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功能性内镜鼻窦手术对慢性鼻-鼻窦炎伴鼻息肉患者症状及生活质量的影响

Impact of FESS on symptomatology and quality of life of patients with CRSsNP.

作者信息

Romano A, Barone Simona, Borriello G, De Fazio G R, Paesano S, Grassia G, Bonavolontà P, Dell'Aversana Orabona G, Sivero S

机构信息

Head and Neck Section, Department of Neurosciences, Reproductive and Odontostomatological Science, Federico II University of Naples, Naples, 80138, Italy.

Department of Social Sciences, University of Naples Federico II, vico Monte della Pietà, 1, Napoli, 80138, Italy.

出版信息

Eur Arch Otorhinolaryngol. 2025 Apr;282(4):1891-1900. doi: 10.1007/s00405-024-09139-1. Epub 2024 Dec 19.

Abstract

PURPOSE

Chronic rhinosinusitis (CRS) has an impact on health related quality of life (HRQOL). The objective of this study was to examine generic and disease specific HRQOL and symptoms in CRS patients before and 6 months after sinus surgery.

METHODS

This prospective, observational study consisted of 30 patients with chronic sinusitis. Generic and disease specific HRQOL were measured using the Short Form Health Survey (SF 36) and Sino Nasal Outcome Test (SNOT 22).

RESULTS

The results revealed that chronic sinusitis has a significant impact on a person's quality of life reflected in the vitality, mental health, social activities, physical pain and perceived health status of patients also a positive correlation emerged between functional endoscopic sinus surgery (FESS) and improvement not only in symptomatology but also overall quality of life.

CONCLUSIONS

FESS turns out to be a useful and necessary intervention for the improvement of symptomatology related to chronic sinusitis but also for the improvement of the quality of life of individuals who appear to be severely affected by the condition.

摘要

目的

慢性鼻-鼻窦炎(CRS)对健康相关生活质量(HRQOL)有影响。本研究的目的是检查鼻窦手术前和术后6个月CRS患者的一般和疾病特异性HRQOL及症状。

方法

这项前瞻性观察性研究包括30例慢性鼻窦炎患者。使用简短健康调查问卷(SF 36)和鼻窦结局测试(SNOT 22)测量一般和疾病特异性HRQOL。

结果

结果显示,慢性鼻窦炎对患者的活力、心理健康、社交活动、身体疼痛和感知健康状况等生活质量有显著影响。功能性鼻内镜鼻窦手术(FESS)不仅与症状改善有关,而且与整体生活质量改善之间也呈正相关。

结论

FESS被证明是一种有用且必要的干预措施,不仅可改善与慢性鼻窦炎相关的症状,还可改善似乎受该疾病严重影响的个体的生活质量。

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