CAJ | 학술논문

目的探讨和分析不同年龄段慢性鼻-鼻窦炎患者的生存质量和影响因素。方法对2010～2012年收住院的90例慢性鼻-鼻窦炎患者进行术前和术后调查，并采用生存质量量表（SNOT-20）评分。结果少儿患者、青年患者和中老年患者术后的生存质量水平同术前比较均有显著改善，差异有统计学意义（P＜0．05）。少儿组改善最显著的依次为第一维度（鼻塞70％）、第二维度（记忆力下降30％）、第三维度（担忧病情30％）和第四维度（影响社交40％）。青年组改善最显著的依次为第一维度（鼻塞73．3％）、第四维度（影响社交43．3％）、第二维度（影响睡眠质量20．0％）和第三维度（烦躁易怒16．7％）。中老年组改善最显著的依次为第一维度（鼻塞66．7％）、第三维度（担忧病情20％）、第二维度（影响睡眠质量20．0％）和第四维度（造成经济负担40．0％）。术前生存相关影响因素主要为并发症、年龄、性别、病程和城乡，术后主要为并发症、病程、年龄、围术期处理、性别和城乡。结论
목적탐토화분석불동년령단만성비-비두염환자적생존질량화영향인소。방법대2010～2012년수주원적90례만성비-비두염환자진행술전화술후조사，병채용생존질량량표（SNOT-20）평분。결과소인환자、청년환자화중노년환자술후적생존질량수평동술전비교균유현저개선，차이유통계학의의（P＜0．05）。소인조개선최현저적의차위제일유도（비새70％）、제이유도（기억력하강30％）、제삼유도（담우병정30％）화제사유도（영향사교40％）。청년조개선최현저적의차위제일유도（비새73．3％）、제사유도（영향사교43．3％）、제이유도（영향수면질량20．0％）화제삼유도（번조역노16．7％）。중노년조개선최현저적의차위제일유도（비새66．7％）、제삼유도（담우병정20％）、제이유도（영향수면질량20．0％）화제사유도（조성경제부담40．0％）。술전생존상관영향인소주요위병발증、년령、성별、병정화성향，술후주요위병발증、병정、년령、위술기처리、성별화성향。결론
Objective To evaluate how functional endoscopic sinus surgery(FESS)modifies patients symptom profiles and the quality of life and analyze the influential factors.Methods During 2010 to 2012,90 cases were investigated to evaluate the quality of life of different age groups to use SNOT-20.Results The quality of life after the surgery of different age groups were significantly higher than it before the surgery(P<0.05).The juvenile group:first dimension(nasal congestion,70%),the second dimension (memory,30%),the third dimension(worried about the condition,30%)and the fourth dimension(social influence,40%).The young aged group:first dimension(nasal congestion,73.3%),the fourth dimension(social influence,43.3%),second dimension (quality of sleep,20.0%)and the third dimension(irritability,16.7%).The middle and old aged group:first dimension(nasal con-gestion,66.7%),the third dimension(trepidation,20%),the second dimension(quality of sleep,20.0%)and the fourth dimension (financial burden,40.0%).Preoperative QOL related factors:complications,age,gender,disease duration and urban-rural;Postop-erative QOL related factors:complications,disease duration,age,perioperative management,gender and urban-rural.Conclusion The quality of life of different ages after FESS is improved in different aspects.To increase the level of perioperative compliance can improve the quality of life.