337例慢性鼻-鼻窦炎患者临床分析

陈禹潭; 李艳妮; 曹金红; 梁耕田

doi:10.13201/j.issn.1001-1781.2013.24.016

337例慢性鼻-鼻窦炎患者临床分析

- 1 武汉市第三医院耳鼻咽喉科(武汉, 430060);
- 2 华中科技大学同济医学院附属普爱医院耳鼻咽喉科;
- 3 武汉大学公共卫生学院

详细信息

通讯作者: 李艳妮,E-mail:jumplyn@163.com

中图分类号: R765.4

收稿日期: 2013-02-05

Clinical analysis of 337 cases of chronic rhinosinusitis

- 1 Department of Otolaryngology, the Third Hospital of Wuhan, Wuhan, 430060, China;
- 2 Department of Otolaryngology, Puai Hospital, Tongji Medical College of Huazhong Science&Technology University;
- 3 Public Health Institute of Wuhan University

More Information

Corresponding author: LI Yanni, E-mail: jumplyn@163.com

Received Date: 05 February 2013

摘要

摘要: 目的:探讨慢性鼻-鼻窦炎患者的临床症状和体征情况,为临床治疗提供依据。方法:应用SPSS 18.0软件,采用Person χ²检验、Pearson相关分析和Kruskal-Wallis检验,对337例慢性鼻-鼻窦炎患者的临床资料进行统计学分析。结果:337例患者总VAS评分为(15.9±5.7)分,其中重度症状排名前三位的分别是:鼻塞56例(16.6%)、鼻分泌物或后鼻漏23例(6.8%)、头昏或头痛11例(3.3%),各组间差异有统计学意义(χ²=430.923,P＜0.01)。鼻内镜检查评分发现患侧黏膜水肿和分泌物严重程度高于鼻息肉,三组间差异有统计学意义(χ²=128.684,P＜0.01)。CT检查评分发现全部阴影排名前三位的部位分别是:上颌窦314侧(46.6%)、窦口鼻道复合体135侧(20.0%)和前筛112侧(16.6%),各组间差异有统计学意义(χ²=803.274,P＜0.01)。VAS评分与Lund-Kennedy评分间具有相关性(r=0.516,P＜0.05);VAS评分与Lund-Mackay评分间不具有相关性(r=0.213,P＞0.05)。结论:临床医师应综合患者的症状、内镜检查及CT检查结果进行合理病情评估,制定个性化的综合治疗方案,严格把握手术适应证,从而提高慢性鼻窦炎的治愈率。
- 鼻窦炎 /
- 视觉类比评分 /
- 鼻内镜检查评分 /
- CT检查评分
Abstract: Objective: To explore the clinical symptoms and signs situation of chronic rhinosinusitis, for future treatment provides the basis.Method: The clinical data of 337 patients with chronic sinusitis were analyzed, using SPSS 18.0 software and conducted Person chi-square test and Kruskal-Wallis test to analysis. Result VAS total score of chronic nasal sinusitis patients is 15.9±5.7.The three top of severe symptoms were: snuffle 56 cases(16.6%), nasal secretions or postnasal drip 23 cases (6.8%) and dizziness or headache 11 cases(3.3%), there are statistically significant differences(χ²=430.923,P<0.01). Lund-Kennedy score found side with mucosa edema and secretion serious degree higher than nasal polyp, there are statistically significant difference(χ²=128.684,P<0.01).Lund-Mackay score showed that the three top parts of all shadow were: maxillary sinus 314 side(46.6%), OMC 135 side(20.0%) and the former screen 112 side(16.6%), there are statistically significant differences between groups(χ²=803.274,P<0.01). The pearson correlation coefficient r between VAS score and Lund - Kennedy score is 0.516, there are correlation(P<0.05). VAS score and Lund-Mackay(r=0.213), there are not correlation(P>0.05).Conclusion: Comprehensive treatment should be prodceeded according to different symptom severity and sinus lesions parts with patients, grasped the surgery procedures strictly, so as to improve the cure rate.
- sinusitis /
- visual analog scale score /
- Lund-Kennedy score /
- Lund-Mackay score

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参考文献(7)

[1]	KIM J W,HONG S L,KIM Y K, et al. Histological and immunological features of non-eosinophilic nasal polyps[J]. Otolaryngol Head Neck Surg,2007,137:925-930.
[2]	CAO P P, LI H B, WANG B F, et al. Distinct immunopathologic characteristics of various types of chronic rhinosinusitis in adult Chinese[J]. J Allergy Clin Immunol,2009,124:478-484.
[3]	LIM M, LEW-GOR S, DARBY Y, et al.The relationship between subjective assessment instruments in chronic rhinosinusitis[J].Rhinology,2007,45:144-147.
[4]	LUND V J, KENNEDY D W. Staging for rhinosinusitis[J].Otolaryngol Head Neck Surg, 1997,117(3 Pt 2):S35-40.
[5]	ASHRAF N, BHATTACHARYYA N.Determination of the "incidental" Lund score for the staging of chronic rhinosinusitis[J]. Otolaryngol Head Neck Surg,2001,125:483-486.
[6]	GALANT S P, MELAMED I R, NAYAK A S,et al. Lack of effect of fluticasone propionate aqueous nasal spray on the hypothalamic-pituitary-adrenal axis in 2- and 3-year-old patients[J]. Pediatrics,2003,112(1 Pt 1):96-100.
[7]	褚汉启,华小阳,高起学,等.慢性鼻窦炎患者鼻窦CT扫描阴性原因分析[J].临床耳鼻咽喉科杂志,2001,15(5):195-196.