鼻窦炎特异性生活质量量表评价慢性鼻窦炎鼻内镜手术后的生活质量及疗效

Evaluation of quality-of-life and therapeutic effects of endoscopic sinus surgery in patients with chronic rhino-sinusitis using the SNOT-20 questionnaire

目的:探讨鼻内镜术改善慢性鼻窦炎患者的症状及生活质量的效果,评估总体疗效。方法:选择接受鼻内镜手术的慢性鼻窦炎患者76例进行观察,使用鼻窦炎特异性生活质量量表(SNOT-20)评估术前、术后的积分及术后总体疗效。结果:经过6个月的随访,术后SNOT-20总积分显著低于术前(P<0.001),其中以"流脓涕""擤鼻涕""头昏""头痛""缺高质睡眠"改善最明显。其总体主观疗效为:显著改善56.3%,改善33.3%,无改善10.4%。结论:鼻内镜手术能有效改善慢性鼻窦炎患者的症状及生活质量。

Objective： To explore the therapeutic effects of endoscopic sinus surgery on symptoms and quality of life of patients with chronic rhino-sinusitis （CRS）. Methods： A survey of symptoms and quality of life was conducted using Sino-nasal Outcome Test-20 （SNOT-20） questionnaire with 76 patients before and after endoscopic sinus surgery. The overall effect of endoscopic sinus surgery on CRS was subjectively self-evaluated by patient. Results： After 6 months following-up, the total SNOT-20 score of patients was significantly decreased from the baseline （P〈0.001）. The most important 5-items were found to be ＂thick nasal discharge＂, ＂need to blow nose＂, ＂dizziness＇; ＂frontal pain＇, and ＂lack of a good sleep＂. Other items, related to sleep and emotion, were also significantly improved： the proportion of responses of ＂much improved＂, ＂improved＂ and ＂no-improved＂ were 56.3%, 33.3%, 10.4%, respectively. Conclusion： Endoscopic sinus surgery demonstrated positive effects on symptoms and quality of life of CRS patients.