Short term evaluation of quality of life in patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22
-
摘要: 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。Abstract: Objective:To evaluate short term quality of life of patients with chronic rhinosinusitis by using Chinese version of the sinonasal outcome test-22 (SNOT-22) and to formulate an ideal therapy system for patients with chronic rhinosinusitis.Method:Using prospective randomized controlled design,we chose the SNOT-22 to evaluate and compare 78 CRS patients' quality of life (QOL) before surgery, at 1-month,3-month,6-month and 9-month after functional endoscopic sinus surgery(FESS). At the same time, we randomly chose 100 healthy controls to compare their QOL with those of CRS patients after FESS.Result:We found that except for 5 items (cough, ear expanding, otalgia, facail pain and weary), the grade of 17 other items of CRS patients were significantly higher than those of the healthy controls (P<0.05). There was no significant difference in 7 items (olfactory sensation, hypogeusis, backflow of nasal discharge, difficult to fall asleep, bad sleep, bad work efficiency, depression, embarrassment) at 3 months after FESS between chronic rhinosinusitis patients and healthy controls (P>0.05). There was no significant difference in 9 items (blow noses, sneeze, rhinorrhea, nasal discharge thickness, dizziness, night wake, tired of wake, attention deficit, sense of loss) at 6 months after FESS between chronic rhinosinusitis patients and healthy controls (P>0.05). There was no significant difference in nasal obstruction at 6 months after FESS between chronic rhinosinusitis patients and healthy controls (P>0.05), at this time the totle grade was normal (P>0.05). The recovery period of QOL in patients was about 9 months (P>0.05). The 5 great items were nasal obstruction, olfactory sensation, hypogeusis, nasal discharge, nasal discharge thickness and blow noses. There was no difference in items except for bad sleep replacing nasal discharge thickness between 1-month and 9-month after surgery.Conclusion:The Chinese vesion of SNOT-22 could evaluate QOL of CRS patients in this area. The recovery of QOL of CRS patients needs about 6 months after FESS,but problems of olfactory sensation, hypogeusis, nasal discharge and difficult to sleeep still needs to be resolved.
-
Key words:
- quality of life /
- sinusitis /
- endoscopic sinus surgery /
- sinonasal outcome test-22
-
-
[1] BASSIOUNI A, NAIDOO Y, WORMALD P J.When FESS Fails:the inflammatory load hypothesis in refractory chronic rhinosinusitis[J].Laryngoscope, 2012, 122:460-466.
[2] MANES R P, BATRA P S.Etiology, diagnosis and management of chronic rhinosinusitis[J].Expert Rev Anti Infect Ther, 2013, 11:25-35.
[3] STEFFEN A, LINKE R, WOLLENBERG B, et al.Treatment of chronic rhinosinusitis using balloon sinuplasty.A quality of life analysis[J].HNO, 2013, 61:645-649.
[4] 吕威, 亓放, 高志强, 等.汉化版SNOT-22评价慢性鼻-鼻窦炎患者生存质量的初步研究[J].中华耳鼻咽喉头颈外科杂志, 2008, 43 (1):18-21.
[5] FOKKENS J, MULEN B, VERBE M, et al.Quality of life of patients with refractory chronic rhinosinusitis[J].Am J Rhinol, 2009, 175:2341-2347.
[6] KENNEDY J L, HUBBARD M A, HUYETT P, et al.Sino-nasal outcome test (SNOT-22):apredictor of postsurgical improvement in patients with chronic sinusitis[J].Ann Allergy Asthma Immunol, 2013, 111:246-251.
[7] BUCKLAND J R, THOMAS S, HARRIES P G.Can the Sino-nasal Outcome Test (SNOT-22) be used as a reliable outcome measure for successful septal surgery[J]?Clin Otolaryngol Allied Sci, 2003, 28:43-47.
[8] POIRRIER A L, AHLUWALIA S, GOODSON A, et al.Is the Sino-Nasal Outcome Test-22asuitable evaluation for septorhinoplasty[J]?Laryngoscope, 2013, 123:76-81.
[9] 左可军, 许庚, 徐睿, 等.慢性鼻-鼻窦炎鼻息肉内镜鼻窦手术后生存质量的转归及影响因素[J].中华耳鼻咽喉头颈外科杂志, 2008, 43 (3):192-197.
-
计量
- 文章访问数: 777
- PDF下载数: 351
- 施引文献: 0