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)果測量22條表(SNOT-22)對本地區(qū)慢性鼻-鼻竇炎(CRS)患者術(shù)后的生活質(zhì)量(QOL)狀況做一短期評價。方法:以SNOT-22量表作為工具,通過前瞻性隨機對照設(shè)計,對78例CRS患者術(shù)前及術(shù)后1、3、6和9個月的QOL狀況連續(xù)調(diào)查評估,同時與100例健康體檢者的QOL狀況對照,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個條目中,除5個條目(咳嗽,耳脹滿感,耳痛,面部疼痛或壓迫感,疲勞)外,其余17個條目及總分值均高(P0.05),術(shù)后3個月7個條目(嗅覺,味覺減退,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)計分恢復(fù)正常(P0.05),術(shù)后6個月9個條目(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)計分恢復(fù)正常(P0.05),術(shù)后9個月1個條目(鼻塞)及總分恢復(fù)正常(P0.05)。可見患者的QOL總體上需要9個月才能全面恢復(fù)常態(tài)。術(shù)前5大條目依次是鼻塞,嗅覺、味覺減退,流鼻涕,鼻涕黏稠,需要擤鼻涕;術(shù)后1~9個月除夜間睡眠不好替代鼻涕黏稠外,其他條目無變化。結(jié)論:漢化版SNOT-22量表能有效評價本地區(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),但嗅覺減退、異常鼻漏和睡眠障礙等重要問題仍明顯存在,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】：R765.9
【正文快照】： CRS是耳鼻咽喉科臨床工作中最常見的慢性疾病之一,隨著上世紀(jì)90年代鼻內(nèi)鏡技術(shù)引入我國,FESS已逐漸成為藥物治療無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)重于對手術(shù)和客觀諸如CT評分和鼻內(nèi)鏡評分的研究,但是近年來相關(guān)報道發(fā)現(xiàn)〔2-3〕，

本文編號：1461844