鼻内镜下治疗老年慢性鼻窦炎鼻息肉术后嗅觉恢复的相关因素

发布时间：2019-01-22 13:20

【摘要】：目的研究鼻内镜下治疗老年慢性鼻窦炎鼻息肉术后嗅觉恢复的相关因素。方法回顾性分析近2年来该院耳鼻咽喉科就诊并确诊为慢性鼻窦炎鼻息肉的老年患者58例,所有患者均行鼻内镜下治疗,分别于术前、术后1个月和术后半年检测患者嗅觉功能并加以对比分析,将患者术后嗅觉功能恢复情况分别与患者性别、文化程度、鼻窦炎鼻息肉临床分型、病变部位、吸烟饮酒史和过敏因素进行多元Logistic回归分析。结果58例慢性鼻窦炎鼻息肉老年患者中,术前9例嗅觉功能正常,49例有不同程度嗅觉功能障碍(21例嗅觉功能丧失),术后半年20例嗅觉功能正常,38例有不同程度的嗅觉功能障碍(6例嗅觉功能丧失),嗅觉功能较术前明显改善(P0.05);各相关因素中,仅鼻窦炎鼻息肉临床分型和过敏因素与术后嗅觉功能恢复之间存在明显的相关关系(P0.05)。结论慢性鼻窦炎鼻息肉老年患者鼻内镜下治疗后嗅觉功能得到显著改善,术后嗅觉功能的恢复与鼻窦炎鼻息肉临床分型和过敏因素息息相关。
[Abstract]:Objective to study the related factors of olfactory recovery after nasal endoscopic treatment of senile chronic sinusitis and nasal polyps. Methods A retrospective analysis of 58 elderly patients with chronic sinusitis and nasal polyps was made in the department of otorhinolaryngology in recent 2 years. The olfactory function of the patients was detected 1 month after operation and half a year after operation. The recovery of olfactory function was compared with sex, education, clinical classification and pathological location of sinusitis and nasal polyps. The history of smoking and drinking and allergic factors were analyzed by multivariate Logistic regression analysis. Results among 58 aged patients with chronic sinusitis and nasal polyps, 9 cases had normal olfactory function before operation, 49 cases had different degree of olfactory dysfunction (21 cases lost olfactory function), and 20 cases had normal olfactory function half a year after operation. 38 cases had different degree of olfactory dysfunction (6 cases lost olfactory function) and the olfactory function was improved significantly (P0.05). Among the related factors, only the clinical classification and allergic factors of sinusitis and nasal polyps were significantly correlated with the recovery of olfactory function after operation (P0.05). Conclusion the olfactory function of the elderly patients with chronic sinusitis and nasal polyps improved significantly after endoscopic treatment. The recovery of olfactory function was closely related to the clinical classification and allergic factors of sinusitis and nasal polyps.
【作者单位】：天津市环湖医院耳鼻咽喉头颈外科;
【分类号】：R765.25

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