不同年龄段慢性鼻-鼻窦炎患者临床特征分析

Clinical analysis of chronic rhinosinusitis in the different age group patients

目的:分析不同年龄段慢性鼻-鼻窦炎(CRS)患者的临床资料,探讨CRS在各个年龄段的临床特征及疗效预后。方法:选取手术治疗的CRS患者387例,根据年龄分为青年组(18~39岁)、中年组(40~59岁)及老年组(≥60岁)。对比分析不同年龄组CRS的症状、伴随疾病及经内镜鼻窦手术的预后情况。结果:青年组及中年组患者面部疼痛、流涕症状较老年组常见,老年组患者嗅觉障碍较青年组及中年组常见。青年组和中年组伴随过敏性疾病高于老年组;经内镜鼻窦手术等治疗后,青年组及中年组嗅觉症状改善较老年组明显,老年组患者流涕症状改善较青年组及中年组明显。结论:不同年龄段CRS有各自不同的临床特征和预后。

Objective：To investigate the clinical materials of chronic rhinosinusitis（CRS）in the different age group patients and explore its clinical characteristics and prognosis.Method：A retrospective analysis was carried out in 395 CRS patients with surgical treatment in our hospital in the past three years.They were divided into the young group（18 to 39 years old）,the middle-aged group（40 to 59 years old）,and the old group（over 60 years old）.The clinical symptoms,accompanying diseases and prognosis in CRS patients were analyzed.Result：Among the presenting symptoms,facial pain and rhinorrhea were most common in the young group（P〈0.05）,while dysosmia was most common in the old group（P〈0.05）.Allergy was more prevalent in the young group and the middle-aged group than the old group（P〈0.05）.CRS without polyposis was the most common diagnosis in the young group and CRS with polyposis was the more common diagnosis in the middle-aged group and the old group（P〈0.05）.Patients in the young group got higher rate of improvement in olfactory function while patients in the old group got higher rate of improvement in rhinorrhea following FESS（P〈0.05）.Conclusion：CRS in different age groups had different clinical features and prognosis.We can improve the personalized treatment program to this disease through the classification and grading treatment.