伴有嗅觉障碍的CRS患者生活质量及心理健康研究  

A study on the quality of life and mental health of sinusitis patients with olfactory disorders

作　　者：贾怡松 白尚杰[1] JIA Yisong;BAI Shangjie(Department of Otorhinolaryngology,Yanbian University Affiliated Hospital Organzation,Yanji,133000,China)

机构地区：[1]延边大学附属医院耳鼻喉科,吉林延吉133000

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第2期149-152,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:研究伴与不伴鼻息肉CRS患者嗅觉障碍发生率及伴有嗅觉障碍的CRS患者对生活质量及心理健康的影响。方法:将随机选取的105例CRS患者根据Sniffin’s Sticks嗅觉检查结果分为伴嗅觉障碍组和不伴嗅觉障碍组,分别行嗅觉障碍生存质量量表-生存质量部分、SCL-90症状自评量表评分。结果:在CRS患者中,伴鼻息肉较不伴鼻息肉嗅觉障碍的发生率显著增高(χ~2=37.133,P<0.001);嗅觉障碍生存质量量表-生存质量部分评分,伴嗅觉障碍组生存质量评分(26.5±5.9)显著高于不伴嗅觉障碍组(11.76±3.58)(t=14.30,P<0.0001);伴嗅觉障碍女性患者生活质量评分(30.2±4.9)显著高于男性(22.3±4.0)(P<0.001);伴嗅觉障碍的CRS患者(64例)SCL-90评分为6.6(6.0~8.0),不伴嗅觉障碍的CRS患者(41例)SCL-90评分为7.0(6.2~7.6),2组间比较差异无统计学意义(P>0.05)。结论:CRS伴鼻息肉患者发生嗅觉障碍的风险显著高于不伴鼻息肉者;伴嗅觉障碍的CRS患者生活质量较不伴嗅觉障碍的CRS患者明显下降,且女性较男性对生活质量的影响更明显;伴嗅觉障碍的CRS患者对心理健康无显著影响。Objective:The aim of this study is to investigate the incidence of dysosmia in patients with and without nasal polyps,and the impact of dysosmia on the quality of life and mental health in patients with Sinusitis.Method:A total of 105 randomly selected patients with Sinusitis were divided into two groups based on the results of the Sniffin’s Sticks olfactory examination:The dysosmia group and the non dysosmia group,the quality of life(Qol)of olfaction quality of life scale and SCL-90 symptom checklist-90(SCL-90)were scored respectively.Result:The incidence of olfactory disorders in chronic sinusitis patients with nasal polyps was significantly higher than those without nasal polyps(χ~2=37.133,P<0.001).The quality of life score of the olfactory disturbance scale the quality of life score of the olfactory disturbance group(26.5±5.9)was significantly higher than that of the non olfactory disturbance group(11.76±3.58)(t=14.30,P<0.0001).Life quality score(30.2±4.9)of female patients with olfactory dysfunction was significantly higher than that of male patients(22.3±4.0)(P<0.001),The score of SCL-90 of chronic sinusitis patients with olfactory dysfunction(n=64)is 6.6(6.0-8.0),while the score of SCL-90 of chronic sinusitis patients without olfactory dysfunction(n=41)is 7.0(6.2-7.6),and there was no significant difference between the two groups(P>0.05).Conclusion:The risk of dysosmia in patients with Sinusitis polyps was significantly higher than that in patients without nasal polyps,and the quality of life in patients with Sinusitis was significantly lower than that in patients without sinusitis,women also had a greater impact on their quality of life than men,and Sinusitis patients with dysosmia had no significant impact on their mental health.

关 键 词：慢性鼻窦炎 嗅觉障碍 生活质量 心理健康 

分 类 号：R765[医药卫生—耳鼻咽喉科]