[为慢性鼻炎进行鼻外科手术后的短期生活质量评估]
Michaela Maria Plath1, Matthias Sand2, Mark-Philip Gruchlik1
1Hals-Nasen-Ohrenklinik, UniversitätsKlinikum Heidelberg, Heidelberg, Germany.
Laryngo- rhino- otologie
|May 16, 2024
概括
功能性内镜外科手术 (FESS) 在慢性鼻炎 (CRS) 患者中显著改善与健康相关的生活质量 (HRQoL). 短期有所改善,嗅觉和味觉的减少是手术后的一个关键问题.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 生活质量研究 研究 生命质量研究
背景情况:
- 慢性鼻炎 (CRS) 显著影响患者的健康相关生活质量 (HRQoL).
- 功能性内镜外科手术 (FESS) 是医疗耐火性CRS的主要治疗方法.
- 在FESS之后的短期HRQoL结果需要进一步阐明.
研究的目的:
- 评估FESS对CRS患者HRQoL的短期影响.
- 使用中鼻结局测试-22 (SNOT-22) 问卷来评估HRQoL的变化.
主要方法:
- 分析了89名CRS患者的SNOT-22得分,这些患者在FESS前和多次短期随访 (10-14天,4,6周,6个月).
- 用德国SNOT-22验证问卷对1000名健康对照进行患者得分比较.
- 统计分析以确定手术后HRQoL变化的重要性.
主要成果:
- 在FESS后的所有测量时间点中,CRS患者表现出显著的HRQoL改善 (降低SNOT-22得分),与手术前得分相比 (p < 0.01).
- 影响HRQoL的关键持久症状包括鼻腔阻塞,减少嗅觉/味觉,密的鼻分泌物和鼻后滴水.
- 嗅觉和味觉的降低是FESS后2,4和6周最常见的限制因素.
结论:
- 对于CRS患者来说,FESS会导致HRQoL的短期显著改善.
- 嗅觉和味觉功能障碍是FESS后的一个突出问题,需要谨慎管理.
- 在FESS之后,建议早期保守地治疗气味和味道的减少.
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