中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
23期
48-49
,共2页
鼻内镜手术%慢性鼻-鼻窦炎%临床症状%生活质量
鼻內鏡手術%慢性鼻-鼻竇炎%臨床癥狀%生活質量
비내경수술%만성비-비두염%림상증상%생활질량
Endoscopic sinus surgery%Chronic sinusitis%Clinical symptoms%Quality of life
目的 研究对慢性鼻-鼻窦炎患者采取鼻内镜手术治疗的临床效果及其对患者临床症状及生活质量的影响. 方法 将晋中市第二人民医院240例患者分为无鼻息肉组(观察组)与伴鼻息肉组(对照组) ,每组120例,两组均行鼻内镜手术治疗,比较两组术后临床症状及生活质量评分变化. 结果 治疗6个月后观察组和对照组痊愈率分别为80.33% 和68.33%,差异有统计学意义( P<0.05 );12 个月后观察组和对照组痊愈率分别为90.83%和80.33%,差异也有统计学意义( P<0.05);经过临床治疗1、6、12个月后,主要临床症状积分均呈显著下降趋势,较治疗前显著降低( P<0.05) ,其中鼻塞改善效果最为显著;SNOT-20及5个条目评分治疗1、6、12个月后均较术前显著降低( P<0.05). 结论 鼻内镜手术治疗慢性鼻-鼻窦炎疗效确切,可显著降低症状积分,改善患者术后生活质量,具有较高的临床推广价值.
目的 研究對慢性鼻-鼻竇炎患者採取鼻內鏡手術治療的臨床效果及其對患者臨床癥狀及生活質量的影響. 方法 將晉中市第二人民醫院240例患者分為無鼻息肉組(觀察組)與伴鼻息肉組(對照組) ,每組120例,兩組均行鼻內鏡手術治療,比較兩組術後臨床癥狀及生活質量評分變化. 結果 治療6箇月後觀察組和對照組痊愈率分彆為80.33% 和68.33%,差異有統計學意義( P<0.05 );12 箇月後觀察組和對照組痊愈率分彆為90.83%和80.33%,差異也有統計學意義( P<0.05);經過臨床治療1、6、12箇月後,主要臨床癥狀積分均呈顯著下降趨勢,較治療前顯著降低( P<0.05) ,其中鼻塞改善效果最為顯著;SNOT-20及5箇條目評分治療1、6、12箇月後均較術前顯著降低( P<0.05). 結論 鼻內鏡手術治療慢性鼻-鼻竇炎療效確切,可顯著降低癥狀積分,改善患者術後生活質量,具有較高的臨床推廣價值.
목적 연구대만성비-비두염환자채취비내경수술치료적림상효과급기대환자림상증상급생활질량적영향. 방법 장진중시제이인민의원240례환자분위무비식육조(관찰조)여반비식육조(대조조) ,매조120례,량조균행비내경수술치료,비교량조술후림상증상급생활질량평분변화. 결과 치료6개월후관찰조화대조조전유솔분별위80.33% 화68.33%,차이유통계학의의( P<0.05 );12 개월후관찰조화대조조전유솔분별위90.83%화80.33%,차이야유통계학의의( P<0.05);경과림상치료1、6、12개월후,주요림상증상적분균정현저하강추세,교치료전현저강저( P<0.05) ,기중비새개선효과최위현저;SNOT-20급5개조목평분치료1、6、12개월후균교술전현저강저( P<0.05). 결론 비내경수술치료만성비-비두염료효학절,가현저강저증상적분,개선환자술후생활질량,구유교고적림상추엄개치.
Objective To study the clinical effect of nasal endoscopic operation on chronic rhinosinusitis , and its influence on clinical symptoms and quality of life .Methods A total of 240 patients in the second people ' s hospital of Jinzhong were divided into non nasal polyp group ( observation group ) and nasal polyp group ( control group ) , with 120 cases in each group.Both of the two groups underwent endoscopic surgery , and the changes of clinical symptoms and quality of life score after operation were compared .Results The cure rate after six months treatment were 58.33%and 42.50%in the two groups, and there was significant difference ( P<0.05).The cure rate after twelve months treatment were 90.83% and 80.33%in the two groups , and there was significant difference ( P <0.05 ) .After clinical treatment for one month , six months and twelve months , the main clinical symptom score were significantly decreased than that before treatment ( P<0.05) , which nasal obstruction improvement effect was most significant; SNOT-20 and 5 items score after one month , six months and twelve months were significantly decreased ( P<0.05) .Conclusions Endoscopic surgery treating chronic nasal si-nusitis operation can significantly reduce symptoms integral, improve postoperative quality of life, and has high clinical value.
