摘要
目的分析慢性鼻窦炎手术患者预后效果的影响因素。方法选取2018年3月至2019年3月本院收治的100例慢性鼻窦炎患者作为研究对象,患者均行慢性鼻窦炎手术治疗,分析治疗效果及影响预后的相关因素。结果100例患者治疗后,均随访1年,最终治愈62例(62.00%),好转25例(25.00%),无效13例(13.00%)。影响预后的单因素分析结果显示,治愈患者年龄、哮喘史、变应性鼻炎病史、前期鼻窦炎手术史、伴有鼻息肉、病情严重程度、嗅觉障碍程度、长期应用鼻减充血剂、鼻用激素时间≥3个月及术后坚持综合治疗与未治愈患者比较差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄(≥60岁)、有变应性鼻炎病史、有前期鼻窦炎手术史、重度嗅觉障碍、长期应用鼻减充血剂为影响预后的独立危险因素(OR>1,P<0.05),术后坚持综合治疗为保护因素(OR<1,P<0.05)。结论年龄≥60岁、有变应性鼻炎病史、有前期鼻窦炎手术史、重度嗅觉障碍及长期应用鼻减充血剂为影响慢性鼻窦炎患者预后的主要危险因素,临床需要针对以上影响因素进一步做好相应的防范护理,以在最大程度上改善患者预后。
Objective To analyze the factors influencing the prognosis of patients with chronic sinusitis after operation.Methods A total of 100 patients with chronic sinusitis admitted to our hospital from March 2018 to March 2019 were selected as the study subjects,all of whom underweat surgical treatment for chronic sinusitis,the therapeutic effect and related factors affecting prognosis were analyzed.Results After treatment,all the 100 patients were followed up for 1 year,62 cases were cured(62.00%),25 cases were improved(25.00%),and 13 cases were ineffective(13.00%).The results of univariate analysis to influence prognosis showed that there were statistically significant differences in age,history of asthma,history of allergic rhinitis,previous operation history of sinusitis,nasal polyps,severity of disease,degree of olfaction disorder,long-term use of nasal decongestants,duration of nasal hormone use≥3 months,and adherence to postoperative comprehensive treatment between cured patients and non-cured patients(P<0.05).Multivariate Logistic regression analysis showed that age(≥60 years old),history of allergic rhinitis,previous operation history of sinusitis,severe olfactory disturbance,and long-term use of nasal decongestants were independent risk factors for prognosis after screening by stepmethod(OR>1,P<0.05),and adherence to postoperative comprehensive treatment was protective factor(OR<1,P<0.05).Conclusion Age≥60 years old,history of allergic rhinitis,pre-operative history of sinusitis,severe olfacia and long-term use of nasal decongestants are the main risk factors affecting the prognosis of patients with chronic sinusitis,clinical prevention and care should be further done according to the above influencing factors to improve the prognosis of patients to the greatest extent.
作者
邹平
刘跃辉
胡国文
ZOU Ping;LIU Yuehui;HU Guowen(Department of Otorhinolaryngology,Gaoming District People's Hospital of Foshan,Foshan,Guangdong,528500,China)
出处
《当代医学》
2023年第24期95-97,共3页
Contemporary Medicine
关键词
慢性鼻窦炎
手术治疗
预后
影响因素
Chronic sinusitis
Surgical treatment
Prognosis
Influencing factors
