Jia Yisong, Bai Shangjie
Department of Otorhinolaryngology,Yanbian University Affiliated Hospital Organzation,Yanji,133000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Feb;34(2):149-152. doi: 10.13201/j.issn.1001-1781.2020.02.012.
The aim of this study is to investigate the incidence of dysosmia in patients with and without nasal polyps, and the impact of dysosmia on the quality of life and mental health in patients with Sinusitis. A total of 105 randomly selected patients with Sinusitis were divided into two groups based on the results of the Sniffin's Sticks olfactory examination: The dysosmia group and the non dysosmia group, the quality of life (Qol) of olfaction quality of life scale and SCL-90 symptom checklist-90(SCL-90) were scored respectively. The incidence of olfactory disorders in chronic sinusitis patients with nasal polyps was significantly higher than those without nasal polyps(χ²=37.133, <0.001). The quality of life score of the olfactory disturbance scale the quality of life score of the olfactory disturbance group(26.5±5.9) was significantly higher than that of the non olfactory disturbance group(11.76±3.58)(=14.30, <0.0001). Life quality score(30.2±4.9) of female patients with olfactory dysfunction was significantly higher than that of male patients(22.3±4.0)(<0.001), The score of SCL-90 of chronic sinusitis patients with olfactory dysfunction(=64) is 6.6(6.0-8.0), while the score of SCL-90 of chronic sinusitis patients without olfactory dysfunction(=41) is 7.0(6.2-7.6), and there was no significant difference between the two groups(>0.05). The risk of dysosmia in patients with Sinusitis polyps was significantly higher than that in patients without nasal polyps, and the quality of life in patients with Sinusitis was significantly lower than that in patients without sinusitis, women also had a greater impact on their quality of life than men, and Sinusitis patients with dysosmia had no significant impact on their mental health.
本研究旨在调查有鼻息肉和无鼻息肉患者嗅觉障碍的发生率,以及嗅觉障碍对鼻窦炎患者生活质量和心理健康的影响。基于嗅觉棒嗅觉检查结果,将105例随机选取的鼻窦炎患者分为两组:嗅觉障碍组和无嗅觉障碍组,分别对嗅觉生活质量量表的生活质量(Qol)和症状自评量表90(SCL - 90)进行评分。慢性鼻窦炎伴鼻息肉患者嗅觉障碍的发生率显著高于无鼻息肉患者(χ² = 37.133,<0.001)。嗅觉障碍组的嗅觉障碍量表生活质量评分(26.5±5.9)显著高于无嗅觉障碍组(11.76±3.58)(=14.30,<0.0001)。嗅觉功能障碍女性患者的生活质量评分(30.2±4.9)显著高于男性患者(22.3±4.0)(<0.001),嗅觉功能障碍的慢性鼻窦炎患者(=64)的SCL - 90评分为6.6(6.0 - 8.0),而无嗅觉功能障碍的慢性鼻窦炎患者(=41)的SCL - 90评分为7.0(6.2 - 7.6),两组之间无显著差异(>0.05)。鼻窦炎伴息肉患者嗅觉障碍的风险显著高于无鼻息肉患者,鼻窦炎患者的生活质量显著低于无鼻窦炎患者,女性对其生活质量的影响也大于男性,且嗅觉障碍的鼻窦炎患者对其心理健康无显著影响。