本文關(guān)鍵詞：慢性鼻—鼻竇炎患者鼻內(nèi)鏡手術(shù)后生活質(zhì)量和中醫(yī)體質(zhì)的關(guān)系研究　出處：《福建中醫(yī)藥大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 慢性鼻-鼻竇炎 生活質(zhì)量 中醫(yī)體質(zhì) 鼻內(nèi)鏡手術(shù)

【摘要】：目的：調(diào)查不同中醫(yī)體質(zhì)的慢性鼻-鼻竇炎患者手術(shù)前后生活質(zhì)量,探討慢性鼻-鼻竇炎患者鼻內(nèi)鏡手術(shù)后生活質(zhì)量與中醫(yī)體質(zhì)的相關(guān)性。從而評價鼻內(nèi)鏡手術(shù)治療效果。 方法：收集濕熱質(zhì)、氣虛質(zhì)、痰濕質(zhì)的慢性鼻-鼻竇炎患者各30例,采用醫(yī)學(xué)結(jié)果簡化量表-36(SF-36)及鼻腔鼻竇結(jié)局測試-20(SNOT-20)分別于術(shù)前、術(shù)后六個月對各體質(zhì)慢性鼻-鼻竇炎患者進行問卷調(diào)查,比較同種體質(zhì)慢性鼻-鼻竇炎患者術(shù)前和術(shù)后的生活質(zhì)量及不同間體質(zhì)慢性鼻-鼻竇炎患者的術(shù)前術(shù)后生活質(zhì)量。結(jié)果：各體質(zhì)組患者在病程、年齡、性別等方面無明顯差異,濕熱質(zhì)、氣虛質(zhì)及痰濕質(zhì)三種中醫(yī)體質(zhì)組慢性鼻-鼻竇炎患者術(shù)前SF-36總分無顯著性差異(P0.05)。SNOT-20評分中有顯著性差異(P0.05),其中SNOT-20,總分濕熱質(zhì)氣虛質(zhì),痰濕質(zhì)氣虛質(zhì),濕熱質(zhì)與痰濕質(zhì)術(shù)前SNOT-20,總分比較無明顯差異(P0.05)。說明在鼻腔鼻竇結(jié)局測試中濕熱質(zhì)及痰濕質(zhì)患者所受影響程度小于氣虛質(zhì)患者。鼻內(nèi)鏡手術(shù)術(shù)后6個月與術(shù)前相比,三種中醫(yī)體質(zhì)慢性鼻-鼻竇炎患者SF-36與SNOT-20評分均具有高度顯著差異(P0.01)。說明濕熱質(zhì)、氣虛質(zhì)、痰濕質(zhì)患者鼻內(nèi)鏡手術(shù)后6個月后總體生活質(zhì)量明顯改善。術(shù)后6個月慢性鼻-鼻竇炎患者的SNOT-20總分在各體質(zhì)組間無顯著性差異(P0.05),說明各體質(zhì)組鼻腔鼻竇局部病變恢復(fù)到一致水平。不同體質(zhì)的慢性鼻-鼻竇炎患者在SF-36總分具有顯著性差異(P0.05),其中SF-36總分濕熱質(zhì)氣虛質(zhì),具有顯著性差異(P0.05),濕熱質(zhì)痰濕質(zhì),具有顯著性差異(P0.05),氣虛質(zhì)與痰濕質(zhì)術(shù)后SF-36總分比較無明顯差異(P0.05)。說明在鼻內(nèi)鏡手術(shù)對濕熱質(zhì)患者總體健康改善情況要好于氣虛質(zhì)及痰濕質(zhì)患者。 結(jié)論：1、慢性鼻-鼻竇炎對濕熱質(zhì)、氣虛質(zhì)、痰濕質(zhì)三種體質(zhì)患者在生活質(zhì)量上均有影響,其中在鼻腔鼻竇局部病變中濕熱質(zhì)及痰濕質(zhì)患者所受影響程度小于氣虛質(zhì)患者。2、鼻內(nèi)鏡手術(shù)可以明顯的改善不同中醫(yī)體質(zhì)患者的生活質(zhì)量,其中對濕熱質(zhì)患者改善情況要優(yōu)于氣虛質(zhì)及痰濕質(zhì)患者。3、鼻內(nèi)鏡手術(shù)后生活質(zhì)量改善情況與中醫(yī)體質(zhì)存在相關(guān)性。4、通過中醫(yī)體質(zhì)可以預(yù)測性的評價鼻內(nèi)鏡手術(shù)治療效果。
[Abstract]:Objective: to investigate the quality of life of patients with chronic rhinosinusitis with different TCM constitution before and after operation. To investigate the relationship between the quality of life and TCM constitution in patients with chronic rhinosinusitis. Methods: 30 cases of chronic rhinosinusitis with dampness heat, qi deficiency and phlegm dampness were collected. The simplified medical results scale (-36 SF-36) and the nasal cavity and paranasal sinus outcome test (-20 SNOT-20) were used before operation. Six months after operation, the patients with chronic rhinosinusitis were investigated by questionnaire. The quality of life before and after operation in patients with chronic rhinosinusitis of the same constitution and the quality of life in patients with chronic rhinosinusitis with different constitution were compared. Results: the course and age of patients with chronic rhinosinusitis were compared. There is no significant difference in sex and other aspects, moisture and heat quality. Qi-deficiency and phlegm-dampness in the three groups of chronic rhinosinusitis patients with no significant difference in preoperative SF-36 total score P0.05 SNOT-20 score was significant difference (P0.05). SNOT-20, the total score of damp-heat qi deficiency, phlegm-dampness Qi deficiency, damp-heat and phlegm-wet SNOT-20. There was no significant difference in total score between the two groups (P 0.05), which indicated that the degree of influence in the patients with dampness, heat and phlegm in the nasal cavity and nasal sinus outcome test was less than that in the patients with deficiency of qi. The scores of SF-36 and SNOT-20 in patients with chronic rhinosinusitis of three kinds of TCM constitution were significantly different (P 0.01). The total quality of life of the patients with phlegm dampness improved significantly 6 months after endoscopic surgery, and the total score of SNOT-20 in patients with chronic rhinosinusitis was not significantly different among the physical groups (P0.05). The results showed that the local pathological changes of nasal cavity and paranasal sinus recovered to the same level in all physique groups. There was significant difference in the total score of SF-36 in patients with chronic rhinosinusitis with different constitution (P 0.05). The total score of SF-36 was damp-heat qi deficiency, with significant difference (P0.05A, P 0.05), and damp-heat phlegm-dampness (P0.05). There was no significant difference in the total score of SF-36 between qi deficiency and phlegm wet after operation (P 0.05), which indicated that the general health improvement of patients with dampness and heat was better than that of qi deficiency and phlegm wet. Conclusion 1, chronic rhinosinusitis has an effect on the quality of life of the patients with dampness and heat, deficiency of qi and phlegm and dampness. In the local lesions of nasal cavity and paranasal sinuses, the influence of dampness and heat and phlegm dampness is less than that of Qi-deficiency patients. Nasal endoscopic surgery can obviously improve the quality of life of patients with different physique of traditional Chinese medicine. Among them, the improvement of dampness and heat is better than that of qi deficiency and phlegm dampness. The improvement of quality of life after nasal endoscopic surgery has a correlation with TCM constitution. The effect of endoscopic sinus surgery can be evaluated by predicting the physique of traditional Chinese medicine.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R765.9

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