在慢性鼻炎 (CRS) 患者的内镜鼻手术后的治疗结果
Sankalp Keshari1, Navneet Kumar1, Ashish Varghese1
1Department of ENT & HNS, MLN Medical College, Prayagraj, India.
概括
透视鼻手术 (ESS) 显著改善了慢性鼻炎 (CRS) 患者的生活质量. 通过Sino-Nasal Outcome Test-22 (SNOT-22) 测量的症状在手术后一周显著改善,持续了12周.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学研究 医学研究
背景情况:
- 慢性鼻炎 (CRS) 是一种常见的疾病,带来了相当大的医疗费用.
- 准确的诊断和结果测量对于有效的CRS管理至关重要.
研究的目的:
- 用于临床诊断有或没有多的CRS.
- 用SNOT-22问卷来衡量症状强度和治疗结果.
- 评估内镜鼻手术 (ESS) 在改善CRS患者生活质量的有效性.
主要方法:
- 根据EPOS-2012标准诊断的70名CRS患者的前性队列研究.
- 在手术前和手术后的1,4周和12周进行SNOT-22问卷调查.
- 根据组织病理特征将患者分为三组;通过SNOT-22评分评估结果.
主要成果:
- 在手术后一周内,ESS显著改善了整体CRS症状 (SNOT-22得分从49.01±14.83下降到21.91±8.88).
- 从基线到术后12周,SNOT-22得分在所有四个分级 (鼻科,耳朵/面部,睡眠,心理) 中都持续下降.
- 在术后医疗治疗三个月后,生活质量的改善在统计学上是显著的.
结论:
- 透视鼻外科手术 (ESS) 有效地提高了慢性鼻炎患者的生活质量.
- SNOT-22问卷是一个可靠的工具,用于监测ESS和医疗治疗后的治疗成功.
- 手术后长达12周观察到持续的症状改善突显了ESS的长期益处.
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