再次鼻内镜手术患者生活质量调查  

Survey of quality of life in the patients with revision endoscopic sinus surgery

作　　者：周宣岩[1] 陶谦[2] 张峰[1] 王玉芝[1] 高振峰[1] 吕凌燕[1] 

机构地区：[1]聊城市第二人民医院耳鼻咽喉科,山东临清252601 [2]聊城市第二人民医院检验科,山东临清252601

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第2期62-65,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨修正性鼻内镜手术(RESS)对慢性鼻-鼻窦炎鼻息肉患者(CRSwNP)健康相关生活质量(QOL)的影响。方法:采用国内现有的中文版SF-36量表(MOS SF-36)和汉化英文版SNOT-20量表(SNOT-20),分别对60例施行修正性鼻内镜手术组(RESS)的CRSwNP患者和120名健康体检者进行QOL的调查与评估,并将2组的结果进行对比。结果:通过SF-36量表评估显示:RESS组术前CRSwNP患者SF-36的维度计分均低于对照组,差异有统计学意义(P<0.05)。通过汉化SNOT-20评估显示:RESS组术前CRSwNP患者SNOT-20各条目计分和条目总分均高于对照组,差异有统计学意义(P<0.05)。RESS组CRSwNP患者术后6个月SF-36和SNOT-20量表评估得分与对照组差异无统计学意义(P>0.05)。结论:RESS可明显改善CRSw-NP患者的QOL;SF-36和汉化SNOT-20量表能有效调查评估CRSwNP患者的QOL。Objective:To explore the effect of revision endoscopic sinus surgery(RESS) on quality of life in the patients with chronic rhinosinusitis with nasal polypsis(CRSwNP).Method:To survey and evaluate 60 cases of RESS patiens(treatment group) and 120 normal ones with physical examination(Control group) through the medical outcomes survey short form questions(MOS SF-36) and the Sino-Nasal Outcome Test-20(SNOT-20),and comparison and analysis of the two groups results which we got were carried out.Result:With SF-36 scales for evaluation of quality of life,the results show that: the scores of CRSwNP patients(treatment group) without surgical treatments with RESS were significantly lower than that of the control group(P<0.05);while use of SNOT-20 scales in evaluation of the properative treatment group patients,the results were significantly higher than that of the control group(P<0.05).While the CRSwNP patients with surgical treatments with RESS for 6 monthes,not only with SF-36 scales but also with SNOT-20 scales,there was no significant difference between the two groups(P>0.05).Conclusion:RESS may obviously improve the clinical symptom of CRSNP patients.The SF-36 and SNOT-20 assessment scales could reflect the patient's QoL change.

关 键 词：鼻窦炎 鼻息肉 复发 生活质量 SF-36 SNOT-20 

分 类 号：R765.25[医药卫生—耳鼻咽喉科]