鼻内窥镜术后患者主观症状的调查研究  

Investigation on the symptoms of the patients operated functional endoscopic sinus surgery

作　　者：杨彩荣[1] 马嵩[1] 胡云兰[1] 谢卫民[1] 

机构地区：[1]河南省人民医院耳鼻喉科,河南郑州450003

出　　处：《河南医学研究》2009年第4期305-306,共2页Henan Medical Research

摘　　要：目的：研究慢性鼻窦炎、鼻息肉患者鼻内镜术后主观症状,了解其变化规律。方法：对施行鼻内镜手术的318例患者进行术后主观症状调查,时间分别为术后2 w、4 w、8 w、12 w、16 w、20 w和24 w。结果：318例患者中,有症状者233例（73.3%）,无症状者85例（26.7%）,其中主诉头痛者35例（11.0%）,鼻塞53例（16.7%）,脓涕79例（24.8%）,其它症状者66例（20.8%）。结论：头痛、鼻塞、脓涕仍然是慢性鼻窦炎、鼻息肉患者鼻内镜术后的三大主要症状,术后24 w是这些症状存在的高峰期,术后8 w明显下降,至术后24 w,上述症状基本消失。Objective： To investigate the symptoms of the patients operated functional endoscopic sinus surgery（FESS） and the changes of these symptoms after operation.Methods： The symptoms of the 318 patients who operated FESS were investigated at 2,4,8,12,16,20 and 24 weeks after operation.Results： Of 318 patients,233（73.3%） subjects had symptoms and 85（26.7%） were asymptomatic.The patients who complained headache were 35 cases（11.0%）,the patients who complained nasal obstruction were 53 cases（16.7%） and complained mucopurulent nasal discharge were 66 cases（20.8%）.Conclusion： Headache,nasal obstruction and mucopurulent nasal discharge still were the three main symptoms of the patients who operated FESS.2 to 4 weeks after operation was the peak stage of these symptoms occurred.These symptoms decreased significantly at 8 weeks after operation and almost disappeared at 24 weeks.

关 键 词：鼻疾病 外科 鼻内镜 症状 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]