预测普通门诊人群中的急性上颌窦炎
Predicting acute maxillary sinusitis in a general practice population.
作者信息
Hansen J G, Schmidt H, Rosborg J, Lund E
机构信息
Department of Otorhinolaryngology, Aalborg County Hospital, Denmark.
出版信息
BMJ. 1995 Jul 22;311(6999):233-6. doi: 10.1136/bmj.311.6999.233.
OBJECTIVE
To evaluate the diagnostic value of symptoms, signs, erythrocyte sedimentation rate, and C reactive protein for acute maxillary sinusitis.
DESIGN
Prospective cohort study.
SETTING
Danish general practice in cooperation with the otorhinolaryngology and neuroradiology department at Aalborg County Hospital.
SUBJECTS
174 patients aged 18-65 years who were suspected by the general practitioner of having acute maxillary sinusitis.
MAIN OUTCOME MEASURE
The independent association of symptoms, signs, erythrocyte sedimentation rate, and concentration of C reactive protein in patients with acute maxillary sinusitis defined as purulent or mucopurulent antral aspirate.
RESULTS
Only raised erythrocyte sedimentation rate (P = 0.01) and raised C reactive protein (P = 0.007) were found to be independently associated with a diagnosis of acute maxillary sinusitis. The combination of the two variables had a sensitivity of 0.82 and a specificity of 0.57.
CONCLUSION
Erythrocyte sedimentation rate and C reactive protein are useful diagnostic criteria for acute maxillary sinusitis.
目的
评估症状、体征、红细胞沉降率及C反应蛋白对急性上颌窦炎的诊断价值。
设计
前瞻性队列研究。
地点
丹麦普通诊所与奥尔堡郡医院耳鼻喉科及神经放射科合作开展。
研究对象
174例年龄在18至65岁之间、被全科医生怀疑患有急性上颌窦炎的患者。
主要观察指标
将急性上颌窦炎定义为脓性或黏脓性窦腔抽吸物时，症状、体征、红细胞沉降率及C反应蛋白浓度在患者中的独立相关性。
结果
仅发现红细胞沉降率升高（P = 0.01）和C反应蛋白升高（P = 0.007）与急性上颌窦炎的诊断独立相关。这两个变量的联合使用敏感性为0.82，特异性为0.57。
结论
红细胞沉降率和C反应蛋白是急性上颌窦炎有用的诊断标准。
Zotero 插件