本文選題：鼻竇炎 + 視覺模擬量表��； 參考：《臨床耳鼻咽喉頭頸外科雜志》2016年11期

【摘要】：目的:探討術前VAS癥狀評分對慢性鼻-鼻竇炎(CRS)圍手術期處理的指導作用。方法:根據(jù)收治在相同年資相似經(jīng)驗的高年資醫(yī)師組不同,將擬行鼻內(nèi)鏡手術的CRS患者分為實驗組和對照組。2組患者術前均采用視覺模擬量表(VAS)對CRS患者整體不適及各癥狀(鼻塞、流涕、頭昏頭痛、嗅覺減退、鼻癢、噴嚏)進行評分。對術前各癥狀VAS評分5分者,實驗組圍手術期嚴格依據(jù)各癥狀VAS評分采取精準策略,對照組則沒有參考VAS評分,僅依據(jù)術者臨床經(jīng)驗進行圍手術期處理。局部麻醉或全身麻醉下進行鼻內(nèi)鏡手術。術后隨訪6個月和1年,對2組整體不適及各癥狀進行VAS評分。結果:1實驗組隨訪120例,對照組隨訪82例。2組患者一般情況、術前整體不適及各癥狀VAS評分比較差異無統(tǒng)計學意義(P0.05)。2 2組整體不適VAS評分在術后不同時期與術前比較均有顯著差異(P0.05)。3各癥狀中,除嗅覺減退外,鼻塞、流涕、頭昏頭痛、鼻癢、噴嚏癥狀VAS評分及患者滿意度自評分,2組術后不同時期相比均有顯著差異(P0.05)。結論:術前各癥狀VAS評分,不僅可用于CRS病情及療效評估,而且對CRS圍手術期處理有指導作用,可提高CRS治療有效率及患者滿意度,值得在臨床上推廣應用。
[Abstract]:Objective: to investigate the effect of preoperative VAS score on perioperative management of chronic rhinosinusitis (CRS). Methods: according to the group of senior doctors with similar experience in the same seniority, Patients with CRS were divided into two groups: experimental group and control group. Visual analogue scale (VAS) was used to evaluate the overall discomfort and symptoms of CRS patients (nasal congestion, runny nose, dizziness headache, decreased olfaction, itching and sneezing). For the patients with 5 points of VAS score before operation, the experimental group adopted accurate strategy according to the VAS score of each symptom during the perioperative period, while the control group did not refer to the VAS score, and only handled the perioperative period according to the clinical experience of the operator. Endoscopic sinus surgery is performed under local or general anesthesia. The patients were followed up for 6 months and 1 year. Results 120 cases were followed up in experiment group 1 and 82 cases in group 2 in control group. There was no significant difference in preoperative overall discomfort and VAS scores between the two groups (P0.05). 2. 2. 2. 2 groups had significant differences in overall discomfort VAS scores at different periods after operation (P0.05). 3 in all symptoms, except olfactory loss, nasal congestion, runny nose, dizziness, headache, dizziness and headache, there was no significant difference between the two groups in terms of overall discomfort and VAS scores (P0.05). The VAS score of nasal itch sneezing symptom and patient satisfaction were significantly different between the two groups in different period after operation (P0.05). Conclusion: the VAS score of every symptom before operation can not only be used to evaluate the condition and curative effect of CRS, but also can guide the treatment of CRS in perioperative period. It can improve the effective rate of CRS treatment and the satisfaction of patients. It is worth popularizing and applying in clinic.
【作者單位】： 重慶醫(yī)科大學附屬第一醫(yī)院耳鼻咽喉科;
【基金】：國家臨床重點�？平ㄔO項目經(jīng)費資助(No:衛(wèi)辦醫(yī)政函[2012]649號) 重慶市自然科學基金(No:cstc2013jcyjA0109),重慶市自然科學基金重點項目(No:cstc2015jcyjB0028) 重慶市衛(wèi)生計生委科研項目(No:2015HBRC004) 重慶市研究生科研創(chuàng)新項目(No:CYS151210)
【分類號】：R765.9

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本文編號：2098469