【摘要】目的探讨鼻内镜手术对鼻窦炎鼻息肉患者嗅觉功能及生活质量的影响。方法85例慢性鼻窦炎鼻息肉患者,均接受鼻内镜手术。采用嗅觉功能评分、VAS评分、SNOT评分等对术前、术后4周、术后12周时的嗅觉功能、生活质量及临床疗效进行评价。结果术后4周、12周时患者嗅觉功能评分、VAS评分、SNOT评分均较术前有明显改善(P<0.05),而术后12周时患者嗅觉功能评分、VAS评分、SNOT评分均较术后4周明显改善(P<0.05)。术后4周时,治愈37例,好转33例,无效15例,总有效率为82.35%;术后12周时,治愈56例,好转26例,无效3例,总有效率为96.47%。结论鼻内镜手术能明显改善鼻窦炎鼻息肉患者嗅觉功能及生活质量,疗效满意,值得临床推广应用。
【Abstract】 ObjectiveTo explore the effect of nasal endoscopic surgery on the olfactory function and the quality of life in the patients with sinusitis and nasal polyps. MethodsEightyfive patients with chronic sinusitis and nasal polyps received nasal endoscopic surgery.The olfactory function, the quality of life and clinical efficacy were evaluated using olfactory function score, VAS and SNOT score before operation, at 4 weeks and 12 weeks after operation. ResultsThe olfactory function score, VAS and SNOT score of the patients at 4 weeks and 12 weeks after operation were significantly improved compared with the scores before operation(P<0.05). The olfactory function score, VAS and SNOT score at 12 weeks after operation were significantly improved compared with the scores at 4 weeks after operation(P<0.05).At 4 weeks after operation, cure was observed in 37 cases, improvement in 33 cases and invalid in 15 cases, and the total effective rate was 82.35%. At 12 week after operation, cure was observed in 56 cases, improvement in 26 cases and invalid in 3 cases, the total effective rate was 96.47%.There was significant difference in the efficacy between the two time points(P<0.05). ConclusionNasal endoscopic surgery can significantly improve the olfactory function and the quality of life of the patients with sinusitis and nasal polyps, and can obtain a satisfied efficacy. This approach is worthy of promotion and application.