摘要
目的:探讨视觉模拟量表(VAS)应用于慢性鼻窦炎(CRS)患者临床评价的患者评分与医生评分的差异性。方法:医生和患者均填写相同的VAS评价鼻部疾病常见的临床症状(鼻塞、流涕、喷嚏、鼻痒、眼痒、面颊部胀闷、嗅觉减退)。选择诊断为CRS患者的VAS评分及相对应的医生VAS评分进行统计学分析。以配对t检验分析医生VAS评分总和与患者VAS评分总和的差异性,Wilcoxon符号秩检验分析各个症状评分的差异;应用秩和检验分析各个症状医生与患者VAS评分差异性的大小;采用Spearman检验分析医生与患者VAS评分差值与年龄的关系及Mann-Whitney检验分析性别和医生与患者VAS评分差异性大小的关系。结果:共收集门诊患者82例,患者的鼻部症状VAS评分总和及各个症状的VAS评分与医生的VAS评分具有差异性(t=4.51,P<0.01)。各个症状中鼻塞医生与患者VAS评分差异性最大(r=359.52,P<0.01)。年龄在医生与患者的VAS差值无明显相关性(r=-0.074,P>0.05),而性别在医生与患者VAS评分差异性中无明显影响,差异无统计学意义(P>0.05)。结论:CRS患者鼻部症状的VAS评分与医生的VAS评分存在差异性,患者的VAS评分偏高,其中鼻塞的差异性最大。年龄与患者VAS评分无明显相关性,性别对VAS评分无明显影响。
Objective：To investigate the difference of the symptoms evaluation between CRS patients and doctors.Method：Seven symptoms including nasal obstruction,watery rhinorrhea,sneezing,rhinocnesmus,itching of eyes,hyposmia and facial pain were evaluated by visual analog scales（VAS）by the patients.The assigned rhinologist finished VAS evaluation of doctor based on the patient′s description of their symptoms.Rank test was used to analyze the difference for each VAS scores of symptom between patients and doctor.Spearman test was used to analyze the effect of age in VAS scores and the effect of gender was analyzed by using Mann-Whitney test.Result：We found that the sum and every single patient′s nasal symptoms VAS scores both showed statistical significantly difference（t=4.51 P〈0.01）.VAS scores of nasal blockage showed the significant difference between patients and doctor（r=359.52 P〈0.01）.Age of patients did not show correlation with VAS scores（r=-0.074 P〉0.05）also,gender of patients didn′t show statistical significant（P〈0.05）.Conclusion：There were differences between patient′s and doctor′s nasal symptoms VAS scores and the VAS scores of patients were higher than the doctor′s.Age and gender of patient were not related to the VAS evaluation.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第23期2030-2034,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
国家自然科学基金重大国际合作项目(No:81420108009)
国家自然科学基金应急管理项目(No:81441031)
国家杰出青年基金(No:81025007)
教育部长江学者和创新团队(No:IRT13082)
科技部"十二五"国家科技支撑计划课题(No:2014BAI07B04)
北京市医管局重点医学专业发展计划(No:ZYLX201310)
关键词
鼻窦炎
鼻疾病
视觉模拟量表
sinusitis
nose diseases
visual analogue scale
