慢性鼻炎可能与慢性咳嗽患者肺功能下降有关

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY Brazilian Journal of Otorhinolaryngology Pub Date : 2024-03-21 DOI:10.1016/j.bjorl.2024.101424

Pengfei Zhao , Shin Kariya , Takaya Higaki , Seiichiro Makihara , Toru Rikimaru , Mitsuhiro Okano , Mizuo Ando

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引用次数: 0

摘要

方法对 1413 名慢性鼻窦炎（CRS）患者进行回顾性筛查，并纳入 109 名慢性鼻窦炎（CRS）合并慢性咳嗽（CC）患者。方法对 1413 名 CC 患者进行回顾性筛选，并纳入 109 名 CRS CC 患者，对他们的肺功能、Lund-Mackay 计算机断层扫描（CT）评分、吸烟状况、外周血嗜酸性粒细胞计数、血清样本中免疫球蛋白 E 的浓度以及中鼻结果测试进行检查。结果与对照组相比，患者的 1 秒用力呼气容积（FEV1.0）、预测 FEV1.0 百分比和 FEV1.0/ 强迫生命容量（FVC）比值明显偏低。FEV1.0/FVC比值与CT评分高的患者的Lund-Mackay CT评分呈负相关。此外，还需要进行包括肺科医生在内的多学科评估，以管理伴有 CC 的 CRS 患者。

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Chronic rhinosinusitis possibly associated with decreased lung function in chronic cough patients

Objectives

The purpose of this study is to investigate the lung function in Chronic Rhinosinusitis (CRS) patients with Chronic Cough (CC).

Methods

A total of 1413 CC patients were retrospectively screened and 109 CRS patients with CC were enrolled. Lung function, Lund-Mackay Computed Tomography (CT) score, smoking status, peripheral blood eosinophil count, and immunoglobulin E concentration in serum samples, and Sino-Nasal Outcome Test were examined. Normal control subjects are also recruited.

Results

The Forced Expiratory Volume in 1 second (FEV_1.0), Percent Predicted FEV_1.0, and FEV_1.0/Forced Vital Capacity (FVC) ratio in the patients were significantly low as compared with the control subjects. The FEV_1.0/FVC ratio was negatively correlated with the Lund-Mackay CT scores of the patients with a high CT score.

Conclusions

The CRS patients with CC should be investigated with lung function. In addition, the multidisciplinary evaluation including a pulmonologist is needed to manage the CRS patients with CC.

Level of evidence

Level 4.

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来源期刊

Brazilian Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

205

审稿时长

4-8 weeks

期刊介绍： Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.