鼻中隔缝合技术对鼻中隔成形术后患者精神心理状态及生活质量的影响  

Effect of nasal septum suture on the psychological status and quality of life of patients after nasal septoplasty

作　　者：闫智强 尹兴红[1] 张新海[1] YAN Zhiqiang;YIN Xinghong;ZHANG Xinhai(Department of Otolaryngology Head and Neck Surgery,Fuyang People's Hospital,Fuyang,Anhui,236000,China)

机构地区：[1]阜阳市人民医院耳鼻咽喉头颈外科,安徽阜阳236000

出　　处：《中国耳鼻咽喉头颈外科》2020年第12期694-696,700,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的通过对比鼻中隔成形术后鼻中隔缝合和鼻腔填塞对患者精神心理状态及生活质量的影响,探讨鼻中隔缝合技术的临床价值。方法选取96例鼻中隔成形术患者,随机分成缝合组和填塞组,每组48例。采用抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)对两组患者术后24 h调查评分,评估患者精神心理状态。比较两组患者术后24 h主观不适症状的视觉模拟量表(VAS)评分,并观察术后2个月内两组患者鼻中隔穿孔、鼻中隔血肿、鼻腔粘连及局部感染等情况。结果术后24 h缝合组患者SDS、SAS评分均小于填塞组,缝合组患者抑郁及焦虑的发生率均明显小于填塞组(P均<0.05)。两组患者在鼻部疼痛、头痛、鼻塞、吞咽困难、睡眠困难、咽干等六个方面VAS评分有统计学差异(P均<0.05),在出血及术后并发症方面两组均无统计学差异(P均>0.05)。鼻腔填塞组患者较缝合组更易出现焦虑、抑郁的精神心理状态及主观不适症状。结论鼻中隔成形术后鼻中隔缝合技术的应用在并发症的发生率上并无增高,而在改善患者精神心理状态及生活质量具有明显优势,值得临床应用。OBJECTIVE To investigate the clinical value of nasal septum suture by comparing the effect of nasal septum suture and nasal packing on the psychological status and quality of life after nasal septoplasty.METHODSA total of 96 patients underwent nasal septoplasty were selected and randomly divided into suturing group and packing group,with 48 cases in each group.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to conduct questionnaires postoperatively.The visual analogue scale(VAS)of subjective discomforts were compared between the two groups at 24 hours after operation.In addition,nasal septum perforation,nasal septum hematoma,nasal adhesions and local infection were also compared in two months.RESULTS The SDS and SAS scores of the patients in the suturing group were lower than those in the packing group,and the incidence of depression and anxiety in the suturing group was significantly smaller than those in the packing group(P<0.05).There were statistically significant differences in VAS scores between the two groups in terms of nasal pain,headache,nasal congestion,swallowing difficulty,sleeping difficulty,and dry throat(P<0.05),but there was no statistical difference in bleeding and postoperative complications(P>0.05).Patients in the nasal packing group were more prone to anxiety,depression and subjective discomforts than the suturing group.There was no significant difference in the incidence of complications within two months postoperatively between the two groups(P>0.05).CONCLUSION The incidence of complications does not increase after nasal septum suture postoperatively.It has obvious advantages in improving patients’psychological state and quality of life,and it is worthy of clinical application.

关 键 词：鼻中隔 缝合技术 心理学 生活质量 鼻腔填塞 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]