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鼻腔冲洗作为缓解鼻窦症状的治疗方法:疗效及临床应用综述

Nasal Irrigation as Treatment in Sinonasal Symptoms Relief: A Review of Its Efficacy and Clinical Applications.

作者信息

Abdullah Baharudin, Periasamy Chenthilnathan, Ismail Rushdan

机构信息

Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan Malaysia.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 3):1718-1726. doi: 10.1007/s12070-017-1070-0. Epub 2017 Jan 13.

Abstract

Nasal irrigations have been used for centuries without any scientific data to determine its efficacy. Despite their widespread use, much confusion exist about the mechanism of action, preparation, indications and therapeutic advantage of nasal irrigations. Anecdotal evidence and poorly controlled studies add to the confusion. Recent evidence provides strong scientific justification of the benefits and advantages of using nasal irrigations in sinonasal symptoms relief. The present review of the evidence based literature highlights its efficacy and clinical applications.

摘要

几个世纪以来人们一直在使用鼻腔冲洗,但却没有任何科学数据来确定其疗效。尽管鼻腔冲洗被广泛使用,但对于其作用机制、制备方法、适应症和治疗优势仍存在很多困惑。轶事证据和控制不佳的研究加剧了这种困惑。最近的证据为使用鼻腔冲洗缓解鼻窦症状的益处和优势提供了有力的科学依据。本次基于文献证据的综述突出了其疗效和临床应用。

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本文引用的文献

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Nasal irrigation: From empiricism to evidence-based medicine. A review.鼻腔冲洗:从经验主义到循证医学。一篇综述。
Eur Ann Otorhinolaryngol Head Neck Dis. 2015 Nov;132(5):281-5. doi: 10.1016/j.anorl.2015.08.001. Epub 2015 Sep 3.
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Nasal saline irrigation: therapeutic or homeopathic.鼻腔盐水冲洗:治疗性还是顺势疗法。
Braz J Otorhinolaryngol. 2015 Sep-Oct;81(5):457-8. doi: 10.1016/j.bjorl.2015.07.002. Epub 2015 Jul 23.
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Saline nasal irrigation for acute upper respiratory tract infections.生理盐水鼻腔冲洗治疗急性上呼吸道感染
Cochrane Database Syst Rev. 2015 Apr 20;2015(4):CD006821. doi: 10.1002/14651858.CD006821.pub3.
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Clinical practice guideline (update): adult sinusitis.临床实践指南(更新版):成人鼻窦炎
Otolaryngol Head Neck Surg. 2015 Apr;152(2 Suppl):S1-S39. doi: 10.1177/0194599815572097.
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What is the best modality to minimize bacterial contamination of nasal saline irrigation bottles?
Laryngoscope. 2015 Jul;125(7):1515-6. doi: 10.1002/lary.25129. Epub 2015 Jan 13.

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