在内镜鼻手术后患有慢性鼻炎的患者打
1Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Sleep & breathing = Schlaf & Atmung
|December 13, 2023
概括
慢性鼻炎 (CRS) 患者在内镜鼻手术 (ESS) 后打,报告生活质量较差. 肥胖和特定的鼻解剖学预测了手术前的打,而年龄和疾病的严重程度影响了手术后的改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 慢性鼻炎 (CRS) 显著影响患者的生活质量 (QOL).
- 打是CRS患者常见的症状,可能会影响手术后的结果.
- 内镜外科手术 (ESS) 是医疗上复原性CRS的一种治疗选择.
研究的目的:
- 为了评估CRS患者的QOL,在ESS后有不同的打频率.
- 在ESS之前确定与打相关的因素.
- 探索ESS后与减少打相关的因素.
主要方法:
- 在高等推中心进行前性队列研究.
- 招募了接受初始ESS的成年CRS患者.
- 打,QOL (Sino-Nasal Outcome Test-22) 和打视觉模拟尺度在基线和3年随访时进行了评估.
主要成果:
- 63%的患者报告了ESS前的打,52%报告了ESS后的打.
- 前ESS打与更糟糕的QOL有关,并与肥胖症和后部与前部ethmoid sinus比率>1.0相关.
- 在ESS后的打减少与65岁以上的年龄和双边Lund-Mackay模糊化相关.
结论:
- 在CRS患者中,ESS后打与降低QOL有关.
- 肥胖和特定的状鼻比率是手术前打的危险因素.
- 老年和更广泛的鼻模糊化预测ESS后更好的打改善.
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