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变应性鼻炎病例中真菌性鼻窦炎的患病率:一项横断面研究

Prevalence of Fungal Sinusitis in Cases of Allergic Rhinitis: A Cross-Sectional Study.

作者信息

Gowthame K, Prabakaran S, Namasivaya Navin R B, Rajasekaran S, Muthukumar R, Balaji D, Sarath Kumar B, Lakshana R

机构信息

Department of Otorhinolaryngology (ENT), Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamilnadu 603103 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Feb;77(2):810-813. doi: 10.1007/s12070-024-05256-9. Epub 2024 Dec 5.

Abstract

Allergic fungal rhinosinusitis is a non-invasive form of highly recurrent chronic rhinosinusitis. A probable correlation between fungal sinusitis, a disorder resulting from fungal infections of the sinuses that can worsen nasal symptoms and complicate treatment, and allergic rhinitis has been shown by recent investigations. The aim of this study is to estimate the prevalence of fungal sinusitis among allergic rhinitis patients. This cross-sectional study was conducted among 150 patients with chronic Allergic sinusitis who were attending the ENT, Outpatient Department at a Tertiary Care Hospital. All patients were subjected to an X-ray of the Paranasal sinuses followed by diagnostic nasal endoscopy, then a fungal smear and culture were done. Demographic details, Comorbidities, symptoms and DNE findings were collected and analysed using SPSS v.21. The prevalence of fungal sinusitis in cases of allergic rhinitis was 25.3%. fungal sinusitis was found to be more common among the patients with aged 45 years above and the patients with comorbidities. We found an Association between fungal sinusitis with comorbidities (0.001). Patients with allergic rhinitis are more likely to experience fungal sinusitis. For people with allergic rhinitis, a fungal sinusitis diagnosis and prompt treatment are essential to reducing symptoms and improving quality of life.

摘要

变应性真菌性鼻-鼻窦炎是一种高度复发性慢性鼻-鼻窦炎的非侵袭性形式。近期研究表明,真菌性鼻窦炎(一种由鼻窦真菌感染引起的疾病,可使鼻部症状加重并使治疗复杂化)与变应性鼻炎之间可能存在关联。本研究的目的是评估变应性鼻炎患者中真菌性鼻窦炎的患病率。这项横断面研究在一家三级护理医院耳鼻喉科门诊就诊的150例慢性变应性鼻窦炎患者中进行。所有患者均接受鼻窦X线检查,随后进行诊断性鼻内镜检查,然后进行真菌涂片和培养。收集人口统计学细节、合并症、症状和鼻内镜检查结果,并使用SPSS v.21进行分析。变应性鼻炎患者中真菌性鼻窦炎的患病率为25.3%。真菌性鼻窦炎在45岁以上患者和合并症患者中更为常见。我们发现真菌性鼻窦炎与合并症之间存在关联(P = 0.001)。变应性鼻炎患者更易患真菌性鼻窦炎。对于变应性鼻炎患者,真菌性鼻窦炎的诊断和及时治疗对于减轻症状和改善生活质量至关重要。

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