鼻内镜手术治疗慢性鼻窦炎与鼻息肉的疗效及对患者睡眠质量影响

Effects of Endoscopic Sinus Surgery on Chronic Sinusitis and Nasal Polyps and Sleep Quality

目的:对慢性鼻窦炎与鼻息肉患者运用鼻内镜手术治疗的临床疗效以及睡眠质量改善进行探讨。方法:选取2022年1月至2022年12月湖北省赤壁市人民医院收治的手术治疗慢性鼻窦炎与鼻息肉患者100例作为研究对象,将其中实际施以常规鼻息肉切除与鼻外窦刮除治疗的50例患者设置为对照组,再将其中实际施以鼻内镜手术治疗的另外50例患者设置为观察组。比较2组患者于不同的手术治疗措施之下的效果进行观察。结果:1)施以鼻内镜手术治疗的观察组患者治疗总体有效率为96.0%,施以开放术式治疗的对照组患者,治疗总体有效率为80.0%,2组不同手术措施治疗下患者的治疗有效率比较,差异有统计学意义(P<0.05)。2)手术后观察组患者的6项睡眠质量评分与对照组比较,差异有统计学意义(P<0.05)。3)手术后,观察组患者5项智力状态评分与对照组比较,数据差异均有统计学意义(均P<0.05)。4)观察组中有2例出现不良反应,对照组有11例出现不良反应,差异有统计学意义(P<0.05)。结论:慢性鼻窦炎与鼻息肉患者运用鼻内镜手术治疗可以取得十分理想的临床疗效,对其睡眠质量的影响为正向积极的影响。

Objective:To explore the clinical efficacy and improvement of sleep quality in patients with chronic sinusitis and nasal polyps treated with endoscopic sinus surgery.Methods:The study period was from January 2022 to December 2022.Fifty patients who underwent conventional nasal polyp removal and external sinus scraping treatment were selected as the control group,while another fifty patients who underwent endoscopic sinus surgery were selected as the observation group.The efficacy of the two treatment methods was compared,and the effect on sleep quality was evaluated.Results:1)the overall treatment effectiveness of the observation group treated with endoscopic sinus surgery was 96.0%,compared with 80.0%in the control group treated with open surgery.The difference in efficacy between the two groups was statistically significant(P<0.05).2)the overall score of the six sleep quality indicators after surgery in the observation group treated with endoscopic sinus surgery was statistically significantly different from that in the control group treated with open surgery(P<0.05).3)the scores of the five cognitive function indicators after surgery in the observation group treated with endoscopic sinus surgery were statistically significantly different from those in the control group treated with open surgery(P<0.05).4)There were 2 cases of adverse reactions in the observation group treated with endoscopic sinus surgery,while there were 11 cases in the control group treated with open surgery.The difference between the two groups was statistically significant(P<0.05).Conclusion:Endoscopic sinus surgery is highly effective in treating chronic sinusitis and nasal polyps,and has a positive impact on sleep quality.