变应性鼻炎患者内镜检查的可靠性评估
Reliability assessment of the endoscopic examination in patients with allergic rhinitis.
作者信息
Ziade Georges K, Karami Reem A, Fakhri Ghina B, Alam Elie S, Hamdan Abdul Latif, Mourad Marc M, Hadi Usama M
出版信息
Allergy Rhinol (Providence). 2016 Jan 1;7(3):135-138. doi: 10.2500/ar.2016.7.0176.
OBJECTIVE
To study if nasal endoscope can be a reliable tool in assessing patients with allergic rhinitis.
MATERIALS AND METHODS
A prospective study. Patients who were diagnosed with allergic rhinitis underwent a nasal endoscopic examination performed by two physicians blinded to the scoring of each other. A correlation was made among symptom severity, endoscopic findings, and interrater variability.
RESULTS
Ninety patients were included in the study: 34 patients had mild disease and 56 had moderate-to-severe allergic rhinitis according to the Allergic Rhinitis and its Impact on Asthma guidelines. Increases in mucosal edema and bluish discoloration were predictive of the severity of allergic rhinitis disease (p < 0.05). The presence of nasal secretions was not predictive of allergic rhinitis. Interrater reliability was fair for mucosal edema, moderate-to-almost perfect for the rest of the endoscopic findings.
CONCLUSION
Nasal endoscopy may reveal signs that are predictive of the severity of allergic rhinitis. A detailed checklist is needed for the nasal endoscopic examination to decrease interrater variability.
目的
研究鼻内镜是否可作为评估变应性鼻炎患者的可靠工具。
材料与方法
一项前瞻性研究。被诊断为变应性鼻炎的患者接受了由两位对彼此评分不知情的医生进行的鼻内镜检查。对症状严重程度、内镜检查结果和评分者间的变异性进行了相关性分析。
结果
90例患者纳入研究：根据《变应性鼻炎及其对哮喘的影响》指南，34例患者病情较轻，56例患有中重度变应性鼻炎。黏膜水肿和发蓝的增加可预测变应性鼻炎疾病的严重程度（p<0.05）。鼻分泌物的存在不能预测变应性鼻炎。评分者间对黏膜水肿的可靠性一般，对其余内镜检查结果的可靠性为中等至几乎完美。
结论
鼻内镜检查可能揭示可预测变应性鼻炎严重程度的体征。鼻内镜检查需要一份详细的检查表以减少评分者间的变异性。
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