生活质量评价在慢性化脓性中耳炎治疗策略选择中的意义

Evaluation of the Quality of Life on Patients with Chronic Suppurative Otitis Mediar

目的评价慢性化脓性中耳炎患者手术前后的生活质量并探讨其影响因素。方法用慢性化脓性中耳炎生活质量量表对153例患者手术前后的生活质量进行评价,分析其相关影响因素。结果术后患者的生活质量分值显著高于术前(P<0.01),生活质量术前与年龄、居住地、单耳或双耳罹患以及中耳炎型别显著相关,术后则与单耳或双耳罹患以及中耳炎型别显著相关,双耳罹患以及病变程度较重者术后生活质量有望得到更大的改善。结论慢性化脓性中耳炎生活质量评价对治疗策略的选择具有较好的参考意义。

Objective To evaluate the quality of life （QOL） on patients with chronic suppurative otitis media （CSOM）; To investigate some factors affecting the quality of life in CSOM patients.Method A special QOL scale for CSOM （CSOM-QOL scale） and visual analogue scale （VAS） were adopted to evaluate the quality of life on 153 CSOM patients before and after operation.Results The patient’s QOL before and after operation showed a significant difference （P〈0.01）. Before operation the QOL showed significant correlation with age, domicile, mono-or bi-ear sufferings and types of CSOM. After operation the QOL had significant correlation with mono- or bi-ear sufferings and types of CSOM. Patients with bi-ear suffering as well as relatively severe symptoms will have a better improvement of QOL after operation than those with mono-ear suffering and mild symptoms.Conclusions Evaluation of the quality of life on CSOM patients has certain significance for the selection of treatment tactics.