Baumann I, Blumenstock G, Praetorius M, Sittel C, Piccirillo J F, Plinkert P K
Universitäts-HNO-Klinik Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg.
HNO. 2006 Jul;54(7):544-9. doi: 10.1007/s00106-006-1402-y.
The negative effect of chronic rhinosinusitis on patient quality of life has been generally underappreciated and undervalued. So far, only a few studies have examined health-related quality of life at German language patient collectives with validated measuring instruments.
Preoperatively, 163 patients were included into the study. Three months and 1 year after functional endonasal sinus surgery 123 and 82 patients, respectively, participated in the questioning. To measure health-related quality of life, we used version 20 of the German Adapted Version of the Sinonasal Outcome Test and the Short Form 36 Health Survey (SF-36). The German normative values of the SF-36 were used for analysis.
Postoperatively, a significant improvement in health-related quality of life was determined on all scales of both measuring instruments. Comparing our data with the German normative values of the SF-36, we found a lasting approximation of the average assessment levels in seven of eight scales.
Functional endonasal sinus surgery leads to significant improvements in disease-specific and general quality of life in patients with chronic rhinosinusitis.
慢性鼻窦炎对患者生活质量的负面影响一直未得到充分认识和重视。到目前为止，仅有少数研究使用经过验证的测量工具，对德语患者群体的健康相关生活质量进行了调查。
术前，163例患者纳入本研究。功能性鼻内镜鼻窦手术后3个月和1年，分别有123例和82例患者参与问卷调查。为评估健康相关生活质量，我们使用了德国版鼻鼻窦结局测试第20版以及简短健康调查问卷（SF-36）。分析采用SF-36的德国常模值。
术后，两种测量工具的所有量表均显示健康相关生活质量有显著改善。将我们的数据与SF-36的德国常模值进行比较，我们发现八个量表中的七个量表的平均评估水平持续接近。
功能性鼻内镜鼻窦手术可显著改善慢性鼻窦炎患者的疾病特异性和总体生活质量。
