THE HEALTH IMPACT OF CHRONIC SINUSITIS IN PATIENTS SEEKING OTOLARYNGOLOGIC CARE
THE HEALTH IMPACT OF CHRONIC SINUSITIS IN PATIENTS SEEKING OTOLARYNGOLOGIC CARE
复制标题
DOI：
10.1016/s0194-5998(95)70152-4
复制
发表时间：
1995-07-01
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
虽然慢性鼻窦炎在美国是一种越来越常见的诊断，但这种疾病相对于普通人群和其他慢性疾病的健康负担以前尚未评估。158例慢性鼻窦炎患者，既往未接受手术，采用医疗结果研究简表36项健康调查进行横断面评估。这些患者均接受了耳鼻喉科治疗，超过80%的患者随后接受了鼻窦手术。将一般健康评估的8个分量表的平均得分与美国一般人群的类似数据进行比较。在身体疼痛、一般健康、活力和社会功能等几个方面存在显著差异（p < 0.05）。与其他慢性疾病相比，鼻窦炎患者的身体疼痛和社会功能评分显著低于充血性心力衰竭、心绞痛、慢性阻塞性肺疾病和背痛患者（p <0.05）。这些研究结果表明，慢性鼻窦炎对国民健康的影响远远大于目前的认识。
Although chronic sinusitis Is an increasingly common diagnosis in the United States, the health burden of this disorder relative to the general population and to other chronic diseases has not been previously evaluated. One hundred fifty-eight patients with chronic sinusitis and no prior surgery underwent cross-sectional evaluation by use of the Medical Outcome Study Short-form 36-item Health Survey. These patients were all referred for otolaryngologic care, and more than 80% subsequently underwent sinus surgery. Mean scores were compared from the eight subscales of general health assessment with similarly derived data for the United States general population. Significant differences (p < 0.05) were seen in several domains, including bodily pain, general health, vitality, and social functioning, Comparisons with other chronic diseases revealed significantly lower scores (p < 0.05) in measures of bodily pain and social functioning for sinusitis patients than in patients with congestive heart failure, angina, chronic obstructive pulmonary disease, and back pain. These findings suggest that the national health impact of chronic sinusitis is far greater than is currently appreciated.