慢性鼻炎的社会脆弱性和生活质量
Theresa A Dickerson1, Taylor J Stack1, Ezer H Benaim1
1Department of Otolaryngology-Head & Neck Surgery University of North Carolina, Chapel Hill, North Carolina, USA.
The Laryngoscope
|February 18, 2026
概括
社会脆弱性会影响慢性鼻炎 (CRS) 患者的生活质量. 更高的社会脆弱性与更糟糕的症状和手术的可能性降低有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康的社会决定因素 (SDoH) 显著影响健康结果和患者预后.
- 社会脆弱性指数 (SVI) 使用16个不同的社会因素来量化SDoH.
- 了解SDoH的作用对于解决慢性疾病中的健康差异至关重要.
研究的目的:
- 调查慢性鼻炎 (CRS) 患者的社会脆弱性和生活质量之间的关联.
- 确定SVI是否影响CRS患者的症状严重程度和治疗决策,例如手术.
主要方法:
- 657名CRS患者的回顾性队列研究 (不包括囊性纤维化,鼻腔阻塞和癌症等特定疾病).
- 收集的基线数据包括SNOT-22分数,性别和手术史.
- 根据来自2020年国家社会脆弱性指数数据库的人口普查数据计算SVI分数.
主要成果:
- 较低的SVI分数与更好的生活质量相关,由较低的SNOT-22分数 (p < 0.001) 表示.
- 低至中等SVI患者不太可能接受手术 (p = 0.04).
- 带有鼻息肉的慢性鼻炎 (CRSwNP) 患者的SNOT-22得分高于没有鼻息肉的慢性鼻炎 (CRSsNP) 患者 (p = 0.038),但相似的SVI.
结论:
- 社会脆弱性是影响CRS患者生活质量和手术可能性的重要因素.
- 增加的社会脆弱性与更严重的鼻症状有关.
- 在CRS患者中,较低的社会脆弱性与手术干预的可能性降低相关.
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