Effect of sinus surgery on quality of life
Effect of sinus surgery on quality of life
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DOI：
10.1016/s0194-5998(97)70199-2
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发表时间：
1997-07-01
影响因子：
3.4
通讯作者：
Metson, R
中科院分区：
文献类型：
--
作者：
Gliklich, RE;Metson, R
虽然鼻窦手术可以降低慢性鼻窦炎患者复发感染的发生率，但这种手术对患者生活质量的影响知之甚少。我们对108例接受筛窦手术的患者进行了前瞻性评估，并对鼻窦炎特异性和一般健康相关的生活质量进行了统计学验证。手术后12个月，发现鼻窦特异性健康状况有显著改善，包括症状减轻（p < 0.001）和药物使用（p < 0.001），82%的患者总体改善，11%恶化，7%保持不变，一般健康状况的措施表现出术前递减的8个分量表与正常人群相比。术后6个月，在6个方面观察到显著改善（p < 0.05），并且大多数达到接近正常水平，哮喘患者的总体健康状况比其他队列表现出更大的总体改善（p < 0.05），我们得出结论，慢性鼻窦炎患者在鼻窦手术后12个月，鼻窦炎特异性生活质量指标得到了很大的改善，以及总体健康状况的改善。
Although sinus surgery may reduce the incidence of recurrent infection in patients with chronic sinusitis, little is known about the effect of such surgery on a patient's quality of life, One hundred eight patients undergoing ethmoid sinus surgery were prospectively evaluated with statistically validated measures of sinusitis-specific and general health-related quality of life. Twelve months after surgery significant improvements were found in sinus-specific health status, including a reduction in symptoms (p < 0.001) and medication usage (p < 0.001), An overall improvement was found in 82% of patients, whereas 11% were worse, and 7% remained unchanged, Measures of general health status demonstrated preoperative decrements in five of eight subscales as compared with the normal population. Six months after surgery significant improvements were noted in six categories (p < 0.05), and most attained near-normative levels, Individuals with asthma demonstrated greater overall improvement in general health status than did other cohorts (p < 0.05), We conclude that patients with chronic sinusitis achieve large improvements in sinusitis-specific quality-of-life measures 12 months after sinus surgery, as well as improvements in general health status.