哮喘对慢性鼻窦炎伴息肉病的内窥镜鼻窦手术结果的影响

Effect of Asthma on the Outcome of Endoscopic Sinus Surgery for Chronic Rhinosinusitis with Polyposis

目的:探讨哮喘对慢性鼻窦炎(CRS)伴息肉病(CRSwNP)的内窥镜鼻窦手术结果的影响。方法:选取2018年12月—2020年12月于我院接接收的80例因难治性CRS接受内窥镜鼻内手术(ESS)的成年患者,依根据有无哮喘分为两组,观察组为哮喘组,对照组为无哮喘组,各为40例。对比两组患者术前患者基本信息和术后3月、术后6月SNOT22评分。结果:观察组的发病症状、接受ESS次数、SNOT22评分、Lund-Mackay评分与对照组对比,差异均无统计学意义(P>0.05);观察组阿司匹林不耐受例数明显高于对照组(P<0.05);观察组术后3月、术后6月SNOT22评分与对照组对比,差异均无统计学意义(P>0.05)。结论:哮喘是CRS患者的附加症状,主要体现在SNOT-22评分中,但是它并没有显著影响CRSwN P人群的生活质量。

Objective:To investigate the effect of asthma on the outcome of endoscopic sinus surgery for chronic rhinosinusitis(CRS)with polyposis(CRSwNP).Methods:From December 2018 to December 2020,80 adult patients who received endoscopic endonasal surgery(ESS)for refractory CRS in our hospital were selected and divided into two groups according to the presence or absence of asthma.The asthma group was the asthma group,and the control group was the non-asthma group,each with 40 cases.The basic information of the patients before surgery and the SNOT22 score at 3 months and 6 months after surgery were compared between the two groups.Results:There was no significant difference between the observation group and the control group in terms of onset symptoms,times of receiving ESS,SNOT22 score and Lund-Mackay score(P>0.05);the number of aspirin intolerance cases in the observation group was significantly higher than that in the control group(P>0.05).P<0.05;there was no significant difference in SNOT22 score between the observation group and the control group at 3 months and 6 months after operation(P>0.05).Conclusion:Asthma is an additional symptom in CRS patients,mainly reflected in the SNOT-22 score,but it did not significantly affect the quality of life of the CRSwNP population.