence of the respective diseases.

摘要

不幸的是,由于缺乏适当的研究,众多耳鼻喉科疾病的治疗往往缺乏循证依据。虽然针对过敏性鼻炎的特异性免疫疗法有足够的高质量试验,在一定程度上针对血管紧张素转换酶抑制剂诱发的血管性水肿也有相关试验,但关于梅尼埃病或术后喉水肿药物治疗的证据相当匮乏。本文将讨论这些疾病各自的试验情况和证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/af82dfa0f68d/CTO-15-02-g-007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/35287535dd0c/CTO-15-02-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/21c53cf4c413/CTO-15-02-t-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/8e481184da3c/CTO-15-02-t-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/50a89c93da5e/CTO-15-02-t-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/48af81dc4410/CTO-15-02-t-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/de149fbcec97/CTO-15-02-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/97ad1335f18f/CTO-15-02-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/e6a2b21130e5/CTO-15-02-g-003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1444/5169075/ec666cd992a0/CTO-15-02-g-005.jpg
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本文引用的文献

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Guideline on allergen-specific immunotherapy in IgE-mediated allergic diseases: S2k Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Society for Pediatric Allergy and Environmental Medicine (GPA), the Medical Association of German Allergologists (AeDA), the Austrian Society for Allergy and Immunology (ÖGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Dermatology (DDG), the German Society of Oto- Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), the German Society of Pediatrics and Adolescent Medicine (DGKJ), the Society for Pediatric Pneumology (GPP), the German Respiratory Society (DGP), the German Association of ENT Surgeons (BV-HNO), the Professional Federation of Paediatricians and Youth Doctors (BVKJ), the Federal Association of Pulmonologists (BDP) and the German Dermatologists Association (BVDD).IgE介导的过敏性疾病中变应原特异性免疫治疗指南:德国变态反应学与临床免疫学会(DGAKI)、儿科变态反应与环境医学学会(GPA)、德国变态反应科医生医学协会(AeDA)、奥地利变态反应与免疫学会(ÖGAI)、瑞士变态反应与免疫学会(SGAI)、德国皮肤病学会(DDG)、德国耳鼻咽喉头颈外科学会(DGHNO-KHC)、德国儿科学与青少年医学学会(DGKJ)、儿科肺病学会(GPP)、德国呼吸学会(DGP)、德国耳鼻喉外科医生协会(BV-HNO)、儿科医生与青年医生专业联合会(BVKJ)、肺科医生联邦协会(BDP)以及德国皮肤科医生协会(BVDD)的S2k指南
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Angiotensin-converting enzyme inhibitors-induced angioedema treated by C1 esterase inhibitor concentrate (Berinert®): about one case and review of the therapeutic arsenal.用C1酯酶抑制剂浓缩物(贝林妥欧®)治疗血管紧张素转换酶抑制剂引起的血管性水肿:1例病例及治疗方法综述
Clin Case Rep. 2015 Feb;3(2):126-30. doi: 10.1002/ccr3.171. Epub 2014 Dec 5.
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