The Head and Neck Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA.
Laryngoscope. 2010 Aug;120(8):1696-700. doi: 10.1002/lary.21010.
OBJECTIVES/HYPOTHESIS: This study was designed to evaluate the impact of surgery on the sexual function and sleep function of patients with chronic rhinosinusitis (CRS).
A retrospective review of a cohort of prospectively enrolled patients with chronic rhinosinusitis who have undergone endoscopic sinus surgery.
Each patient completed the Rhinosinusitis Disability Index (RSDI) prior to surgery and at least nine months following endoscopic sinus surgery, and the preoperative and postoperative scores for the questions related to sleep and sexual activity were evaluated. Wilcoxon signed-rank test was used to assess the magnitude and direction of change between observation points.
Mean response scores regarding sexual activity between preoperative (1.1 +/- 1.0) and postoperative scores (0.7 +/- 0.8) are significantly different (P < .001). Mean response scores regarding sleep dysfunction between preoperative (2.4 +/- 1.0) and postoperative scores (1.5 +/- 1.1) are also significantly different (P < .001). For both questions, a higher frequency of subjects responded "never" and "almost never" in the postoperative period compared with preoperative measures.
Using the questions from the RSDI, there is an improvement in scores of sexual function and sleep after surgery for patients with chronic rhinosinusitis. Further, more in-depth evaluations of these potential benefits are needed.
目的/假设：本研究旨在评估手术对慢性鼻-鼻窦炎（CRS）患者性功能和睡眠功能的影响。
对一组接受内镜鼻窦手术的慢性鼻-鼻窦炎前瞻性入组患者进行回顾性分析。
每位患者在手术前和内镜鼻窦手术后至少 9 个月完成鼻-鼻窦炎生活质量调查问卷（RSDI），并评估与睡眠和性行为相关问题的术前和术后评分。Wilcoxon 符号秩检验用于评估观察点之间变化的幅度和方向。
关于性行为的平均应答得分，术前（1.1±1.0）和术后（0.7±0.8）评分之间存在显著差异（P<0.001）。关于睡眠障碍的平均应答得分，术前（2.4±1.0）和术后（1.5±1.1）评分之间也存在显著差异（P<0.001）。对于这两个问题，与术前测量相比，术后更多的患者回答“从不”和“几乎从不”。
使用 RSDI 的问题，慢性鼻-鼻窦炎患者手术后性功能和睡眠评分有所改善。此外，需要进一步深入评估这些潜在的益处。
