本文選題：鼻竇炎 + 視覺(jué)模擬量表　； 參考：《臨床耳鼻咽喉頭頸外科雜志》2016年11期

【摘要】：目的:探討術(shù)前VAS癥狀評(píng)分對(duì)慢性鼻-鼻竇炎(CRS)圍手術(shù)期處理的指導(dǎo)作用。方法:根據(jù)收治在相同年資相似經(jīng)驗(yàn)的高年資醫(yī)師組不同,將擬行鼻內(nèi)鏡手術(shù)的CRS患者分為實(shí)驗(yàn)組和對(duì)照組。2組患者術(shù)前均采用視覺(jué)模擬量表(VAS)對(duì)CRS患者整體不適及各癥狀(鼻塞、流涕、頭昏頭痛、嗅覺(jué)減退、鼻癢、噴嚏)進(jìn)行評(píng)分。對(duì)術(shù)前各癥狀VAS評(píng)分5分者,實(shí)驗(yàn)組圍手術(shù)期嚴(yán)格依據(jù)各癥狀VAS評(píng)分采取精準(zhǔn)策略,對(duì)照組則沒(méi)有參考VAS評(píng)分,僅依據(jù)術(shù)者臨床經(jīng)驗(yàn)進(jìn)行圍手術(shù)期處理。局部麻醉或全身麻醉下進(jìn)行鼻內(nèi)鏡手術(shù)。術(shù)后隨訪6個(gè)月和1年,對(duì)2組整體不適及各癥狀進(jìn)行VAS評(píng)分。結(jié)果:1實(shí)驗(yàn)組隨訪120例,對(duì)照組隨訪82例。2組患者一般情況、術(shù)前整體不適及各癥狀VAS評(píng)分比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。2 2組整體不適VAS評(píng)分在術(shù)后不同時(shí)期與術(shù)前比較均有顯著差異(P0.05)。3各癥狀中,除嗅覺(jué)減退外,鼻塞、流涕、頭昏頭痛、鼻癢、噴嚏癥狀VAS評(píng)分及患者滿意度自評(píng)分,2組術(shù)后不同時(shí)期相比均有顯著差異(P0.05)。結(jié)論:術(shù)前各癥狀VAS評(píng)分,不僅可用于CRS病情及療效評(píng)估,而且對(duì)CRS圍手術(shù)期處理有指導(dǎo)作用,可提高CRS治療有效率及患者滿意度,值得在臨床上推廣應(yīng)用。
[Abstract]:Objective: to investigate the effect of preoperative VAS score on perioperative management of chronic rhinosinusitis (CRS). Methods: according to the group of senior doctors with similar experience in the same seniority, Patients with CRS were divided into two groups: experimental group and control group. Visual analogue scale (VAS) was used to evaluate the overall discomfort and symptoms of CRS patients (nasal congestion, runny nose, dizziness headache, decreased olfaction, itching and sneezing). For the patients with 5 points of VAS score before operation, the experimental group adopted accurate strategy according to the VAS score of each symptom during the perioperative period, while the control group did not refer to the VAS score, and only handled the perioperative period according to the clinical experience of the operator. Endoscopic sinus surgery is performed under local or general anesthesia. The patients were followed up for 6 months and 1 year. Results 120 cases were followed up in experiment group 1 and 82 cases in group 2 in control group. There was no significant difference in preoperative overall discomfort and VAS scores between the two groups (P0.05). 2. 2. 2. 2 groups had significant differences in overall discomfort VAS scores at different periods after operation (P0.05). 3 in all symptoms, except olfactory loss, nasal congestion, runny nose, dizziness, headache, dizziness and headache, there was no significant difference between the two groups in terms of overall discomfort and VAS scores (P0.05). The VAS score of nasal itch sneezing symptom and patient satisfaction were significantly different between the two groups in different period after operation (P0.05). Conclusion: the VAS score of every symptom before operation can not only be used to evaluate the condition and curative effect of CRS, but also can guide the treatment of CRS in perioperative period. It can improve the effective rate of CRS treatment and the satisfaction of patients. It is worth popularizing and applying in clinic.
【作者單位】： 重慶醫(yī)科大學(xué)附屬第一醫(yī)院耳鼻咽喉科;
【基金】：國(guó)家臨床重點(diǎn)專(zhuān)科建設(shè)項(xiàng)目經(jīng)費(fèi)資助(No:衛(wèi)辦醫(yī)政函[2012]649號(hào)) 重慶市自然科學(xué)基金(No:cstc2013jcyjA0109),重慶市自然科學(xué)基金重點(diǎn)項(xiàng)目(No:cstc2015jcyjB0028) 重慶市衛(wèi)生計(jì)生委科研項(xiàng)目(No:2015HBRC004) 重慶市研究生科研創(chuàng)新項(xiàng)目(No:CYS151210)
【分類(lèi)號(hào)】：R765.9

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本文編號(hào)：2098469