功能性鼻窦内窥镜手术对慢性鼻-鼻窦炎患者负面情绪改善的研究  

Study on the Improvement of Negative Emotion in Patients with Chronic Rhino-sinusitisby Functional Endoscopic Sinus Surgery

作　　者：常艺琼 徐开伦 李四军[2] 任贤灵[1] 刘冬梅[1] 

机构地区：[1]川北医学院附属广元市中心医院耳鼻喉科,四川广元628000 [2]川北医学院附属医院耳鼻喉头颈外科,四川南充637000

出　　处：《四川医学》2017年第6期643-647,共5页Sichuan Medical Journal

基　　金：四川省医学会科研立项课题(编号:S16033)

摘　　要：目的初步研究功能性鼻窦内窥镜手术(Functional Endoscopic Sinus Surgery,FESS)对慢性鼻-鼻窦炎患者的心理状态的改善状况及在术后随访中加入心理、精神方面的项目作为重要的愈合指标的可行性。方法采用汉密顿抑郁情绪量表(Hamilton Depression Scale,HAMD)及汉密顿焦虑情绪量表(Hamilton Anxiety Scale,HAMA)在术前一周内及术后3月对我院耳鼻喉头颈外科收治的62例CRS患者评估其心理状态,同时随机选取同期来本院体检的健康成人52例为对照组。并在术后发放随访卡定期随访评估患者鼻部及心理恢复情况。结果根据HAMD及HAMA总分结果显示,CRS患者在术后心理情绪障碍较术前明显改善,但仍有部分患者心理情绪障碍持续存在,差异有统计学意义(P<0.05),两组均无重度焦虑、抑郁障碍患者。结论慢性鼻-鼻窦炎对于患者焦虑、抑郁情绪有负面作用,经FESS术后的患者负性情绪均较术前有所改善。但由于部分患者术后仍有部分负性情绪的存在,为长期关注该部分患者的情绪心理健康,对其作出客观的评估对比,临床将精神情绪评分作为术后愈合的重要指标是非常必要的。Objective To preliminarilystudy the effect of functional endoscopic sinus surgery Functional Endoscopic Sinus Surgery, FESS）on the improvement of the psychological state of patients with chronic rhino-sinusitis, and to study the feasibility of using psychological and psychiatric items as important indicators of healing in the postoperative follow-up. Methods One week be- fore surgery and 3 months after surgery, the Hamilton Depression Scale （Hamilton Depression Scale, HAMD）and the Hamihon Anx- iety Scale（ Hamilton Anxiety Seale,HAMA）were used to evaluate the mental state of 62 patients with CRS admitted to the depart- ment of Otorhinolaryngology neck surgery, Guangyuan Central Hospital Affiliated to North Sichuan Medical College. At the same time ,52 healthy adults admitted to our hospital for medical examinationduring the same period were randomly selected as the con- trol group. And the patients were followed up regularly to evaluate the nasal and psychological recovery by distribution of the post- operative follow-up card. Results According to the results of HAMD and HAMA, after surgery the psychological and emotional disorders of patients with CRS were significantly improved compared with those before operation, butthere were still some patients with psychological and emotional disorders continued to exist, and the difference was statistically significant（ P 〈 0. 05 ）. And there were no patients with severe anxiety and depressive disorder in the two groups. Conclusion Chronic rhino-sinusitis has a negative effect on the anxiety and depression of the patients, and the negative emotion of patients after FESS is improved compared with that before operation. But because some patients still have some negative emotions after surgery, in order to pay attention to the emotion- al and mental health of this part of patients for a long timeand make an objective evaluation and comparison of them, it is necessary to use the mental emotional score as an important indicator of postoperative healing in clinic

关 键 词：鼻窦炎 焦虑 抑郁 随访 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]