中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
2期
98-101
,共4页
慢性鼻-鼻窦炎%主客观量化表%功能性鼻内镜鼻窦手术
慢性鼻-鼻竇炎%主客觀量化錶%功能性鼻內鏡鼻竇手術
만성비-비두염%주객관양화표%공능성비내경비두수술
Chronic rhinosinusitis%Subjective and objective quantization table%Functional endoscopic sinus surgery
目的：探讨主客观量化表在评估慢性鼻-鼻窦炎手术疗效的作用。方法对长期随访并行鼻内镜手术的慢性鼻-鼻窦炎患者60例，采用视觉模拟量化表对主要症状：鼻塞、鼻涕，头面部胀痛及嗅觉障碍，在术前、术后3个月、6个月、12个月分别主观量化评分进行比较；采用内镜Lund-Kennedy在术前、术后3个月、6个月、12个月分别客观量化评分进行比较，分析鼻内镜鼻窦手术对慢性鼻-鼻窦炎患者的疗效。结果60例患者在术前视觉模拟量化表评分均＞5分，表明患者生活质量受到影响。经过鼻内镜鼻窦手术及术后随访处理后评分明显下降（P<0.05），但嗅觉障碍评分下降不明显。Lund-Kennedy评分中术前与术后6个月、术后6个月与术后12个月相比有显著性差异（P<0.05）。结论运用主客观量化表能较好评估慢性鼻-鼻窦炎手术疗效，对再次治疗慢性鼻-鼻窦炎患者有重要指导意义。
目的：探討主客觀量化錶在評估慢性鼻-鼻竇炎手術療效的作用。方法對長期隨訪併行鼻內鏡手術的慢性鼻-鼻竇炎患者60例，採用視覺模擬量化錶對主要癥狀：鼻塞、鼻涕，頭麵部脹痛及嗅覺障礙，在術前、術後3箇月、6箇月、12箇月分彆主觀量化評分進行比較；採用內鏡Lund-Kennedy在術前、術後3箇月、6箇月、12箇月分彆客觀量化評分進行比較，分析鼻內鏡鼻竇手術對慢性鼻-鼻竇炎患者的療效。結果60例患者在術前視覺模擬量化錶評分均＞5分，錶明患者生活質量受到影響。經過鼻內鏡鼻竇手術及術後隨訪處理後評分明顯下降（P<0.05），但嗅覺障礙評分下降不明顯。Lund-Kennedy評分中術前與術後6箇月、術後6箇月與術後12箇月相比有顯著性差異（P<0.05）。結論運用主客觀量化錶能較好評估慢性鼻-鼻竇炎手術療效，對再次治療慢性鼻-鼻竇炎患者有重要指導意義。
목적：탐토주객관양화표재평고만성비-비두염수술료효적작용。방법대장기수방병행비내경수술적만성비-비두염환자60례，채용시각모의양화표대주요증상：비새、비체，두면부창통급후각장애，재술전、술후3개월、6개월、12개월분별주관양화평분진행비교；채용내경Lund-Kennedy재술전、술후3개월、6개월、12개월분별객관양화평분진행비교，분석비내경비두수술대만성비-비두염환자적료효。결과60례환자재술전시각모의양화표평분균＞5분，표명환자생활질량수도영향。경과비내경비두수술급술후수방처리후평분명현하강（P<0.05），단후각장애평분하강불명현。Lund-Kennedy평분중술전여술후6개월、술후6개월여술후12개월상비유현저성차이（P<0.05）。결론운용주객관양화표능교호평고만성비-비두염수술료효，대재차치료만성비-비두염환자유중요지도의의。
Objective To explore the subjective and objective assessment of curative effect of quantization tables in the operation of chronic rhinosinusitis.Methods Long-term follow-up of chronic nasal-parallel nasal endoscopic operation in 60 cases with chronic sinusitis, the visual analog scale on the main symptoms: nasal obstruction, runny nose, head and facial pain ,olfactory dysfunction, in the preoperative, postoperative 3 month, 6 months, 12 months respectively subjective score comparison;Using endoscopic Lund-Kennedy in preoperative, postoperative 3 month, 6 months, 12 months respectively, objective and quantitative scores were compared, analysis of curative effect of endoscopic sinus operation on patients with chronic rhinosinusitis.Results Sixty patients in the preoperative visual analogue score>5 quantization table, which show that the patients’ life quality were affected. After endoscopic sinus operation and postoperative follow-up, scores decreased significantly (P<0.05), but the olfactory dysfunction score decreased unapparently. The Lund-Kennedy score before and after operation 6 months, and the operation after 6 months compared with 12 months were all have a significant difference (P<0.05).Conclusion The use of subjective and objective quantization table can evaluate of operation effect of chronic rhinosinusitis better, and it has important guiding significance on the treatment of chronic rhinosinusitis.
