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鼻窦结局测试-22(SNOT-22)评分与下鼻甲切除鼻中隔成形术后患者鼻呼吸满意度的相关性

Correlation Between Sinonasal Outcome Test-22 (SNOT-22) Scores and Patient Satisfaction With Nasal Breathing After Septoplasty With Inferior Turbinate Reduction.

作者信息

Tavares Correia João, Sousa Francisco, Silva-Carvalho Isabel, Meireles Luís, Santos Mariline

机构信息

Otolaryngology - Head and Neck Surgery, Unidade Local de Saúde de Santo António, Porto, PRT.

出版信息

Cureus. 2025 Feb 23;17(2):e79500. doi: 10.7759/cureus.79500. eCollection 2025 Feb.

DOI:10.7759/cureus.79500
PMID:40144414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11937855/
Abstract

AIM

The study aimed to correlate the variation in the Sinonasal Outcome Test-22 (SNOT-22) scores (preoperative vs. postoperative) with the Visual Analog Scale (VAS) satisfaction scores for nasal breathing three months after septoplasty with inferior turbinate reduction.  Materials and methods: Adult patients with nasal obstruction due to deviated nasal septum were assessed. Preoperative and three-month postoperative SNOT-22 results, mean ∆SNOT-22 values, and VAS satisfaction scores for nasal breathing were recorded and analyzed.  Results: A total of 26 patients were included in the study. Postoperative SNOT-22 scores significantly decreased at three months compared to preoperative scores (p=0.001), with a mean ∆SNOT-22 score of 23.38±23.39. The three-month postoperative VAS satisfaction score for nasal breathing was 8.54±1.75. Pearson correlation analysis revealed a significant correlation between SNOT-22 and VAS satisfaction scores three months postoperatively (r=0.482, p=0.017).

CONCLUSION

Patients undergoing septoplasty with inferior turbinate reduction for nasal obstruction exhibit high satisfaction levels with nasal breathing three months postoperatively. The VAS satisfaction scores correlate with improved SNOT-22 scores post-surgery.

摘要

目的

本研究旨在将鼻鼻窦结局测试-22(SNOT-22)评分(术前与术后)的变化与下鼻甲切除术鼻中隔成形术后三个月鼻腔呼吸的视觉模拟量表(VAS)满意度评分相关联。材料与方法:对因鼻中隔偏曲导致鼻塞的成年患者进行评估。记录并分析术前和术后三个月的SNOT-22结果、平均∆SNOT-22值以及鼻腔呼吸的VAS满意度评分。结果:本研究共纳入26例患者。与术前评分相比,术后三个月SNOT-22评分显著降低(p = 0.001),平均∆SNOT-22评分为23.38±23.39。术后三个月鼻腔呼吸的VAS满意度评分为8.54±1.75。Pearson相关性分析显示,术后三个月SNOT-22与VAS满意度评分之间存在显著相关性(r = 0.482,p = 0.017)。结论:接受下鼻甲切除术鼻中隔成形术治疗鼻塞的患者术后三个月对鼻腔呼吸的满意度较高。VAS满意度评分与术后SNOT-22评分的改善相关。

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本文引用的文献

1
Using the sino-nasal outcome test (SNOT-22) to study outcome of treatment of nasal obstruction.采用鼻阻塞结局测试(SNOT-22)研究鼻阻塞治疗的结果。
Am J Otolaryngol. 2023 Jul-Aug;44(4):103879. doi: 10.1016/j.amjoto.2023.103879. Epub 2023 Mar 28.
2
Patient-reported outcome measures (PROMs) as proof of treatment efficacy.患者报告的结局指标(PROMs)作为治疗效果的证据。
BMJ Evid Based Med. 2022 Jun;27(3):153-155. doi: 10.1136/bmjebm-2020-111573. Epub 2021 Jun 4.
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Comparison of visual analogue scale (VAS) and the Nasal Obstruction Symptom Evaluation (NOSE) score in evaluation of post septoplasty patients.视觉模拟评分法(VAS)与鼻阻塞症状评估(NOSE)评分在鼻中隔成形术后患者评估中的比较。
World J Otorhinolaryngol Head Neck Surg. 2020 Apr 6;6(1):53-58. doi: 10.1016/j.wjorl.2019.06.002. eCollection 2020 Mar.
4
Nasal obstruction: a common presentation in primary care.鼻塞:基层医疗中的常见症状。
Br J Gen Pract. 2019 Nov 28;69(689):628-629. doi: 10.3399/bjgp19X707057. Print 2019 Dec.
5
Treatment Paradigm for Nasal Airway Obstruction.鼻气道阻塞的治疗模式
Otolaryngol Clin North Am. 2018 Oct;51(5):873-882. doi: 10.1016/j.otc.2018.05.003. Epub 2018 Jun 23.
6
Investigating the minimal clinically important difference for SNOT-22 symptom domains in surgically managed chronic rhinosinusitis.调查手术治疗慢性鼻-鼻窦炎患者 SNOT-22 症状领域的最小临床重要差异。
Int Forum Allergy Rhinol. 2017 Dec;7(12):1149-1155. doi: 10.1002/alr.22028. Epub 2017 Oct 20.
7
A systematic review of patient-reported nasal obstruction scores: defining normative and symptomatic ranges in surgical patients.患者报告的鼻阻塞评分的系统评价:确定手术患者的正常范围和症状范围
JAMA Facial Plast Surg. 2014 May-Jun;16(3):219-25; quiz 232. doi: 10.1001/jamafacial.2013.2473.
8
Psychometric validity of the 22-item Sinonasal Outcome Test.22 项鼻-鼻窦结局测试的心理测量效度。
Clin Otolaryngol. 2009 Oct;34(5):447-54. doi: 10.1111/j.1749-4486.2009.01995.x.
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Surgical management of the deviated septum: techniques in septoplasty.鼻中隔偏曲的外科治疗:鼻中隔成形术技术
Otolaryngol Clin North Am. 2009 Apr;42(2):241-52, viii. doi: 10.1016/j.otc.2009.01.005.
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Is there objective evidence that septal surgery improves nasal airflow?是否有客观证据表明鼻中隔手术能改善鼻腔气流?
J Laryngol Otol. 2006 Nov;120(11):916-20. doi: 10.1017/S0022215106003410. Epub 2006 Oct 12.