汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价

李成文, 田军. 汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(23): 1828-1831. doi: 10.13201/j.issn.1001-1781.2014.23.003
引用本文: 李成文, 田军. 汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(23): 1828-1831. doi: 10.13201/j.issn.1001-1781.2014.23.003
LI Chengwen, TIAN Jun. Short term evaluation of quality of life in patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22[J]. J Clin Otorhinolaryngol Head Neck Surg, 2014, 28(23): 1828-1831. doi: 10.13201/j.issn.1001-1781.2014.23.003
Citation: LI Chengwen, TIAN Jun. Short term evaluation of quality of life in patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22[J]. J Clin Otorhinolaryngol Head Neck Surg, 2014, 28(23): 1828-1831. doi: 10.13201/j.issn.1001-1781.2014.23.003

汉化版SNOT-22对慢性鼻-鼻窦炎患者术后生活质量的短期评价

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    通讯作者: 李成文,E-mail:sdwflichengwen@163.com
  • 中图分类号: R765.4

Short term evaluation of quality of life in patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22

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  • 目的:应用汉化版鼻腔鼻窦结果测量22条表(SNOT-22)对本地区慢性鼻-鼻窦炎(CRS)患者术后的生活质量(QOL)状况做一短期评价。方法:以SNOT-22量表作为工具,通过前瞻性随机对照设计,对78例CRS患者术前及术后1、3、6和9个月的QOL状况连续调查评估,同时与100例健康体检者的QOL状况对照,分析患者功能性内镜鼻窦手术后QOL的变化规律。结果:与健康体检者相比,患者术前22个条目中,除5个条目(咳嗽,耳胀满感,耳痛,面部疼痛或压迫感,疲劳)外,其余17个条目及总分值均高 (P<0.05),术后3个月7个条目(嗅觉,味觉减退,鼻涕倒流,难以入睡,夜间睡眠不好,工作效率下降,忧愁,窘迫感)计分恢复正常(P>0.05),术后6个月9个条目(需要擤鼻涕,喷嚏,流鼻涕,鼻涕黏稠,头昏,夜间醒,醒后疲倦,注意力下降,失落感)计分恢复正常(P>0.05),术后9个月1个条目(鼻塞)及总分恢复正常(P>0.05)。可见患者的QOL总体上需要9个月才能全面恢复常态。术前5大条目依次是鼻塞,嗅觉、味觉减退,流鼻涕,鼻涕黏稠,需要擤鼻涕;术后1~9个月除夜间睡眠不好替代鼻涕黏稠外,其他条目无变化。结论:汉化版SNOT-22量表能有效评价本地区CRS患者的QOL。慢性鼻-鼻窦炎鼻息肉患者内镜鼻窦手术治疗后6个月症状总体上得到解决,生存质量基本恢复常态,但嗅觉减退、异常鼻漏和睡眠障碍等重要问题仍明显存在,有待进一步解决。
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出版历程
收稿日期:  2014-04-21

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