摘要
目的使用Logistic回归分析探讨慢性鼻-鼻窦炎患者鼻内镜下手术治疗后复发的危险因素。方法回顾性分析120慢性鼻-鼻窦炎患者的临床资料,根据是否复发分为复发组(20例)与未复发组(100例),分析复发危险因素。结果两组性别、饮酒、年龄临床资料比较,差异无统计学意义(P>0.05),两组抽烟、鼻息肉、变应性鼻炎、支气管哮喘、鼻中隔偏曲、视觉模拟量表(VAS)评分、窦口鼻窦复合体(OMC)评分比较,差异显著(P<0.05),经Logistic回归分析,上述指标均是影响慢性鼻-鼻窦炎患者鼻内镜下手术治疗后复发的独立危险因素(P<0.05)。结论在慢性鼻-鼻窦炎患者鼻内镜下手术后,抽烟、伴鼻息肉、伴变应性鼻炎、伴支气管哮喘、伴鼻中隔偏曲与较高的VAS评分、OMC评分是导致复发的独立危险因素,要采取对症预防措施。
Objective To investigate the risk factors for recurrence af ter nasal endoscopic surgery in patients withchronic rhinosinusitis by Logistic regression analysis. Methods The clinical data of 120 patients with chronic rhinosinusitiswere retrospectively analyzed. According to the recurrence, the patients were divided into recurrent group （20 cases） andnon -recurrent group （100 cases）. The risk factors for recurrence were analyzed. Results There were no significantdifferences in clinical data of gender, drinking and age between the two groups （P〉0.05）, and there were significantdifferences in smoking, nasal polyps, allergic rhinitis, bronchial asthma, nasal septum deviation, visual analogue scale（VAS） score, ostium and sinus complex （OMC） score between the two groups （P〈0.05）. The Logistic regression analysisshowed that these factors were the independent risk factors for recurrence after endoscopic surgery in patients with chronicrhinosinusitis （P〈0.05）. Conclusion After nasal endoscopic surgery in patients with chronic rhinosinusitis, smoking, nasalpolyps, allergic rhinitis, bronchial asthma, nasal septal deviation and high VAS scores and OMC scores are the independentrisk factiors of relapse. The symptomatic preventive measures should be taken accoring to the main risk factors.
作者
齐勍
QI Qing(Baoji Maternal and Child Health Care Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2018年第22期106-107,共2页
Clinical Research and Practice
关键词
慢性鼻-鼻窦炎
鼻内镜下手术
鼻中隔偏曲
chronic rhinosinusitis
nasal endoscopic surgery
deviation of nasal septum
