Department of Otorhinolaryngology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.
School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Br J Hosp Med (Lond). 2024 Jul 30;85(7):1-9. doi: 10.12968/hmed.2024.0104. Epub 2024 Jul 16.
Patients with chronic rhinosinusitis often have a higher incidence of anxiety and depression. Nevertheless, the impact of specific chronic rhinosinusitis types (chronic anterior/posterior/anterior and posterior rhinosinusitis) on anxiety and depression remains unexplored. From January 2022 to July 2023, we employed various assessment scales to gauge the severity of chronic rhinosinusitis and anxiety and depression among Chinese patients with chronic rhinosinusitis. Statistical analysis involved non-parametric tests and binary logistic regression. In total, 123 patients with chronic rhinosinusitis were enrolled. The number of patients with anxiety and depression in the chronic posterior rhinosinusitis and chronic anterior and posterior rhinosinusitis groups (=0.022), the nasal symptom subdomain scores of the chronic anterior rhinosinusitis and chronic anterior and posterior rhinosinusitis (=0.011) groups and the chronic posterior rhinosinusitis and chronic anterior and posterior rhinosinusitis (=0.008) groups, and the Lund-Kennedy score of the three groups (all < 0.05) were significantly different. Binary logistic regression analysis revealed that chronic rhinosinusitis type (=0.035) was a risk factor for anxiety and depression. Anatomical chronic rhinosinusitis type was a risk factor for anxiety and depression in patients with chronic rhinosinusitis.
慢性鼻-鼻窦炎患者常伴有较高的焦虑和抑郁发生率。然而,特定类型的慢性鼻-鼻窦炎(慢性前/后鼻-鼻窦炎、前后组鼻-鼻窦炎)对焦虑和抑郁的影响仍不清楚。2022 年 1 月至 2023 年 7 月,我们采用了多种评估量表来评估中国慢性鼻-鼻窦炎患者的慢性鼻-鼻窦炎严重程度以及焦虑和抑郁程度。统计分析采用非参数检验和二项逻辑回归。共纳入 123 例慢性鼻-鼻窦炎患者。慢性后组鼻-鼻窦炎和慢性前-后组鼻-鼻窦炎组焦虑和抑郁患者人数(=0.022)、慢性前组鼻-鼻窦炎和慢性前-后组鼻-鼻窦炎组鼻部症状亚量表评分(=0.011)和慢性后组鼻-鼻窦炎和慢性前-后组鼻-鼻窦炎组(均=0.008),以及三组的 Lund-Kennedy 评分(均<0.05)均有显著差异。二项逻辑回归分析显示,慢性鼻-鼻窦炎类型(=0.035)是焦虑和抑郁的危险因素。解剖学慢性鼻-鼻窦炎类型是慢性鼻-鼻窦炎患者焦虑和抑郁的危险因素。