术前VAS症状评分对慢性鼻-鼻窦炎围手术期的指导作用初步研究

肖玲; 陈璐; 柯霞; 沈暘; 刘杰; 王玲; 黄江菊; 胡国华; 洪苏玲; 杨玉成

doi:10.13201/j.issn.1001-1781.2016.11.013

术前VAS症状评分对慢性鼻-鼻窦炎围手术期的指导作用初步研究

- 重庆医科大学附属第一医院耳鼻咽喉科(重庆, 400016)
基金项目:
国家临床重点专科建设项目经费资助（No：卫办医政函[2012]649号）；重庆市自然科学基金（No：cstc2013jcyjA0109）；重庆市卫生计生委科研项目（No：2015HBRC004）；重庆市研究生科研创新项目（No：CYS151210）；重庆市自然科学基金重点项目（No：cstc2015jcyjB0028）

详细信息

通讯作者: 杨玉成,E-mail:yychxh@163.com

中图分类号: R765.41

收稿日期: 2015-12-21

The guiding role of preoperative visual analog scale symptom scores in patients with chronic rhinosinusitis during perioperative period

- Department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

More Information

Corresponding author: YANG Yucheng, E-mail: yychxh@163.com

Received Date: 21 December 2015

摘要

摘要: 目的：探讨术前VAS症状评分对慢性鼻-鼻窦炎（CRS）围手术期处理的指导作用。方法：根据收治在相同年资相似经验的高年资医师组不同，将拟行鼻内镜手术的CRS患者分为实验组和对照组。2组患者术前均采用视觉模拟量表（VAS）对CRS患者整体不适及各症状（鼻塞、流涕、头昏头痛、嗅觉减退、鼻痒、喷嚏）进行评分。对术前各症状VAS评分>5分者，实验组围手术期严格依据各症状VAS评分采取精准策略，对照组则没有参考VAS评分，仅依据术者临床经验进行围手术期处理。局部麻醉或全身麻醉下进行鼻内镜手术。术后随访6个月和1年，对2组整体不适及各症状进行VAS评分。结果：①实验组随访120例，对照组随访82例。2组患者一般情况、术前整体不适及各症状VAS评分比较差异无统计学意义（P>0.05）。② 2组整体不适VAS评分在术后不同时期与术前比较均有显著差异（P<0.05）。③各症状中，除嗅觉减退外，鼻塞、流涕、头昏头痛、鼻痒、喷嚏症状VAS评分及患者满意度自评分，2组术后不同时期相比均有显著差异（P<0.05）。结论：术前各症状VAS评分，不仅可用于CRS病情及疗效评估，而且对CRS围手术期处理有指导作用，可提高CRS治疗有效率及患者满意度，值得在临床上推广应用。
- 鼻窦炎 /
- 视觉模拟量表 /
- 围手术期
Abstract: Objective: To assess the guiding role of preoperative visual analog scale(VAS) symptom scores in patients with chronic rhinosinusitis(CRS) during perioperative period.Method: The patients with CRS undergoing endoscopic sinus surgery were divided into experimental group and control group according to doctor group.Preoperative VAS symptom scores which including the overall symptom score and every single symptom scores were assessed. Patients with symptom(nasal congestion, nasal discharge, dizziness or headache, hypoamia or anosmia, rhinocnesmus, sneeze) scores more than 5 points were taken corresponding appropriate strategies in experimental group, but conventional empirical measures in control group during perioperative period.Nasal endoscopic surgeries were performed under local or general anesthesia after preoperative preparation. Postoperative follow-up were performed in six months and one year for the overall symptom and each symptom scores in both groups. SPSS17.0 was used for statistical analysis.Result: There was no statistical difference in general condition, overall symptom score and every symptom scores before operation between experimental group(120 cases) and control group(82 cases) (P>0.05). At the three time points (preoperative, six months, one year after operation), significant differences were found in the two groups about VAS overall symptom score (P<0.05). Except hypoamia, VAS for the other symptoms in different postoperative time showed statistical significance (P<0.05).Conclusion: Preoperative VAS symptom score can be used not only in the evaluation of severity and treatment effect,but also in the guiding of perioperative treatment for CRS, which is worthy of using widely in clinic.
- sinusitis /
- visual analog scale /
- peroperative period

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