MD. Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, A Coruña, Spain; Area Specialist Physician, Department of Allergology, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
PhD, DDS. Researcher, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain; Researcher Fellow, MedOralRes (Grupo de Investigación en Patología Oral Médico Quirúrgica), Universidad de Santiago de Compostela, A Coruña, Spain.
Sao Paulo Med J. 2022 Jan-Feb;140(1):17-23. doi: 10.1590/1516-3180.2021.0236.R1.03052021.
Allergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population.
To describe and compare the evolution of symptoms in patients diagnosed with AR and septal deviation prior to and following septoplasty (STP).
Quasi-experimental study developed in A Coruña University Hospital.
Patients aged 18-65 years who had been diagnosed with AR and septal deviation were recruited. Obstruction airflow was evaluated before and after surgery, by means of anterior rhinomanometry (RNM). Severity symptoms and quality of life were assessed using a visual analogue scale (VAS) and the ESPRINT questionnaire, respectively.
A total of 50 subjects underwent STP and 42 were included in this study. Their mean age at the time of surgery was 34.16 ± 9.74 years (range 18-64). Significant reductions in mean VAS and ESPRINT were observed after surgery (P < 0.01). These outcomes were considered to represent an overall improvement in quality of life. The RNM results also improved significantly, from mean values of 478.07 ± 165.4 cm3/s before STP to 826.4 ± 175.5 cm3/s afterwards (P < 0.01).
The negative correlations of VAS and ESPRINT with RNM, from before and to after STP, demonstrate the efficacy of scales and questionnaires as objective methods for determining obstruction in the absence of rhinomanometry. Patients with allergic rhinitis and septal deviation showed improvements in obstruction severity and medication use after STP.
变应性鼻炎（AR）是一种影响近 30%成年人的慢性炎症性疾病。
描述和比较 AR 合并鼻中隔偏曲患者鼻中隔成形术（STP）前后症状的演变。
在阿科鲁尼亚大学医院进行的准实验研究。
招募年龄在 18-65 岁之间、被诊断为 AR 和鼻中隔偏曲的患者。手术前后通过前鼻测压法（RNM）评估气流阻塞情况。使用视觉模拟量表（VAS）和 ESPRINT 问卷分别评估症状严重程度和生活质量。
共有 50 名患者接受了 STP，其中 42 名患者纳入本研究。他们手术时的平均年龄为 34.16±9.74 岁（范围 18-64 岁）。手术后 VAS 和 ESPRINT 的平均值均显著降低（P<0.01）。这些结果被认为代表生活质量的整体改善。RNM 结果也显著改善，从 STP 前的平均 478.07±165.4cm3/s 增加到 STP 后的 826.4±175.5cm3/s（P<0.01）。
STP 前后 VAS 和 ESPRINT 与 RNM 的负相关表明，在没有鼻测压法的情况下，量表和问卷可作为确定阻塞的客观方法。患有变应性鼻炎和鼻中隔偏曲的患者在接受 STP 后，阻塞严重程度和药物使用均得到改善。
