[1]龚志龙,肖 辉,冯 婉,等.鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效及对生活质量的影响[J].医学信息,2021,34(23):132-134.[doi:10.3969/j.issn.1006-1959.2021.23.039]
　GONG Zhi-long,XIAO Hui,FENG Wan,et al.Clinical Effect of Nasal Endoscopic Surgery on Chronic Sinusitis with Nasal Polyps and its Influence on Quality of Life[J].Medical Information,2021,34(23):132-134.[doi:10.3969/j.issn.1006-1959.2021.23.039]
点击复制

鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效及对生活质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年23期
页码:
132-134
栏目:
论著
出版日期:
2021-12-01

文章信息/Info

Title:
Clinical Effect of Nasal Endoscopic Surgery on Chronic Sinusitis with Nasal Polyps and its Influence on Quality of Life
文章编号:
1006-1959（2021）23-0132-03
作者:
龚志龙; 肖 辉; 冯 婉; 等
（宜春市第二人民医院耳鼻喉科，江西 宜春 336000）
Author(s):
GONG Zhi-long; XIAO Hui; FENG Wan; et al.
(Department of Otolaryngology,Yichun Second People’s Hospital,Yichun 336000,Jiangxi,China)
关键词:
鼻内镜手术; 慢性鼻窦炎; 鼻息肉
Keywords:
Nasal endoscopic surgery; Chronic sinusitis; Nasal polyps
分类号:
R692
DOI:
10.3969/j.issn.1006-1959.2021.23.039
文献标志码:
A
摘要:
目的 探讨鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效及对生活质量的影响。方法 选取2017年1月-2020年12月在我院治疗的104例慢性鼻窦炎伴鼻息肉患者为研究对象，采用随机数字表法分为对照组和观察组，各52例。对照组给予常规术式治疗，观察组给予鼻内镜手术治疗。比较两组临床疗效、手术相关指标、生活质量、临床症状评分、并发症发生率。结果 观察组治疗总有效率为94.23%，高于对照组的82.69%，差异有统计学意义（P＜0.05）；观察组手术时间、术中出血量、术后鼻腔恢复通气时间均小于对照组，差异有统计学意义（P＜0.05）；观察组生活质量生理功能、躯体疼痛、社会功能、情感功能各维度评分均高于对照组，差异有统计学意义（P＜0.05）；观察组临床鼻塞、鼻涕、水肿、头痛各症状评分均低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为5.76%，低于对照组的15.38%，差异有统计学意义（P＜0.05）。结论 鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效确切，手术时间短，术中出血量少，术后恢复快，可显著减轻术后头痛、水肿、鼻塞等症状，改善患者生活质量，且并发症发生率少，具有良好的治疗安全性。
Abstract:
Objective To evaluate the clinical effect of endoscopic sinus surgery on chronic sinusitis with nasal polyps and its effect on quality of life.Methods A total of 104 patients with chronic sinusitis and nasal polyps treated in our hospital from January 2017 to December 2020 were selected as the research objects and randomly divided into the control group and the observation group, with 52 cases in each group. The control group was given routine surgical treatment, and the observation group was given nasal endoscopic surgery. The clinical efficacy, surgical related indexes, quality of life, clinical symptom score and incidence of complications were compared between the two groups.Results The total effective rate of the observation group was 94.23%, which was higher than 82.69% of the control group, and the difference was statistically significant (P<0.05). The operation time, intraoperative blood loss and postoperative nasal ventilation recovery time in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The scores of physiological function, physical pain, social function and emotional function of quality of life in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). The scores of clinical symptoms of nasal obstruction, nose, edema and headache in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The incidence of complications in the observation group was 5.76%, which was lower than 15.38% in the control group, and the difference was statistically significant (P<0.05).Conclusion Endoscopic sinus surgery can effectively treat chronic sinusitis with nasal polyps, which has the advantages of short operation time, less intraoperative blood loss, and rapid postoperative recovery. It can also significantly reduce postoperative headache, edema, nasal congestion and other symptoms, improve the quality of life of patients, and reduce the incidence of complications, has good therapeutic safety.

参考文献/References:

[1]白晓明.鼻内镜手术对慢性鼻-鼻窦炎伴鼻息肉患者应激反应及纤毛传输功能的影响[J].中国耳鼻咽喉头颈外科,2018,25(10):569-570.[2]黄建晖,胡一春.慢性鼻窦炎伴鼻息肉经鼻内镜手术治疗的效果及对生活质量的影响探析[J].黑龙江医药,2018,31(1):192-194.[3]施建飞,李佳.功能性鼻内镜手术治疗慢性鼻窦炎伴鼻息肉疗效分析[J].河北医学,2018,24(3):437-441.[4]庞涛,王晓慧,姚海波,等.慢性鼻窦炎伴鼻息肉术前鼻腔冲洗对鼻内镜手术出血影响分析[J].中国药物与临床,2018,18(2):256-257.[5]张国正.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的疗效评价[J].现代诊断与治疗,2019,30(9):1505-1506.[7]蒋晨霞,陈小东.鼻内镜鼻窦手术对慢性鼻窦炎患者疗效和生活质量的影响[J].中国医药导刊,2017,19(10):1006-1009.[8]薛侦.慢性鼻窦炎伴鼻息肉患者经鼻内镜手术治疗的临床效果及对其生活质量的改善作用[J].哈尔滨医药,2016,36(6):622-624.[9]任建蓉.鼻内镜手术治疗慢性鼻窦炎鼻息肉的临床观察[J].深圳中西医结合杂志,2016,26(21):122-123.[10]边宇.鼻内镜手术治疗慢性鼻窦炎鼻息肉的临床体会[J].中国医药指南,2016,14(9):122-123.[11]盛菊萍,沈美云,朱爱华,等.鼻内镜手术治疗慢性鼻窦炎的临床疗效分析[J].中国继续医学教育,2018,10(27):73-74.[12]何仕浩.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的疗效[J].齐齐哈尔医学院学报,2017,38(13):1569-1570.[13]范建辉,洪海填,许连福.鼻内镜手术联合克拉霉素及曲安奈德治疗慢性鼻窦炎伴鼻息肉的临床疗效观察[J].中国现代药物应用,2020,10(5):45-47.[14]徐桂容,马伟.鼻内镜手术治疗慢性鼻-鼻窦炎伴鼻息肉270例的临床分析[J].中国中西医结合耳鼻咽喉科杂志,2016,24(6):462-463.[15]杨威,郭丹.鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的影响分析[J].中国继续医学教育,2020,20(7):46-48.[16]范森.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的临床疗效观察[J].内蒙古医学杂志,2017,31(7):78-79.[17]叶继才,陈秋恒.鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效[J].深圳中西医结合杂志,2020,30(12):98-99.[18]黄春姐.鼻内镜下治疗慢性鼻-鼻窦炎伴鼻息肉230例临床体会[J].广州医科大学学报,2017,45(4):79-81.[19]刘鹤,李永.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的疗效观察[J].中国临床医生杂志,2016,44(11):65-66.[20]邱勋财.鼻内镜手术联合药物治疗慢性鼻窦炎伴鼻息肉的效果[J].全科口腔医学电子杂志,2020,25(1):56-58.

相似文献/References:

[1]张艺莹,宋广斌.鼻内镜手术对复发性鼻窦炎患者临床症状影响[J].医学信息,2018,31(15):97.[doi:10.3969/j.issn.1006-1959.2018.15.030]
　ZHANG Yi-ying,SONG Guang-bin.Influence of Endoscopic Sinus Surgery on Clinical Symptoms in Patients with Recurrent Sinusitis[J].Medical Information,2018,31(23):97.[doi:10.3969/j.issn.1006-1959.2018.15.030]
[2]陶雪莹,何俐莹.活性银离子抗菌液联合通窍鼻炎颗粒治疗儿童慢性鼻窦炎的疗效[J].医学信息,2020,33(01):156.[doi:10.3969/j.issn.1006-1959.2020.01.051]
　TAO Xue-ying,HE Li-ying.Effect of Active Silver Ion Antibacterial Solution in Combination with Tongqiao Biyan Granule in Treating Chronic Sinusitis in Children[J].Medical Information,2020,33(23):156.[doi:10.3969/j.issn.1006-1959.2020.01.051]
[3]陈 炜,周林路,叶 刚,等.鼻内窥镜鼻窦开放手术中切除与保留中鼻甲对手术效果的影响[J].医学信息,2020,33(20):83.[doi:10.3969/j.issn.1006-1959.2020.20.023]
　CHEN Wei,ZHOU Lin-lu,YE Gang,et al.Effect of Removal and Preservation of Middle Turbinate During Open Sinus Surgery Under Nasal Endoscopic Sinus Surgery[J].Medical Information,2020,33(23):83.[doi:10.3969/j.issn.1006-1959.2020.20.023]
[4]范明思.个性化护理干预对鼻内镜术治疗慢性鼻窦炎鼻息肉康复效果的影响[J].医学信息,2021,34(11):191.[doi:10.3969/j.issn.1006-1959.2021.11.055]
　FAN Ming-si.Influence of Personalized Nursing Intervention on the Rehabilitation Effect of Nasal Endoscopy in the Treatment of Chronic Sinusitis and Nasal Polyps[J].Medical Information,2021,34(23):191.[doi:10.3969/j.issn.1006-1959.2021.11.055]
[5]朱志洋.布地奈德联合鼻内镜手术治疗鼻窦炎-鼻息肉的疗效及对患者鼻腔功能的影响[J].医学信息,2023,36(04):140.[doi:10.3969/j.issn.1006-1959.2023.04.028]
　ZHU Zhi-yang.Efficacy of Budesonide Combined with Endoscopic Sinus Surgery in the Treatment of Sinusitis-nasal Polyps and its Effect on Nasal Function[J].Medical Information,2023,36(23):140.[doi:10.3969/j.issn.1006-1959.2023.04.028]
[6]牛春生.慢性鼻窦炎的治疗研究[J].医学信息,2020,33(04):59.[doi:10.3969/j.issn.1006-1959.2020.04.018]
　NIU Chun-sheng.Study on the Treatment of Chronic Sinusitis[J].Medical Information,2020,33(23):59.[doi:10.3969/j.issn.1006-1959.2020.04.018]
[7]魏宏宇.鼻内镜手术治疗慢性鼻窦炎的效果及其与临床分型的关系[J].医学信息,2020,33(15):114.[doi:10.3969/j.issn.1006-1959.2020.15.035]
　WEI Hong-yu.The Effect of Endoscopic Sinus Surgery on Chronic Sinusitis and Its Relationship with Clinical Classification[J].Medical Information,2020,33(23):114.[doi:10.3969/j.issn.1006-1959.2020.15.035]
[8]刘 敏,张 慧,李 琪.加速康复外科护理干预对慢性鼻窦炎鼻内镜手术患者的应用效果[J].医学信息,2022,35(17):181.[doi:10.3969/j.issn.1006-1959.2022.17.049]
　LIU Min,ZHANG Hui,LI Qi.Application Effect of Accelerated Rehabilitation Surgical Nursing Intervention on Patients with Chronic Sinusitis and Nasal Endoscopic Surgery[J].Medical Information,2022,35(23):181.[doi:10.3969/j.issn.1006-1959.2022.17.049]
[9]赵 敏,吕振伟,汪 燕.曲安奈德鼻喷雾剂联合鼻内镜手术对慢性鼻窦炎伴鼻息肉患者VAS评分、鼻黏膜纤毛输送速率的影响[J].医学信息,2024,37(16):68.[doi:10.3969/j.issn.1006-1959.2024.16.014]
　ZHAO Min,LYU Zhen-wei,WANG Yan.Effect of Triamcinolone Acetonide Nasal Spray Combined with Endoscopic Sinus Surgery on VAS Score and Nasal Mucociliary Transport Rate in Patients with Chronic Sinusitis and Nasal Polyps[J].Medical Information,2024,37(23):68.[doi:10.3969/j.issn.1006-1959.2024.16.014]

更新日期/Last Update: 1900-01-01