兒童之急性鼻竇炎、過敏及感冒使用鼻沖洗的成效：系統文獻回顧及統合分析

Effects of Nasal Irrigation on Acute Sinusitis, Allergy and Common Cold in Children: Systematic Literature Review and Meta-Analysis

鼻沖洗是為輔助療法可提供改善兒童之急性鼻竇炎、過敏及感冒所引起的症狀。方法：搜尋中華民國期刊論文系統、CEPS、Medline、PubMed等資料庫之相關文獻。再由兩位研究者依據Joanna Briggs Institute(JBI)發展評估系統文獻之評估量表進行文章品質之評析，而文獻等級乃依據JBI所使用之等級分類工具。使用RevManS統計軟體分析。結果：鼻沖洗介入改善兒童之鼻竇炎、過敏及感冒所引起的鼻塞與睡眠品質。結論：本研究以統合分析(meta-analysis)提供證據證明研究結果，有益於2到18歲之兒童，當罹患急性鼻竇炎、過敏及感冒所引起的鼻阻塞的輔助療法，亦能協助鼻竇炎、過敏及感冒所引起的鼻塞情況並縮短兒童服用藥物治療的時間。注意事項包括年紀太小的兒童、聲門閉不全或吞嚥機能受損及鼻部剛手術者，或有嚴重副作用者應謹慎使用之。

Nasal irrigation is an adjuvant therapy to improve acute sinusitis, allergy and common cold symptoms in children. Two researchers performed comprehensive search on the subject-related literatures from Index to Taiwan Periodical Literature System, Chinese Electronic Periodicals Service (CEPS), Medline and PubMed. The researchers conducted systematic literature reviews and meta-analyses with application of JBI (Joanna Briggs Institute) appraisal instrument. The literatures were assigned levels with the tool of JBI Levels of Evidence. The RevMan 5 software was adopted to perform meta-analysis. The results shows that nasal irrigation is correlated to improvement of nasal stuffy nose and sleep quality due to acute sinusitis, allergy and common cold in children. In conclusion, through meta-analysis, evidence-based researches indicate that nasal irrigation not only be used as an adjuvant to benefit children with age of two to 18 for stuffy nose secondary to acute sinusitis, allergy and common cold, but shorten the time taken for medication administration. Nasal irrigation should be applied with precaution to children at very young age or with glottal insufficiency, swallow dysfunction, immediate post-nasal operation or a history of severe adverse effects.