Observe Quality Of Life About Different Types Of Chinese Medicine Of CRSwNP Patients Before And After Nasal Endoscopic Operation

Objective:The influence of functional endoscopic sinus surgery patients’ life quality, To observe different Chinese medicine diagnosis and classification of nasal endoscopy surgery patients with chronic sinusitis and the quality of life and its correlation.Methods:The questionnaires modified medical results simplified scale-36(SF-36) and nsino-nasal outcome test-20(SNOT-20), VAS visual score assessment for quality of life, collected CRS patients to35cases of spleen-stomach dampness-heat syndrome,27cases of Lung Qi deficiency syndrome,30cases of deficiency-weakness of spleen according to different Chinese medicine diagnosis and classification of, and do survey for them before and after surgery1month,3months,6months,do statistical analysis for the survey results.Results:Chronic rhinosinusitis patients SF-36scores in preoperative between various syndromes have no significant difference (P>0.05). But have significant difference between various syndromes in the SNOT-20score, no big significant difference between spleen stomach damp heat type&spleen deficiency (P<0.05), while the VAS scores in the preoperative assessment of various types have no significant difference. The SF-36and SNOT-20under the VAS assessment results of Spleen stomach damp heat type of preoperative and postoperative for1-6months showed: compared with preoperative,spleen stomach damp heat type, after first month of operation, SF-36score and VAS score improved significantly; after third month, total score of SF-36, SNOT-20and VAS assessment have obvious significant compared with the first month.The Sixth months after the operation, patients with SF-36, and SNOT-20, VAS score highly significant difference (P<0.01). Lung-Qi deficiency patients compared with preoperative, the first month, SF-36, SNOT-20and VAS score have significantly improved (P<0.05);3months after the operation, patients’ SF-36, SNOT-20and VAS score have significantly improved (P<0.05), in which SNOT-20and improvement of VAS have highly significant difference (P<0.01). Six months after the operation, patients’SF-36, SNOT-20and VAS compared with preoperative is highly significance to the statistic (P<0.01). It means, the quality of life of deficiency type patients is improved obviously after nasal endoscopic operation after6months compared to preoperative. Temper weak type of preoperative and postoperativel-6months, SF-36and SNOT-20, VAS assessment results show:(one month after operation, patients’SF-36, SNOT-20and VAS score has significant difference (P<0.05);3months after the operation, patients’SF-36, SNOT-20and VAS score highly significant difference (P<0.01),6months after the operation, patients’SF-36, SNOT-20and VAS score highly significant difference compared with preoperative (P<0.01). It means the quality of life of spleen qi deficiency syndrome patients is improved obviously after endoscopic operation after6months compared to preoperative.Various types of different periods of CRSwNP shows,that in patients with CRSwNP of spleen stomach damp heat type, lunq Qi cold type, deficiency of Spleen Qi in one month after operation, total score of SF-36, SNOT-20, VAS score was no significant difference, prompting one months postoperatively, different syndromes of patients with sinonasal symptoms and general health trend back to consistent standards.3months after the operation, patients with various types of VAS score, SF-36score, SNOT-20had no significant difference. After6months in SNOT-20patients and VAS score comparison showed no significant difference while in total SF-36scores there is significant difference (P<0.05), in which the spleen stomach damp heat type> lung qi deficiency type, and spleen stomach damp heat type> deficiency of spleen qi.Conclusion:Chronic sinusitis and nasal polyps in different types of Chinese medicine cause negative effects for patients’life quality.Lung Qi deficiency type, temper weak type influence seriously for the sinonasal conpare to damp-heat in spleen and stomach. As treatment of chronic sinusitis as one of methods, Functional nasal endoscope operation can significantly improve the different syndromes of traditional Chinese medicine on patients’ life quality, in which the spleen-stomach dampness-heat overall health improvement is better than the lung qi deficiency type, with deficiency of Spleen Qi, clinically without obvious contraindications and drug treatment to be invalid after may choose functional nasal endoscope operation treatment.