本文關(guān)鍵詞： 生活質(zhì)量 鼻竇炎 內(nèi)鏡鼻竇手術(shù) SNOT-　出處：《臨床耳鼻咽喉頭頸外科雜志》2014年23期 　論文類型：期刊論文

【摘要】：目的:應(yīng)用漢化版鼻腔鼻竇結(jié)果測(cè)量22條表(SNOT-22)對(duì)本地區(qū)慢性鼻-鼻竇炎(CRS)患者術(shù)后的生活質(zhì)量(QOL)狀況做一短期評(píng)價(jià)。方法:以SNOT-22量表作為工具,通過(guò)前瞻性隨機(jī)對(duì)照設(shè)計(jì),對(duì)78例CRS患者術(shù)前及術(shù)后1、3、6和9個(gè)月的QOL狀況連續(xù)調(diào)查評(píng)估,同時(shí)與100例健康體檢者的QOL狀況對(duì)照,分析患者功能性內(nèi)鏡鼻竇手術(shù)后QOL的變化規(guī)律。結(jié)果:與健康體檢者相比,患者術(shù)前22個(gè)條目中,除5個(gè)條目(咳嗽,耳脹滿感,耳痛,面部疼痛或壓迫感,疲勞)外,其余17個(gè)條目及總分值均高(P0.05),術(shù)后3個(gè)月7個(gè)條目(嗅覺(jué),味覺(jué)減退,鼻涕倒流,難以入睡,夜間睡眠不好,工作效率下降,憂愁,窘迫感)計(jì)分恢復(fù)正常(P0.05),術(shù)后6個(gè)月9個(gè)條目(需要擤鼻涕,噴嚏,流鼻涕,鼻涕黏稠,頭昏,夜間醒,醒后疲倦,注意力下降,失落感)計(jì)分恢復(fù)正常(P0.05),術(shù)后9個(gè)月1個(gè)條目(鼻塞)及總分恢復(fù)正常(P0.05)�？梢�(jiàn)患者的QOL總體上需要9個(gè)月才能全面恢復(fù)常態(tài)。術(shù)前5大條目依次是鼻塞,嗅覺(jué)、味覺(jué)減退,流鼻涕,鼻涕黏稠,需要擤鼻涕;術(shù)后1~9個(gè)月除夜間睡眠不好替代鼻涕黏稠外,其他條目無(wú)變化。結(jié)論:漢化版SNOT-22量表能有效評(píng)價(jià)本地區(qū)CRS患者的QOL。慢性鼻-鼻竇炎鼻息肉患者內(nèi)鏡鼻竇手術(shù)治療后6個(gè)月癥狀總體上得到解決,生存質(zhì)量基本恢復(fù)常態(tài),但嗅覺(jué)減退、異常鼻漏和睡眠障礙等重要問(wèn)題仍明顯存在,有待進(jìn)一步解決。
[Abstract]:Objective: to measure the quality of life of patients with chronic rhinosinusitis (CRS) by using Chinese version of nasal cavity and paranasal sinus (SNOT-22). Methods: SNOT-22 scale was used as a tool. A prospective randomized controlled design was used to evaluate the QOL status of 78 patients with CRS before and after 1: 3 and 9 months of operation. The QOL status of 78 patients with CRS was compared with that of 100 healthy controls. Results: compared with healthy persons, 5 items (cough, ear fullness, ear pain) were included in 22 items before operation. The other 17 items and total scores were all higher than P0.05, 7 items (olfactory, taste loss, nose regurgitation, nocturnal sleep were not good) except for facial pain or pressure and fatigue. Work efficiency decreased, sadness, distress) score returned to normal P0.05, postoperative 6 months 9 items (need to blow nose, sneeze, runny nose, mucous nose, dizziness, wake up at night, wake up tired. Attention loss, loss) score returned to normal (P0.05). After 9 months, 1 item (nasal obstruction) and the total score returned to normal (P0.05N). It was obvious that the QOL of the patients could recover completely after 9 months. The five items before operation were nasal obstruction and olfactory. Taste loss, runny nose, mucous nose, need to blow nose; 1 ~ 9 months after operation, nocturnal sleep was not good to replace mucous nose. No change in other entries. Conclusion:. Chinese version of the SNOT-22 scale can effectively evaluate the QOL. chronic rhinosinusitis and nasal polyp patients with endoscopic sinus surgery 6 months after the symptoms were generally resolved. The quality of life returned to normal basically, but the important problems such as olfactory decline, abnormal rhinorrhea and sleep disorder still exist obviously, which need to be solved further.
【作者單位】： 昌樂(lè)縣人民醫(yī)院耳鼻咽喉科;濰坊市人民醫(yī)院耳鼻咽喉科;
【分類號(hào)】：R765.9
【正文快照】： CRS是耳鼻咽喉科臨床工作中最常見(jiàn)的慢性疾病之一,隨著上世紀(jì)90年代鼻內(nèi)鏡技術(shù)引入我國(guó),FESS已逐漸成為藥物治療無(wú)效的慢性鼻竇炎的標(biāo)準(zhǔn)治療方法〔1〕。早期功能性內(nèi)鏡鼻竇手術(shù)(FESS)的研究主要側(cè)重于對(duì)手術(shù)和客觀諸如CT評(píng)分和鼻內(nèi)鏡評(píng)分的研究,但是近年來(lái)相關(guān)報(bào)道發(fā)現(xiàn)〔2-3〕，

本文編號(hào)：1461844