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使用视觉模拟评分法(VAS)和鼻腔鼻窦结局测试20条问卷(NOSE量表)评估鼻中隔鼻甲成形术后的鼻阻塞情况

Evaluation of Nasal Obstruction Following Septoturbinoplasty Using the VAS and NOSE Scale.

作者信息

Merino-Galvez Esteban, Gómez-Hervás Javier

机构信息

Catholic University of Saint Anthony (Spain).

Department of Ear, Nose and Throat. Hospital Rafael Méndez, Lorca, Spain.

出版信息

Iran J Otorhinolaryngol. 2024 Jan;36(1):335-342. doi: 10.22038/IJORL.2023.75824.3541.

DOI:10.22038/IJORL.2023.75824.3541
PMID:38259693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10800140/
Abstract

INTRODUCTION

Patient satisfaction with septoturbinoplasty was measured using the subjective visual analogue scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) scale. In addition, those factors that impacted satisfaction were confirmed.

MATERIALS AND METHODS

We conducted an observational study of patients who underwent septoturbinoplasty. Age, sex, smoking habit, duration of improvement, postoperative complications, type of packing and surgeon were analysed. The results were compared using the VAS and NOSE scale.

RESULTS

The improvement experienced with surgery corresponded to 69.80±26.97 points on the VAS 42.65±22.9 points (p <0.01) on the NOSE scale. A strong, direct correlation between the two scales (r = 0.79; p <0.01) was achieved. Surgeon, presence of complications, smoking habit and type of packing were not associated with the improvement experienced on the VAS or NOSE scale. Patients under 30 years of age and patients with permanent improvement achieved higher levels of satisfaction on both scales (p <0.01). Women showed a stronger tendency to perceive their improvement as temporary (p <0.01).

CONCLUSIONS

Patients who underwent septoturbinoplasty experienced a subjectively measured improvement in nasal obstruction. The VAS and the NOSE scale were strongly correlated with one another. Sex, age and duration of improvement (temporary versus permanent) impacted patient perception; surgeon, smoking habit and type of packing did not.

摘要

引言

采用主观视觉模拟量表(VAS)和鼻阻塞症状评估(NOSE)量表来衡量患者对鼻中隔鼻甲成形术的满意度。此外,还确定了影响满意度的因素。

材料与方法

我们对接受鼻中隔鼻甲成形术的患者进行了一项观察性研究。分析了年龄、性别、吸烟习惯、改善持续时间、术后并发症、填塞类型和外科医生等因素。使用VAS和NOSE量表对结果进行比较。

结果

手术带来的改善在VAS上相当于69.80±26.97分,在NOSE量表上为42.65±22.9分(p<0.01)。两个量表之间存在很强的直接相关性(r = 0.79;p<0.01)。外科医生、是否存在并发症、吸烟习惯和填塞类型与VAS或NOSE量表上的改善情况无关。30岁以下的患者和获得永久性改善的患者在两个量表上的满意度更高(p<0.01)。女性更倾向于认为自己的改善是暂时的(p<0.01)。

结论

接受鼻中隔鼻甲成形术的患者在主观测量上鼻阻塞情况有所改善。VAS和NOSE量表彼此之间有很强的相关性。性别、年龄和改善持续时间(暂时与永久)影响患者的感受;外科医生、吸烟习惯和填塞类型则没有影响。

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