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囊性纤维化儿科患者的临床慢性鼻-鼻窦炎转归

Clinical chronic rhinosinusitis outcomes in pediatric patients with cystic fibrosis.

作者信息

Virgin Frank W

机构信息

Division of Pediatric Otolaryngology, Department of Otolaryngology Vanderbilt University Nashville Tennessee.

出版信息

Laryngoscope Investig Otolaryngol. 2017 May 31;2(5):276-280. doi: 10.1002/lio2.78. eCollection 2017 Oct.

DOI:10.1002/lio2.78
PMID:29094071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5655562/
Abstract

OBJECTIVES

Chronic rhinosinusitis and nasal polyposis are common conditions in cystic fibrosis (CF). Approximately 2-3% of pediatric CF patients per year have sinus disease requiring surgery. It has been well established that there is a significant negative impact on quality of life associated with chronic rhinosinusitis (CRS) in the non-CF patient population. However, the impact of CRS on the pediatric CF population remains uncertain. The purpose of this article is to review the current state of outcome measures for CRS in pediatric CF patients.

DATA SOURCES

PubMed and EMBASE literature review.

METHODS

PubMed and EMBASE electronic databases were searched using Boolean searches that incorporated mesh headings and plain language for quality of life, symptom evaluation, pediatric patients, and sinusitis/rhinosinusitis. Studies were included if the study primarily evaluated a pediatric Cystic Fibrosis-Chronic Rhinosinusitis (CF-CRS) population and the primary outcome measure was quality of life evaluation.

RESULTS

The search yielded 34 unique articles. A total of 7 articles met inclusion criteria.

CONCLUSIONS

Despite the high frequency of chronic rhinosinusitis in the pediatric CF patient population, its impact on quality of life is not well understood. Currently there is a lack of a validated disease specific quality of life instruments available to assess the impact of CRS on the pediatric CF patient population.

LEVEL OF EVIDENCE

摘要

目的

慢性鼻-鼻窦炎和鼻息肉病在囊性纤维化(CF)患者中很常见。每年约有2%-3%的儿科CF患者患有需要手术治疗的鼻窦疾病。在非CF患者群体中,慢性鼻-鼻窦炎(CRS)对生活质量有显著负面影响,这一点已得到充分证实。然而,CRS对儿科CF患者群体的影响仍不明确。本文旨在综述儿科CF患者CRS结局指标的现状。

数据来源

PubMed和EMBASE文献综述。

方法

使用布尔检索在PubMed和EMBASE电子数据库中进行检索,检索词包含生活质量、症状评估、儿科患者以及鼻窦炎/鼻-鼻窦炎的主题词和普通语言。如果研究主要评估儿科囊性纤维化-慢性鼻-鼻窦炎(CF-CRS)患者群体,且主要结局指标为生活质量评估,则纳入该研究。

结果

检索得到34篇独特的文章。共有7篇文章符合纳入标准。

结论

尽管儿科CF患者群体中慢性鼻-鼻窦炎的发病率很高,但其对生活质量的影响尚未得到充分了解。目前缺乏经过验证的疾病特异性生活质量工具来评估CRS对儿科CF患者群体的影响。

证据级别

5级。

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本文引用的文献

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Sinonasal Quality of Life in Children With Cystic Fibrosis.儿童囊性纤维化的鼻窦生活质量。
JAMA Otolaryngol Head Neck Surg. 2016 Aug 1;142(8):743-9. doi: 10.1001/jamaoto.2016.0979.
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Health-related quality of life in pediatric Chiari Type I malformation: the Chiari Health Index for Pediatrics.小儿I型Chiari畸形患者的健康相关生活质量:小儿Chiari健康指数
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Quantitative sinonasal symptom assessment in an unselected pediatric population with cystic fibrosis.对未经过筛选的患有囊性纤维化的儿科人群进行鼻窦症状的定量评估。
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The Sino-Nasal Outcome Test-22 as a tool to identify chronic rhinosinusitis in adults with cystic fibrosis.使用鼻鼻窦结局测试-22作为识别成年囊性纤维化患者慢性鼻-鼻窦炎的工具。
Int Forum Allergy Rhinol. 2015 Dec;5(12):1111-7. doi: 10.1002/alr.21607. Epub 2015 Jul 30.
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Comprehensive quality of life outcomes for pediatric patients undergoing endoscopic sinus surgery.接受内窥镜鼻窦手术的儿科患者的综合生活质量结果。
Rhinology. 2014 Dec;52(4):327-33. doi: 10.4193/Rhino14.028.
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Use of the SNOT-22 and UPSIT to appropriately select pediatric patients with cystic fibrosis who should be referred to an otolaryngologist: cross-sectional study.使用SNOT-22和UPSIT来合理选择应转诊至耳鼻喉科医生处的囊性纤维化儿科患者:横断面研究
JAMA Otolaryngol Head Neck Surg. 2014 Oct;140(10):934-9. doi: 10.1001/jamaoto.2014.1650.
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Evaluation of chronic rhinosinusitis management using the SNOT-22 in adult cystic fibrosis patients.使用SNOT-22评估成年囊性纤维化患者慢性鼻-鼻窦炎的治疗情况。
Eur Rev Med Pharmacol Sci. 2014;18(14):1985-9.
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Inter-hospital variation in the frequency of sinus surgery in children with cystic fibrosis.囊性纤维化患儿鼻窦手术频率的医院间差异。
Pediatr Pulmonol. 2015 Mar;50(3):231-235. doi: 10.1002/ppul.23046. Epub 2014 Apr 2.
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Extensive surgical and comprehensive postoperative medical management for cystic fibrosis chronic rhinosinusitis.囊性纤维化慢性鼻-鼻窦炎的广泛手术和综合术后医学管理。
Am J Rhinol Allergy. 2012 Jan-Feb;26(1):70-5. doi: 10.2500/ajra.2012.26.3705.
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Erratum to: Psychometric evaluation of the Cystic Fibrosis Questionnaire-Revised in a national, US sample.勘误:囊性纤维化问卷修订版在全国性美国样本中的心理计量学评估。
Qual Life Res. 2012 Sep;21(7):1279-90. doi: 10.1007/s11136-011-0091-5. Epub 2012 Jan 13.