慢性鼻窦炎患者功能性鼻内窥镜术后并发睡眠障碍的危险因素及其干预措施分析  

Risk factors and intervention measures of sleep disturbance after functional nasal endoscopy in patients with chronic sinusitis

作　　者：唐燕翘 王鸿香[1] Tang Yanqiao;Wang Hongxiang(Jiangmen Central Hospital,E.N.T.Departments Guangdong,Jiangmen,529030,China)

机构地区：[1]江门市中心医院,广东江门529030

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第2期178-181,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的 探讨慢性鼻窦炎(CRS)患者功能性鼻内窥镜术(FESS)后并发睡眠障碍的危险因素及其干预措施。方法 回顾性分析2019年11月至2021年5月在我院行FESS术治疗的96例CRS患者临床资料。分析CRS患者FESS术后并发睡眠障碍的相关影响因素。结果 CRS患者FESS术后并发睡眠障碍率为33.33%(32/96);单因素分析显示:术后抑郁评分、术后焦虑评分、术后疼痛评分、睡眠环境改变、呼吸方式改变、白细胞介素(IL)-6水平与CRS患者FESS术后并发睡眠障碍有关,差异有统计学意义(P<0.05);多因素分析显示:术后抑郁评分≥53分、术后焦虑评分≥50分、术后疼痛评分≥4分、睡眠环境改变、呼吸方式改变、IL-6≥7mg/L是CRS患者FESS术后并发睡眠障碍的高危因素(P<0.05)。结论 CRS患者FESS术后并发睡眠障碍与抑郁、焦虑、疼痛和睡眠环境改变、呼吸方式改变、IL-6水平密切相关,针对各为危险因素制定相应的干预措施,可改善患者睡眠障碍。Objective To investigate the risk factors and intervention measures of sleep disturbance after functional nasal endoscopy(FESS) in patients with chronic sinusitis(CRS). Methods Clinical data of 96 patients with CRS who received FESS in our hospital from November 2019 to May 2021 were retrospectively analyzed. To analyze the related factors of sleep disturbance after FESS in CRS patients. Results The incidence of sleep disturbance after FESS in CRS patients was 33.33%(32/96). Univariate analysis showed that postoperative depression score, postoperative anxiety score, postoperative pain score, changes in sleep environment, changes in breathing pattern, and the level of interleukin(IL)-6 were associated with sleep disorders after FESS in CRS patients, and the differences were statistically significant(P < 0.05). Multivariate analysis showed that postoperative depression score ≥53 points, postoperative anxiety score ≥50 points, postoperative pain score ≥4 points, changes in sleep environment, changes in breathing pattern, and IL-6≥7 mg/L were the high risk factors for sleep disorders after FESS in CRS patients(P < 0.05). Conclusion The sleep disturbance after FESS in CRS patients is closely related to depression, anxiety, pain, changes in sleep environment, changes in breathing pattern, and IL-6 level. The appropriate intervention measures for each risk factor can improve the sleep disturbance in patients.

关 键 词：慢性鼻窦炎 睡眠障碍 功能性鼻内窥镜术 影响因素 焦虑 抑郁 

分 类 号：R76[医药卫生—耳鼻咽喉科]