鼻内镜术与鼻息肉摘除术对鼻窦炎合并鼻息肉患者的鼻腔通气功能、嗅觉功能和生活质量的影响

Effect of Nasal Endoscopy and Nasal Polyps Removal on Nasal Ventilation,Olfactory Function and Quality of Life in Patients with Nasosinusitis with Nasal Polyps

目的:探讨鼻内镜术与鼻息肉摘除术对鼻窦炎合并鼻息肉患者的鼻腔通气功能、嗅觉功能和生活质量的影响。方法:选取2016年1月-2017年8月期间我院收治的94例鼻窦炎合并鼻息肉患者。根据数表法将患者随机分为对照组(n=47)与研究组(n=47),其中对照组患者行传统鼻息肉摘除术,研究组则行鼻内镜术。观察两组患者临床疗效、临床指标及并发症发生情况,比较两组患者术前、术后6个月鼻腔通气功能、嗅觉功能和生活质量评分。结果:研究组临床总有效率为91.49%(43/47),高于对照组的65.96%(31/47)(P<0.05)。研究组患者手术时间、术后住院时间、术中出血量均低于对照组(P<0.05)。两组患者术后6个月鼻腔通气功能、嗅觉功能评分均较术前降低,且研究组低于对照组(P<0.05)。两组患者术后6个月躯体功能(PF)、躯体角色(RP)、躯体疼痛(BP)、总体健康(GH)、情感角色(RE)以及心理健康(MH)均较术前升高,且研究组高于对照组(P<0.05)。研究组头晕、头痛、流脓涕、鼻塞、复发等并发症发生率均低于对照组(P<0.05)。结论:鼻窦炎合并鼻息肉患者采用鼻内镜术治疗,疗效确切,可显著改善患者临床指标、生活质量,对患者鼻腔通气功能、嗅觉功能均有促进作用,且术后并发症少,值得临床推广。

Objective： To investigate the effect of nasal endoscopy and nasal polyps removal on nasal ventilation, olfactory function and quality of life in patients with nasosinusitis with nasal polyps. Methods： 94 cases of nasosinusitis with nasal polyps who were treated in our hospital feom January 2016 to August 2017 were selected as the subjects.The patients were divided into the control group（n=47） and the study group（n=47） according to the random number table method, the control group were treated with traditional nasal polyps removal, and the study group were treated with nasal endoscopy. The clinical efficacy, clinical indexes and complications of the two groups were observed, the nasal ventilation, olfactory function and quality of life score were compared between the two groups before and 6 months after operation were compared. Results： The total effective rate of the study group was 91.49%（43/47）, which was significantly higher than 65.96%（31/47） of the control group（P〈0.05）. The time of operation,the time of postoperative hospitalization and the amount of bleeding in the study group were all lower than those of the control group（P〈0.05）. The nasal ventilation and olfactory function scores 6 months after operation of the two groups were lower than those before treatment, and the study group was lower than that of the control group（P〈0.05）. Physical function（PF）, role physical（RP）, body pain（BP）, general health（GH）, emotional role（RE）and mental health（MH） 6 months after operation of the two groups were all higher than those before operation, and the study group was higher than that of the control group（P〈0.05）. The complication rates of dizziness, nasal, nasal obstruction, recurrence in the study group were all lower than those in the control group（P〈0.05）. Conclusion： Nasosinusitis with nasal polyps is treated with nasal endoscopy, the curative effect is accurate, it can significantly improve the clinical indicators and quality of life, promote nasal ventilation function and olfactory function, and has fewer postoperative complications, which is worthy of clinical promotion.