汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价  

Short term evaluation of quality of life in patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22

作　　者：李成文 田军[2] 

机构地区：[1]昌乐县人民医院耳鼻咽喉科,山东昌乐262400 [2]潍坊市人民医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第23期1828-1831,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：应用汉化版鼻腔鼻窦结果测量22条表（SNOT-22）对本地区慢性鼻-鼻窦炎（CRS）患者术后的生活质量（QOL）状况做一短期评价。方法：以SNOT-22量表作为工具，通过前瞻性随机对照设计，对78例CRS患者术前及术后1、3、6和9个月的QOL状况连续调查评估．同时与100例健康体检者的QOL状况对照，分析患者功能性内镜鼻窦手术后QOL的变化规律。结果：与健康体检者相比，患者术前22个条目中，除5个条目（咳嗽，耳胀满感，耳痛，面部疼痛或压迫感，疲劳）外，其余17个条目及总分值均高（P〈0．05），术后3个月7个条目（嗅觉，味觉减退，鼻涕倒流，难以入睡，夜间睡眠不好，工作效率下降，忧愁，窘迫感）计分恢复正常（P〉0．05），术后6个月9个条目（需要擤鼻涕，喷嚏，流鼻涕，鼻涕黏稠，头昏，夜间醒，醒后疲倦，注意力下降，失落感）计分恢复正常（P〉0．05），术后9个月1个条目（鼻塞）及总分恢复正常（P〉0．05）。可见患者的QOI，总体上需要9个月才能全面恢复常态。术前5大条目依次是鼻塞，嗅觉、味觉减退，流鼻涕，鼻涕黏稠，需要擤鼻涕；术后1～9个月除夜间睡眠不好替代鼻涕黏稠外，其他条目无变化。结论：汉化版SNOT-22量表能有效评价本地区CRS患者的QOL。慢性鼻一鼻窦炎鼻息肉患者内镜鼻窦手术治疗后6个月症状总体上得到解决，生存质量基本恢复常态，但嗅觉减退、异常鼻漏和睡眠障碍等重要问题仍明显存在，有待进一步解决。Objective.. To evaluate short term quality of life of patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22 （SNOT-22） and to formulate an ideal therapy system for patients with chronic rhinosinusitis. Method：Using prospective randomized controlled design, we chose the SNOT-22 to e- valuate and compare 78 CRS patientsr quality of life （QOL） before surgery, at 1-month, 3-month,6-month and 9- month after functional endoscopic sinus surgery（FESS）. At the same time, we randomly chose 100 healthy con- trols to compare their QOL with those of CRS patients after FESS. Result： We found that except for 5 items （cough, ear expanding, otalgia, facail pain and weary ）, the grade of 17 other items of CRS patients were signifi- cantly higher than those of the healthy controls （P〈0.05）. There was no significant difference in 7 items （olfac- tory sensation, hypogeusis, backflow of nasal discharge, difficult to fall asleep, bad sleep, bad work efficiency, depression, embarrassment ） at 3 months after FESS between chronic rhinosinusitis patients and healthy controls （P〉0.05）. There was no significant difference in 9 items （blow noses, sneeze, rhinorrhea, nasal discharge thick- ness, dizziness, night wake, tired of wake, attention deficit, sense of loss） at 6 months after FESS between chro nic rhinosinusitis patients and healthy controls （P〉0.05）. There was no significant difference in nasal obstruction at 6 months after FESS between chronic rhinosinusitis patients and healthy controls （P〉0.05）, at this time the totle grade was normal （P〉0.05）. The recovery period of QOL in patients was about 9 months （P〉0.05）. The 5 great items were nasal obstruction, olfactory sensation, hypogeusis, nasal discharge, nasal discharge thickness and blow noses. There was no difference in items except for bad sleep replacing nasal discharge thickness between 1-month and 9-month after surgery. Conclusion： The Chinese vesion of SNOT-22 could evaluat

关 键 词：生活质量 鼻窦炎 内镜鼻窦手术 SNOT-22 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]