摘要
目的分析慢性鼻窦炎患者并发睡眠障碍的主要因素以及预见性干预的效果。方法选择2016年3月至2019年5月接受治疗的83例鼻窦炎鼻内镜治疗的慢性鼻窦炎患者为对照组,接受功能性鼻内窥镜手术治疗后采用睡眠质量问卷表调查导致睡眠障碍的影响因素,进行单因素及多因素Logistic回归分析,并随机选取同期入院接受功能性鼻内窥镜手术治疗的82例患者为观察组,对观察组采取预见性干预,统计干预效果。结果对照组的单因素、多因素分析结果显示,HAMA评分≥14分、术区疼痛、鼻腔分泌物不断流出及白介素-6(IL-6)≥14.00 pg/L是导致慢性鼻窦炎患者术后并发睡眠障碍独立风险因素,手术治疗后2组患者睡眠质量均较治疗前显著改善(P<0.05),但术后观察组的PSQI评分明显低于对照组,差异有统计学意义(P<0.05);观察组干预后各项睡眠改善指标均优于对照组,差异有统计学意义(P<0.05)。结论心理状态、炎性因子、术后症状以及术区疼痛是造成慢性鼻窦炎术后患者出现睡眠障碍的主要原因,通过实施预见性干预措施后,能够有效改善睡眠效果,提升生活质量,值得推广。
Objective To investigate the main influencing factors of sleep disorders in patients with chronic sinusitis and the effects of predictive intervention.Methods A total of 83 patients with chronic sinusitis who were treated by endoscopic sinus surgery in our hospital from March 2016 to May 2019 were enrolled as control group.After receiving functional endoscopic sinus surgery,sleep quality questionnaire was used to investigate the influencing factors of sleep disorders.SPSS was used for single factor and multi-factor Logistic regression analysis.Moreover the other 82 patients who received functional endoscopic sinus surgery at the same period were enrolled as observation group.The predictive intervention was taken for the observation group and intervention effects were observed.Results The single factor and multi-factor analysis results for the control group showed that HAMA score≥14 points,pain in the operation area,continuous outflow of nasal secretions and IL-6≥14.00pg/L were independent risk factors for postoperative sleep disorders in patients with chronic sinusitis.The sleep quality of patients in both groups was significantly improved after operation(P<0.05),however,the PSQI scores after operation in observation group were significantly lower those in control group(P<0.05).And the sleep improvement indexes in observation group after intervention were superior to those in control group(P<0.05).Conclusion The psychological status,inflammatory factors,postoperative symptoms and postoperative pain are the main causes of sleep disorders in patients with chronic sinusitis after surgery.After the implementation of predictive intervention measures,the sleep effects can be effectively improved,the life quality of patients can be improved,therefor,its application value is significant.
作者
吕雪
张敏
王海林
任燕
LV Xue;ZHANG Min;WANG Hailin(Department of Head and Neck Surgery of Otorhinolaryngology,Xidian Group Hospital,Shaanxi,Xi’an 710077,China;不详)
出处
《河北医药》
CAS
2020年第17期2688-2691,共4页
Hebei Medical Journal
关键词
睡眠障碍
预见性干预
鼻窦炎
慢性
心理状态
炎性因子
sleep disorders
predictive intervention
chronic sinusitis
mental state
inflammatory factor
