| 吕金鹏,仲莉梅,刘思阳,杨晓娜,张 君.不同年龄段慢性鼻窦炎患者的生存质量和影响因素分析[J].,2023,(12):2267-2273 |
| 不同年龄段慢性鼻窦炎患者的生存质量和影响因素分析 |
| Analysis of Quality of Life and Influencing Factors in Patients with Chronic Sinusitis at Different Ages |
| 投稿时间：2022-12-06 修订日期：2022-12-28 |
| DOI：10.13241/j.cnki.pmb.2023.12.012 |
| 中文关键词: 慢性鼻窦炎 年龄 生活质量 鼻腔鼻窦结局测试22量表 影响因素 |
| 英文关键词: Chronic rhinosinusitis Age Quality of life SNOT-22 Influence factor |
| 基金项目:陕西省重点计划研发项目（2022SF-463） |
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| 中文摘要: |
| 摘要 目的：观察不同年龄段慢性鼻窦炎患者的生存质量，并分析影响其生存质量的相关因素。方法：选取2019年7月至2021年6月在我院接受系统治疗的86例慢性鼻窦炎患者，根据年龄将其分为少儿组（5~14岁，28例）、青年组（15~44岁，28例）与中老年组（45~79岁，30例），并选择同期在我院进行体检的90名健康人作为对照组。采用中文版鼻腔鼻窦结局测试22量表（SNOT-22）评估各年龄段慢性鼻窦炎患者和健康人的生存质量。采用单因素和多因素Logistic回归分析影响不同年龄段慢性鼻窦炎患者SNOT-22评分的危险因素。结果：（1）慢性鼻窦炎患者SNOT-22评分显著高于健康对照组（P<0.05）。少儿组与青年组慢性鼻窦炎患者的SNOT-22评分比较无显著差异（P＞0.05），中老年组患者SNOT-22评分均显著高于少儿组与青年组（P＜0.05）。（2）无遵医行为、多发鼻窦炎、伴鼻息肉、意志行为非健康状态为升高少儿组患者SNOT-22评分的因素（P＜0.05）。（3）病程≥6个月、无遵医行为、发鼻窦炎、伴鼻息肉、焦虑心理与抑郁心理为升高青年组与中老年组患者SNOT-22评分的因素（P＜0.05）。（4）年龄70~79岁也是升高中老年组患者SNOT-22评分的因素（P＜0.05）。结论：不同年龄段慢性鼻窦炎患者的生存质量均欠佳，且受不同因素的影响，临床应根据患者的实际情况采取有效的干预措施以期提高患者的生存质量。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the quality of life of patients with chronic rhinosinusitis at different ages, and analyze the related factors affecting their quality of life. Methods: 86 patients with chronic sinusitis who received systematic treatment in our hospital from July 2019 to June 2021 were selected and divided into children group (28 patients aged 5-14 years), youth group (28 patients aged 15-44 years) and middle and old age group (30 patients aged 45-79 years) according to their age. Healthy people who had physical examination in our hospital at the same time were selected as controls. The quality of life of patients with chronic sinusitis at all ages and healthy people was evaluated with the Chinese version of the sino nasal outcome test-20 (SNOT-22). Single factor and multi factor logistic regression analysis were used to analyze the risk factors of SNOT-22 score in patients with chronic sinusitis at different ages. Results: (1) The SNOT-22 score of patients with chronic sinusitis was higher than that of healthy controls (P<0.05). There was no difference in SNOT-22 scores between children and young people with chronic sinusitis (P>0.05). The SNOT-22 scores of middle-aged and elderly patients were higher than that of children and young people (P<0.05). (2) Non compliance behavior, multiple sinusitis, nasal polyps, and unhealthy willpower behavior were the factors to increase the SNOT-22 score of children (P<0.05). (3) The course of disease ≥ 6 months, non compliance behavior, sinusitis, nasal polyps, anxiety and depression were the factors that increased the SNOT-22 scores of young and middle-aged elderly patients (P<0.05). (4) The age of 70~79 years was also a factor in SNOT-22 score of elderly patients in senior high school (P<0.05). Conclusion: The quality of life of patients with chronic sinusitis at different ages is poor, and affected by different factors, effective interventions should be taken according to the actual situation of patients to improve the quality of life of patients. |
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