汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价

发布时间：2018-01-25 03:21

  本文关键词： 生活质量 鼻窦炎 内镜鼻窦手术 SNOT-　出处：《临床耳鼻咽喉头颈外科杂志》2014年23期 　论文类型：期刊论文

【摘要】：目的:应用汉化版鼻腔鼻窦结果测量22条表(SNOT-22)对本地区慢性鼻-鼻窦炎(CRS)患者术后的生活质量(QOL)状况做一短期评价。方法:以SNOT-22量表作为工具,通过前瞻性随机对照设计,对78例CRS患者术前及术后1、3、6和9个月的QOL状况连续调查评估,同时与100例健康体检者的QOL状况对照,分析患者功能性内镜鼻窦手术后QOL的变化规律。结果:与健康体检者相比,患者术前22个条目中,除5个条目(咳嗽,耳胀满感,耳痛,面部疼痛或压迫感,疲劳)外,其余17个条目及总分值均高(P0.05),术后3个月7个条目(嗅觉,味觉减退,鼻涕倒流,难以入睡,夜间睡眠不好,工作效率下降,忧愁,窘迫感)计分恢复正常(P0.05),术后6个月9个条目(需要擤鼻涕,喷嚏,流鼻涕,鼻涕黏稠,头昏,夜间醒,醒后疲倦,注意力下降,失落感)计分恢复正常(P0.05),术后9个月1个条目(鼻塞)及总分恢复正常(P0.05)。可见患者的QOL总体上需要9个月才能全面恢复常态。术前5大条目依次是鼻塞,嗅觉、味觉减退,流鼻涕,鼻涕黏稠,需要擤鼻涕;术后1~9个月除夜间睡眠不好替代鼻涕黏稠外,其他条目无变化。结论:汉化版SNOT-22量表能有效评价本地区CRS患者的QOL。慢性鼻-鼻窦炎鼻息肉患者内镜鼻窦手术治疗后6个月症状总体上得到解决,生存质量基本恢复常态,但嗅觉减退、异常鼻漏和睡眠障碍等重要问题仍明显存在,有待进一步解决。
[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.
【作者单位】： 昌乐县人民医院耳鼻咽喉科;潍坊市人民医院耳鼻咽喉科;
【分类号】：R765.9
【正文快照】： CRS是耳鼻咽喉科临床工作中最常见的慢性疾病之一,随着上世纪90年代鼻内镜技术引入我国,FESS已逐渐成为药物治疗无效的慢性鼻窦炎的标准治疗方法〔1〕。早期功能性内镜鼻窦手术(FESS)的研究主要侧重于对手术和客观诸如CT评分和鼻内镜评分的研究,但是近年来相关报道发现〔2-3〕，

本文编号：1461844