FPIN’s Clinical Inquiries（FPIN的临床调查）.pdfVIP

FPIN’s Clinical Inquiries Treatments for Symptoms of the Common Cold CAT LIVINGSTON, MD, MPH, Oregon Health Science University, Portland, Oregon JESSICA COZZENS, MD, MPH, Billings Clinic, Billings, Montana ANDREW HAMILTON, MS, MLS, Oregon Health Science University, Portland, Oregon Clinical Inquiries provides Clinical Question reduce the incidence or duration of colds answers to questions 1-3 submitted by practicing Which interventions are effective for treating (Table 1). family physicians to the symptoms of the common cold? Family Physicians Inquiries LIKELY EFFECTIVE Network (FPIN). Members Evidence-Based Answer Intranasal administration of ipratropium of the network select questions based on their There is no single treatment that produces decreases rhinorrhea symptoms, but has no relevance to family medi- significant improvements in symptoms of effect on nasal congestion.1 Therapeutic use cine. Answers are drawn the common cold. Intranasal ipratropium of oral zinc reduces the duration and sever- from an approved set of (Atrovent) can be given to reduce rhinor- ity of colds when taken within 24 hours of evidence-based resources and undergo peer review. rhea. (Strength of Recommendation [SOR]: symptom onset.3 Prophylactic use of oral The strength of recom- A, based on a systematic review of random- zinc reduces the incidence of cold, school mendations and the level ized controlled trials [RCTs].) Oral zinc can a