临床与病理杂志
臨床與病理雜誌
림상여병리잡지
International Journal of Pathology and Clinical Medicine
2015年
10期
1794-1798
,共5页
吴峰%吴立连%朱立新%龚树生%均可
吳峰%吳立連%硃立新%龔樹生%均可
오봉%오립련%주립신%공수생%균가
真菌性鼻-鼻窦炎%慢性鼻-鼻窦炎%危险因素%临床表现
真菌性鼻-鼻竇炎%慢性鼻-鼻竇炎%危險因素%臨床錶現
진균성비-비두염%만성비-비두염%위험인소%림상표현
fungal nose-sinusitis%chronic nasal sinusitis%risk factors%clinical manifestation
目的：探讨真菌性鼻-鼻窦炎发病相关的危险因子以及临床表现。方法：选取2009年2月至2015年1月在我院就诊的真菌性鼻-鼻窦炎患者89例(观察组)，同时选取101例慢性鼻-鼻窦炎患者(对照组)，收集两组患者临床资料，采用非条件性Logistic回归方程分析真菌性鼻-鼻窦炎相关危险因素。结果：观察组患者平均年龄为(47.04±11.43)岁，明显高于对照组，差异比较有统计学意义(P<0.05)；观察组和对照组在性别和病程比较差异有统计学意义(P<0.05)，其中观察组女性患者比例、病程≤3年的比例均明显高于对照组；观察组涕中带血和面部不适的比例分别为31.46%和50.56%，明显高于对照组(P<0.05)；观察组鼻塞、嗅觉减退和息肉样变的比例分别为41.57%、15.73%和19.10%，明显低于对照组(P<0.05)；观察组单窦发病、单侧发病、致密影、钙化斑和骨质增生等影像表现比例分别为73.03%、82.02%、76.04%、29.21%和19.10%，明显高于对照组(P<0.05)；非条件Logistic回归分析结果显示：年龄、涕中带血以及致密影、钙化灶、单窦发病是真菌性鼻-鼻窦炎发病的危险因素。结论：真菌性鼻-鼻窦炎临床特征和CT影像特征特异性强，针对危险因素应采取相关预防措施。
目的：探討真菌性鼻-鼻竇炎髮病相關的危險因子以及臨床錶現。方法：選取2009年2月至2015年1月在我院就診的真菌性鼻-鼻竇炎患者89例(觀察組)，同時選取101例慢性鼻-鼻竇炎患者(對照組)，收集兩組患者臨床資料，採用非條件性Logistic迴歸方程分析真菌性鼻-鼻竇炎相關危險因素。結果：觀察組患者平均年齡為(47.04±11.43)歲，明顯高于對照組，差異比較有統計學意義(P<0.05)；觀察組和對照組在性彆和病程比較差異有統計學意義(P<0.05)，其中觀察組女性患者比例、病程≤3年的比例均明顯高于對照組；觀察組涕中帶血和麵部不適的比例分彆為31.46%和50.56%，明顯高于對照組(P<0.05)；觀察組鼻塞、嗅覺減退和息肉樣變的比例分彆為41.57%、15.73%和19.10%，明顯低于對照組(P<0.05)；觀察組單竇髮病、單側髮病、緻密影、鈣化斑和骨質增生等影像錶現比例分彆為73.03%、82.02%、76.04%、29.21%和19.10%，明顯高于對照組(P<0.05)；非條件Logistic迴歸分析結果顯示：年齡、涕中帶血以及緻密影、鈣化竈、單竇髮病是真菌性鼻-鼻竇炎髮病的危險因素。結論：真菌性鼻-鼻竇炎臨床特徵和CT影像特徵特異性彊，針對危險因素應採取相關預防措施。
목적：탐토진균성비-비두염발병상관적위험인자이급림상표현。방법：선취2009년2월지2015년1월재아원취진적진균성비-비두염환자89례(관찰조)，동시선취101례만성비-비두염환자(대조조)，수집량조환자림상자료，채용비조건성Logistic회귀방정분석진균성비-비두염상관위험인소。결과：관찰조환자평균년령위(47.04±11.43)세，명현고우대조조，차이비교유통계학의의(P<0.05)；관찰조화대조조재성별화병정비교차이유통계학의의(P<0.05)，기중관찰조녀성환자비례、병정≤3년적비례균명현고우대조조；관찰조체중대혈화면부불괄적비례분별위31.46%화50.56%，명현고우대조조(P<0.05)；관찰조비새、후각감퇴화식육양변적비례분별위41.57%、15.73%화19.10%，명현저우대조조(P<0.05)；관찰조단두발병、단측발병、치밀영、개화반화골질증생등영상표현비례분별위73.03%、82.02%、76.04%、29.21%화19.10%，명현고우대조조(P<0.05)；비조건Logistic회귀분석결과현시：년령、체중대혈이급치밀영、개화조、단두발병시진균성비-비두염발병적위험인소。결론：진균성비-비두염림상특정화CT영상특정특이성강，침대위험인소응채취상관예방조시。
Objective: To investigate fungal nose-sinusitis associated risk factors and clinical manifestations.Methods: Selected from February 2009 to January 2015 in our hospital fungal nose-sinusitis 89 patients (observation group), simultaneously selected 101 cases of chronic nasal sinusitis patients (control group), collected the clinical data of two groups of patients, used non-conditional Logistic regression to analyze fungal nose-sinusitis related risk factors.Results: hTe average age of the patients in the observation group was (47.04±11.43) years, signiifcantly higher than the control group, the difference was statistically significant (P<0.05); Observation group and the control group gender and disease duration difference were statistically signiifcant (P<0.05), the observation group the proportion of women, duration ≤3 years the proportion were signiifcantly higher than those of the control group; Observer group snivel with blood and facial discomfort rates were 31.46% and 50.56%, significantly higher than control group (P<0.05); Observer group nasal congestion, hyposmia and polypoid rates were 41.57%, 15.73% and 19.10% was signiifcantly lower than the control group (P<0.05); Observation group single sinus disease, unilateral disease, dense shadow, calcification and bone hyperplasia imaging performance ratio were 73.03%, 82.02%, 76.04%, 29.21% and 19.10%, signiifcantly higher than the control group (P<0.05); Non-conditional Logistic regression analysis showed: age, snivel with blood and dense shadow, calcification, single sinus disease were the risk factors of fungal nose-sinusitis.Conclusion:Fungal nose-sinusitis clinical features and CT imaging features has high speciifcity, precautions should be taken against the relevant risk factors.
