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慢性鼻窦炎患者内镜鼻窦手术(ESS)1个月和6个月后疾病特异性生活质量与内镜评分的相关性评估:一项前瞻性研究

Assessment of Correlation Between Disease Specific Quality of Life and Endoscopy Score After 1 Month and 6 Months of Endoscopic Sinus Surgery (ESS) in Patients with Chronic Rhinosinusitis: A Prospective Study.

作者信息

Gupta Ritu

机构信息

UPUMS, SaifaiEtawah, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):112-117. doi: 10.1007/s12070-023-04095-4. Epub 2023 Jul 31.

Abstract

Rhinosinusitis is a prevalent condition worldwide affecting the developed and the third world countries alike. SNOT-22 is a validated disease-specific questionnaire designed to use in Chronic Rhino Sinusitis (CRS), which means to quantify patients perception of their disease burden. SNOT 22 questionnaire can chart patients nasal as well as psychological symptoms arising due to CRS and very well become marker of individual symptomatic improvement. To study the correlation between disease specific quality of life and endoscopy score after 1 month and 6 months of Endoscopic Sinus Surgery in patients with Chronic Rhinosinusitis. In the present study, ESS surgery showed improvement in Endoscopy score and all the symptoms assessed by SNOT-22. The total percentage of improvement in the SNOT-22 score was 70% after 1 month and 89% at the end of 6 months. We conclude that after the procedure of ESS not only endoscopic evaluation is necessary but also psychological and symptomatic assessment by SNOT 22 is very necessary as nasal and psychological factors were equally decisive for the seeking of the treatment (pharmacological/surgical) by the patient.

摘要

鼻窦炎是一种在全球范围内普遍存在的疾病,影响着发达国家和第三世界国家。SNOT-22是一种经过验证的针对特定疾病的问卷,旨在用于慢性鼻窦炎(CRS),即量化患者对其疾病负担的感知。SNOT 22问卷可以记录患者因CRS引起的鼻部以及心理症状,并且很可能成为个体症状改善的标志。研究慢性鼻窦炎患者在内镜鼻窦手术后1个月和6个月时疾病特定生活质量与内镜评分之间的相关性。在本研究中,ESS手术显示内镜评分以及SNOT-22评估的所有症状均有改善。SNOT-22评分的总改善百分比在1个月后为70%,在6个月末为89%。我们得出结论,在ESS手术后,不仅需要进行内镜评估,而且通过SNOT 22进行心理和症状评估也非常必要,因为鼻部和心理因素对患者寻求治疗(药物/手术)同样具有决定性作用。

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