泪囊炎患者鼻内镜下鼻腔泪囊吻合术后复发的危险因素分析  

Analysis of Risk Factors for Recurrence after Nasal Endoscopic Dacryorhinocystostomy in Patients with Dacryocystitis

作　　者：韦承著 Wei Chengzhu(Qiannan Buyi and Miao Autonomous Prefecture Sandu Shui Autonomous County People's Hospital,Qiannan Buyi and Miao Au-tonomous Prefecture 558100,Guizhou Province,China)

机构地区：[1]黔南布依族苗族自治州三都水族自治县人民医院,贵州黔南布依族苗族自治州558100

出　　处：《中外医药研究》2024年第13期78-80,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析泪囊炎患者鼻内镜下鼻腔泪囊吻合术后复发的危险因素。方法:回顾性分析2021年1月—2023年11月于黔南布依族苗族自治州三都水族自治县人民医院接受鼻内镜下鼻腔泪囊吻合术治疗的泪囊炎患者100例的临床资料,根据复发情况分为未复发组(n=60)与复发组(n=40)。比较两组临床资料,通过多因素Logistic回归分析鼻腔泪囊吻合术后复发的危险因素。结果:两组性别、年龄、糖尿病患病率比较,差异无统计学意义(P>0.05);复发组有饮酒史、有吸烟史、患高血压、病程≥3个月、身体质量指数(BMI)≥25 kg/m^(2)、焦虑、治疗依从度低、未合理锻炼、受教育程度中专及以下占比高于未复发组,差异有统计学意义(P<0.05)。Logistic回归分析显示,有饮酒史、吸烟史、高血压史,BMI≥25 kg/m^(2),治疗依从度低,未合理锻炼为鼻内镜下鼻腔泪囊吻合术后复发的独立危险因素(P<0.05)。结论:有饮酒史、吸烟史,高血压史,BMI≥25 kg/m^(2),治疗依从度低,未合理锻炼的泪囊炎患者鼻内镜下鼻腔泪囊吻合术后易复发,临床应对此开展针对性干预。Objective:To analyze the risk factors for recurrence after nasal endoscopic dacryorhinocystostomy in patients with dacryocystitis.Methods:The clinical data of one hundred patients with dacryocystitis treated with nasal endoscopic dacryorhinocystostomy in Qiannan Buyi and Miao Autonomous Prefecture Sandu Shui Autonomous County People's Hospital from January 2021 to November 2023 were retrospectively analyzed,and divided into the non-recurrent group(n=60)and the recurrent group(n=40)based on the recurrence situation.The clinical data of the two groups were compared,and the risk factors for recurrence after dacryorhinocystostomy were analyzed by multifactorial logistic regression.Results:Gender,age,and prevalence of diabetes mellitus were compared between the two groups,and the differences were not statistically significant(P>0.05);in the recurrent group,the percentage of those with a history of alcohol consumption,a history of smoking,hypertension,a disease duration of≥3 months,a body mass index(BMI)of≥25 kg/m^(2),anxiety,low treatment adherence,failure to exercise reasonably,and an education level of secondary school or below was higher than that of the non-recurrent group,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that a history of alcohol consumption,a history of smoking,hypertension,BMI≥25 kg/m^(2),low treatment compliance,and no reasonable exercise were independent risk factors for recurrence after nasal endoscopic dacryorhinocystostomy(P<0.05).Conclusion:Dacryocystitis patients with a history of alcohol consumption,smoking,hypertension,BMI≥25 kg/m^(2),low treatment compliance,and no reasonable exercise are prone to recurrence after nasal endoscopic dacryorhinocystostomy,and clinical intervention should be carried out.

关 键 词：泪囊炎 鼻内镜 鼻腔泪囊吻合术 复发 危险因素 

分 类 号：R779.6[医药卫生—眼科]