儿童慢性鼻炎-鼻窦炎综合治疗后对嗅觉功能的影响  

Effect of comprehensive treatment of chronic rhinosinusitis on olfactory function in children

作　　者：曾国庆[1] 宋江顺[1] 谢景华[1] 谢希翔 ZENG Guo-qing;SONG Jiang-shun;XIE Jing-hua(Department of Otolaryngology,The First People′s Hospital of Guangzhou,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院耳鼻咽喉科

出　　处：《吉林医学》2019年第9期1949-1952,共4页Jilin Medical Journal

摘　　要：目的:探讨儿童慢性鼻炎-鼻窦炎(CRS)治疗前后的嗅觉情况,并比较治疗后嗅觉提高与食欲变化的关系。方法:选取并随访门诊及住院治疗的CRS患儿66例;另选取正常同龄儿童66例作为正常对照组,分别进行Sniffin′Sticks测试了解嗅觉情况。将CRS患儿根据其治疗方案分为A组(27例)为保守治疗组;B组(21例)为扁桃体肥大及腺样体切除组;C组(18例)为鼻内镜鼻窦手术组。规范治疗12周后随访并再次行Sniffin′Sticks法嗅觉测试,并对CRS患儿治疗前后进行食欲视觉模拟量表评分法(VAS)评分。试验结果采用SPSS 18.0统计软件包进行分析。结果:CRS患儿治疗前嗅觉功能Sniffin′Sticks测试的TDI总分为(31.4±2.9)分,较正常对照组的(38.6±2.4)分低,两组比较,差异具有统计学意义(P<0.05);三组CRS患儿治疗后的TDI总分分别为(35.2±2.2)分、(38.1±1.9)分、(34.3±1.6)分,与治疗前比较,差异均具有统计学意义(P<0.05);三组CRS患儿治疗后TDI增加值和患儿食欲VAS评分增加值相关性系数分别为r=0.67、r=0.75、r=0.71。结论:CRS患儿嗅觉功能和食欲均有明显下降,儿童CRS规范治疗效果良好后能明显改善患儿的嗅觉功能并明显提高患儿食欲。Objective To investigate the olfactory function of children with chronic rhinosinusitis(CRS) and investigate the changes of both olfactory function and appetite in in children with CRS at before arid after treatment period.Method 66 children with CRS were comprehensive treatment at Outpatient and inpatient departments of our hospital;The control group consisted of 66 healthy children,these groups were tested by Sniffin′Sticks test.The children with CRS were allocation A group(27 cases) conservative treatment;B group(21 cases) with tonsillar hypertrophy and adenoidectomy;C group(18 cases)with nasal endoscopic sinus surgery,Sniffin′Sticks test and visual analog scale(VAS) were tested again after comprehensive treatment.SPSS 18.0 software was used for statistical analysis.Results The olfactory function of the study group TDI scores(31.4±2.9),were significantly lower in comparison with the results of the control group TDI scores(38.6±2.4)(P<0.05).A,B,C group children with CRS TDI scores were(35.2±2.2),(38.1±1.9),(34.3±1.6),respectively;There correlation coefficient between the increase in appetite of children and the change of TDI score were r=0.67,r=0.75,r=0.71,respectively.Conclusion Both olfactory function and appetite were reduced in children with CRS;There had a greater impact on olfaction and appetite after comprehensive treatment.

关 键 词：儿童 慢性鼻-鼻窦炎 嗅觉 食欲 

分 类 号：R765[医药卫生—耳鼻咽喉科]