内蒙古地区气传花粉导致变应性鼻炎患者的生活质量调查

侯红枝; 崔晓波; 徐海侠; 刘晓玲

doi:10.13201/j.issn.2096-7993.2020.05.008

内蒙古地区气传花粉导致变应性鼻炎患者的生活质量调查

- 1.
  内蒙古医科大学附属医院耳鼻咽喉科(呼和浩特，010050)
- 2.
  内蒙古自治区人民医院耳鼻咽喉科
基金项目:
内蒙古地区气传致敏花粉与变应性鼻炎患病的相关性研究

详细信息

通讯作者: 崔晓波，E-mail：710365582@QQ.com

中图分类号: R765.21

收稿日期: 2019-04-28

刊出日期: 2020-05-05

Quality of life survey of patients with allergic rhinitis caused by airborne pollen in Inner Mongolia

- 1.
  Department of Otolaryngology, the Affiliated Hospital of Inner Mongolia Medical University, Huhehaote, 010050, China
- 2.
  Department of Otolaryngology, Inner Mongolia People's Hospital

More Information

Corresponding author: CUI Xiaobo, E-mail: 710365582@QQ.com

Received Date: 28 April 2019

Publish Date: 05 May 2020

摘要

摘要: 目的研究内蒙古地区气传花粉所致变应性鼻炎(AR)患者的生活质量水平，为今后对AR患者实施整体健康干预提供参考依据。方法将268例AR患者根据病情严重程度分为轻度组和中重度组，采用一般状况调查表、标准化鼻结膜炎生存质量调查问卷(RQLQ)、生活质量核心简表(QOL-C30)评估AR患者的生活质量；同时选取90例无鼻症状的健康志愿者(均衡性别、年龄)作为对照组。结果 AR患者中重度组RQLQ问卷总评分及7个因子评分均较轻度组增高(均P < 0.05)。中重度组QOL-C30评估的4个维度得分与对照组比较均普遍降低(均P < 0.05)；轻度组与对照组比较，躯体功能和心理功能得分降低明显(P < 0.05)；中重度组与轻度组比较，躯体功能、心理功能和物质生活得分降低明显(P < 0.05)。结论花粉作为气传变应原是内蒙古地区AR发病的主要诱因，AR会严重影响患者的身心健康，使生活质量下降。临床应注重为AR患者提供标准化治疗干预和良好健康教育从而改善生活质量。
- 鼻炎，变应性 /
- 气传花粉 /
- 生活质量
Abstract: Objective To study the quality of life of patients with allergic rhinitis(AR) caused by airborne pollen in Inner Mongolia, and provide reference for overall health intervention for AR patients.Method According to the severity of disease, 268 cases of patients was divided into mild and moderate to severe group. The patients general condition questionnaire, standardized rhinoconjunctivitis quality of life questionnaire(RQLQ), quality of life questionare-core30(QOL-C30) were used to assess the quality of life of AR patients. At the same time 90 healthy volunteers with no symptoms of nasal(balanced gender, age) were recruited as control group.Result In the intra-group comparison of the RQLQ questionnaire for AR patients, the total score of the RQLQ questionnaire and the 7 factor scores in the moderate to severe groups were significantly higher than those in the mild group(all P < 0.05). The QOL-C30 survey showed that the scores of the four dimensions of QOL-C30 assessment in the moderate to severe group of AR patients were generally lower than those in the control group(all P < 0.05). Compared with the control group, the score of physical function and psychological function in mild group decreased significantly(P < 0.05). Compared with the mild group, the moderate to severe groups showed significant decreases in physical function, psychological function and material life score(P < 0.05).Conclusion Pollen, as a airborne allergen, is the main inducement of AR in Inner Mongolia. AR can seriously affect the physical and mental health of patients and reduce the quality of life. Clinical practice should focus on providing standardized treatment interventions and good health education for AR patients to improve quality of life.
- rhinitis, allergic /
- airborne pollen /
- quality of life

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表 1 不同病情严重程度AR患者RQLQ评分比较分，x±s

RQLQ评分项目	轻度组 (n=104)	中重度组 (n=164)
日常活动	3.40±1.19	3.80±1.37¹⁾
睡眠	2.18±1.27	2.41±1.25¹⁾
非鼻/眼症状	1.92±1.45	2.35±1.57¹⁾
鼻炎相关行为	3.58±1.75	4.12±1.80¹⁾
鼻部症状	3.87±1.33	4.26±1.54¹⁾
眼部症状	2.76±1.25	3.27±1.18¹⁾
情感反应	2.04±1.26	2.57±1.46¹⁾
总评分	2.82±1.13	3.24±1.09¹⁾
与轻度组比较，¹⁾P < 0.05。

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表 2 AR组与对照组QOL-C30评分比较分，x±s

组别	例数	QOL-C30评分
组别	例数	躯体功能	心理功能	社会功能	物质生活
轻度组	104	28.45±3.15¹⁾	21.92±2.57¹⁾	23.52±2.36	21.30±1.94
中重度组	164	22.32±2.14¹⁾²⁾	18.30±2.70¹⁾²⁾	22.41±2.39¹⁾	18.12±1.87¹⁾²⁾
对照组	90	35.67±3.57	29.41±3.26	24.76±2.19	22.81±2.44
与对照组比较，¹⁾P < 0.05；与轻度组比较，²⁾P < 0.05。

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