功能性鼻内窥镜手术治疗慢性鼻窦炎的临床疗效及其对患者生活质量影响分析  

Clinical efficacy of functional endoscopic sinus surgery for chronic sinusitis and its impact on patients' quality of life

作　　者：孙青 吕丹雨 秦雪梅 白广平 SUN Qing;LYU Dan-yu;QIN Xue-mei(Department of Otolaryngology,Zhongshan Hospital Affiliated to Fudan University Qingpu Branch, Shanghai 201700, China)

机构地区：[1]复旦大学附属中山医院青浦分院耳鼻咽喉科,201700

出　　处：《中国现代药物应用》2019年第4期17-18,共2页Chinese Journal of Modern Drug Application

摘　　要：目的讨论功能性鼻内窥镜手术治疗慢性鼻窦炎的临床疗效及其对患者生活质量的影响。方法 500例慢性鼻窦炎患者,根据入院时间分为对照组与研究组,各250例。对照组予以传统手术方法,研究组予以功能性鼻内窥镜手术。比较两组的健康状况调查表(SF-36)评分、临床疗效、鼻-鼻窦炎疾病特异性生活质量量表(SNOT-20)评分。结果研究组患者心理健康、生理功能、情绪角色、社会功能、机体疼痛、生理角色评分分别为(89.49±13.39)、(85.83±13.77)、(73.69±14.35)、(84.68±12.75)、(85.48±14.48)、(85.40±13.60)分,均明显高于对照组的(71.43±9.45)、(79.44±11.53)、(54.69±10.46)、(63.69±11.49)、(65.49±11.57)、(60.39±12.57)分,差异具有统计学意义(P<0.05)。研究组患者总有效率为96.80%,明显高于对照组的84.00%,差异具有统计学意义(P<0.05)。研究组患者的SNOT-20评分明显优于对照组,差异具有统计学意义(P<0.05)。结论功能性鼻内窥镜手术可显著提高慢性鼻窦炎患者的治疗效果与生活质量,值得临床推广。Objective To discuss the clinical efficacy of functional endoscopic sinus surgery for chronic sinusitis and its impact on patients’ quality of life. Methods A total of 500 patients with chronic sinusitis were divided by admission time into control group and research group, with 250 cases in each group. The control group was treated with traditional surgery, and the research group was treated with functional endoscopic sinus surgery. Comparison were made on 36-item short-form health survey(SF-36) score, clinical efficacy and sinonasal outcome test-20(SNOT-20) score between the two groups. Results The research group had mental health, physiological function, emotional role, social function, body pain, physiological role score respectively as(89.49±13.39),(85.83±13.77),(73.69±14.35),(84.68±12.75),(85.48±14.48),(85.40±13.60) points, which were all obviously higher than(71.43±9.45),(79.44±11.53),(54.69±10.46),(63.69±11.49),(65.49±11.57),(60.39±12.57) points in the control group, and their difference was statistically significant(P<0.05). The research group had obviously higher total effective rate as 96.80% than 84.00% in the control group, and their difference was statistically significant(P<0.05). The research group had obviously better SNOT-20 score than the control group, and the difference was statistically significant(P<0.05). Conclusion Functional endoscopic sinus surgery can significantly improve the therapeutic effect and quality of patients with life of chronic sinusitis, and it is worthy of clinical promotion.

关 键 词：功能性鼻内窥镜手术 慢性鼻窦炎 临床疗效 生活质量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]