| Objective:The purpose of this study is to collect the clinical data of 100 patients with chronic nasosinusitis(CRS-wNP/CRS-sNP)with functional endoscopic sinus surgery(FESS),through the combined application of nasal outcome test(the sino-nasal outcome Test-20,SNOT-20)the Chinese version and(the visual analogue scale scale,VAS)in different periods of experimental group before and after surgery(1 months,3 months,6 months)the quality of life(quality of life,QOL)were subjective assessment;From the physical examination center of the First Affiliated Hospital of Kunming Medical University,120 physical examination qualified persons were selected as the control group.The quality of life of the experimental group and the control group were compared,and the quality of life of the patients with chronic sinusitis was compared with those of the healthy ones.and to explore FESS(functional endoscopic surgery)impact on patients quality of life,observe the clinical main symptoms of patients in different periods and the change of the quality of life.Methods:According to the clinical typing and staging of chronic sinusitis and nasal polyps and endoscopic sinus surgery evaluation standard mirror(1997,Haikou)[17]of the experimental group in this study(100 cases of patients with chronic sinusitis)were divided into 20 cases of type Ⅰ(A group),54 cases of type Ⅱ(B group),26 cases of type Ⅲ(C group),66 cases were male,34 were female,aged 14-60 years old,the average age(40.14± 13.23)years old;The study of the 120 control subjects were selected from the First Affiliated Hospital of Kunming Medical University health examination center,the examination results are qualified,no previous history of sinusitis and the examination process were not found to have chronic sinusitis symptoms and signs,including male 71 cases,female 49 cases,aged 20-60 years old,the average age(43.27±11.86)years old.Application of SNOT-20 Chinese version scale of the experimental group were quality of life scores compared with those of the control group;the experimental group subjects underwent endoscopic sinus surgery in the experimental group,The SNOT-20 and VAS scale were used to compare theSNOT-20 and VAS scores between the three subgroups in the experimental group;The quality of life(QOL)of patients with FESS before and after 1 months,3 months after operation and 6 months after operation were evaluated and compared by using the Chinese nasal sinus and nasal endonasal outcome test 20(SNOT-20)Chinese version and VAS scale.During the investigation and postoperative follow-up,if the cases did not meet the inclusion criteria and the sample size was insufficient,the subjects who met the inclusion criteria should be added to the questionnaire in a timely manner.SPSS 19.0 statistical software was used to conduct statistical analysis of the survey data.The test standard was P=0.05,and P<0.05 was considered statistically significant.Results:The use of SNOT-20 Chinese version scale compared to the experimental group and the control group life quality score results:the experimental group of individual symptom scores and SNOT-20 scores were higher than the control group(statistically significant difference,P<0.05)that reduce the quality of life in patients with chronic sinusitis in varying degrees;Application of SNOT-20 Chinese version and VAS scale were performed surgery on the A group,B group and C group before and after different periods(6 months to 1 months after surgery,3 months after the surgery,the postoperative quality of life score),the results suggest that:A group,B group,C group of three preoperative quality of life compared with the control group decreased to a certain extent(P<0.05 had statistical significance difference),endoscopic surgery for nasal endoscope in three patients after operation in different periods after SNOT-20 scores and VAS scores were lower than the preoperative SNOT-20 score and VAS the total score(P<0.05 had significant difference),This shows that regardless of which type,the quality of life of patients have different degrees of effects,and endoscopic surgery can effectively improve the quality of life of patients to a certain extent;the study of statistical data that had a runny nose,need to blow your nose,dizziness,poor sleep quality at night,inattention is five preoperative symptoms of 20 symptoms affect their quality of life in patients with the most important,the experimental group accounted for the proportion is 83%,68%,55%,46%,44%.Had a runny nose,need to blow your nose,dizziness,poor sleep quality,anxiety at night is the first five symptoms before surgery 20 symptoms was the highest;the experimental group accounted for the proportion of 45%worries.Conclusions:1.the quality of life scale can effectively assess the quality of life of patients with chronic sinusitis before and after operation;2.there was significant difference between the scores of quality of life in patients with chronic nasal sinusitis and healthy subjects were compared,the quality of life was significantly lower than that of healthy subjects;3.endoscopic sinus surgery for chronic sinusitis can effectively improve the quality of life of patients in a.certain degree. |
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