慢性鼻窦炎伴鼻息肉患者经鼻内镜手术治疗的临床效果及对其生活质量的改善作用

The Clinical Effect and Improvement of the Quality of Life of Patients with Chronic Sinusitis and Nasal Polyps Under Nasal Endoscope Surgery

目的探讨慢性鼻窦炎伴鼻息肉患者经鼻内镜手术治疗的临床效果及对其生活质量的改善作用。方法将90例收治的慢性鼻窦炎伴鼻息肉患者纳入研究范围,根据数字表法将其均分成两组,其中45例采用常规鼻息肉摘除术治疗的设为对照组,另45例患者采用鼻内镜手术治疗的设为观察组。对比两组临床治疗效果、生活质量评分。结果观察组患者总有效率(95.56%)与对照组(73.33%)相比明显较高,差异具有统计学意义(P<0.05)。观察组患者术后6个月的SF-36量表各项评分显著高于对照组,差异具有统计学意义(P<0.05);观察组患者术后6个月的SNOT-20的20个条目总分(9.22±2.36)分和最重要的5个条目评分(5.77±1.65)分和对照组SNOT-20的20个条目总分(18.78±4.33)分和最重要的5个条目评分(11.65±3.14)分比较明显降低,差异具有统计学意义(P<0.05)。结论经鼻内镜下手术治疗慢性鼻窦炎伴鼻息肉能够有效缓解患者头痛、鼻塞、流脓涕等临床症状,疗效良好,有效提高患者生活质量。

Objective To discuss the clinical effect and improvement of the quality of life of patients with chronic sinusitis and nasal polyps under nasal endoscope surgery.Methods 90 cases of chronic sinusitis and nasal polyps were included in the study.All patients were randomly divided into observation group and control group,45 cases in each.The patients in the control group were treated with extraction of conventional nasal polyps,while those in the observation group received nasal endoscopic surgery.The clini- cal effect and score of life quality were compared between the two groups.Results The total effective rate（95.56%）in the observation group was significantly higher than that（73.33% ）in the control group（P〈0.05）.The MOS item short from health survey （SF-36）scale in the observation group was significantly higher than that in the control group at 6 months after operation.The total score of the 20 items of the sino-nasal outcome test-20 （SNOT-20）（9.22 ±2.36）and the 5 most important items score （5.77±1.65）in the observation group were significantly lower than those（ 18.78±4.33 ）＆（ 11.65±3.14）in the control group at 6 months after operation（P〈0.05 ）.Coulu- sion Surgical treatment under nasal endoscope has good curative effect of patients with chronic sinusitis and nasal polyps,which can effectively relieve headache, nasal congestion, nasal symptoms and improve the quality of life of patients.