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目的:对慢性鼻窦炎、鼻息肉患者行功能性鼻窦内镜手术术前术后生存质量进行评估,并分析相关的影响因素,以评价该手术的优越性和指导临床治疗。方法:引用并修改SNOT-20量表,制成慢性鼻窦炎、鼻息肉术前术后生存质量评估量表,均让患者自行填写,随访3个月,随访数据采用统计学方法加以分析。结果:术前术后整体生存质量得分及各维度得分均有明显提高,改善率为88.24%;术前患者感觉对生活影响最大的是:第一维度中鼻塞52.94%,第二维度中记忆力减退18.82%,第三维度中经常担心自己病情8.24%;第四维度中影响社交活动14.12%。术后改善最明显的是:第一维度中鼻塞58.82%,第二维度中记忆力减退10.59%,第三维度中烦躁易怒9.41%,第四维度中影响社交活动的10.59%;术前相关的影响因素是年龄、性别、并发症,术后为年龄、性别、并发症、前期手术史及围术期的处理,分型与生存质量无相关性。结论:功能性鼻窦内镜手术作为治疗慢性鼻窦炎、鼻息肉最有效的临床方法之一,能够明显地改善患者的生存质量。影响生存质量的主要相关因素为:年龄、性别、并发症、前期手术史和围术期处理。
OBJECTIVE: To evaluate the quality of life of patients with chronic sinusitis and nasal polyps after surgery for functional sinus surgery, and to analyze the related factors to evaluate the superiority of the surgery and to guide the clinical treatment. Methods: The SNOT-20 scale was quoted and modified to make the chronic sinusitis and nasal polyps preoperative and postoperative quality of life assessment scale. All patients were asked to fill in and follow up for 3 months. The follow-up data were analyzed by statistical methods. Results: The preoperative and postoperative global quality of life scores and the scores of all dimensions were significantly improved, the improvement rate was 88.24%. The greatest impact on preoperative life perception was: the first dimension of nasal obstruction 52.94%, the second dimension of memory loss 18.82%. In the third dimension, they frequently worry about 8.24% of their illness. In the fourth dimension, they affect social activities by 14.12%. The most obvious postoperative improvement was 58.82% in the first dimension, 10.59% in the second dimension, 9.41% in the third dimension and 10.59% in the fourth dimension. The preoperative correlation The influencing factors were age, gender, complications, postoperative age, gender, complications, preoperative surgical history and perioperative management. There was no correlation between typing and quality of life. CONCLUSION: Functional endoscopic sinus surgery is one of the most effective clinical methods for the treatment of chronic sinusitis and nasal polyps. It can significantly improve the quality of life of patients. The main factors affecting the quality of life are: age, gender, complications, preoperative surgical history and perioperative management.