摘要
目的探讨慢性鼻-鼻窦炎(CRS)患者心理障碍的相关影响因素。方法选择2013年1月-2015年9月在新疆医科大学第一附属医院耳鼻咽喉科住院接受鼻内镜手术治疗的CRS患者124例,分为慢性鼻-鼻窦炎不伴鼻息肉(CRSsNP)型患者76例和慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)型患者48例。采用视觉模拟量表(visual analogue scale,VAS)评估主观病情,采用鼻内镜检查Lund-Kennedy(L-K)评估表对鼻腔黏膜形态进行评分,鼻窦Lund-Mackay(L-M)评估表对鼻窦CT扫描病变范围进行评分,选用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的焦虑、抑郁状态进行评估,分析不同性别、CRS不同分型患者SAS和SDS得分的差异。结果SAS评分与鼻塞、嗅觉障碍呈正相关(P<0.05),与流涕、面部胀痛、头痛、L-M评分及L-K评分无相关性(P>0.05)。SDS评分与脓涕、嗅觉减退呈正相关,与鼻塞、头面部胀痛、头痛、L-M评分及L-K评分无相关性(P>0.05)。CRS患者中女性的SAS和SDS评分明显高于男性,差异具有统计学意义(P均<0.05)。CRSwNP患者SAS和SDS评分明显高于CRSsNP患者,差异具有统计学意义(P均<0.05)。结论CRS患者长期的鼻塞、流脓涕、嗅觉减退症状可能会引发患者焦虑和抑郁,女性和CRSwNP患者焦虑、抑郁的发生率更高。
Objective To investigate the risk factors of psychopathological disorder of patients with chronic rhinosinusitis(CRS).Methods From January 2013 to September 2015,a total of 124 patients with CRS were treated by endoscopic sinus surgery in the Department of Otolaryngology,the First Affiliated Hospital of Xinjiang Medical University.They were divided into chronic rhinosinuvitis without nasal polyp(CRSsNP)group(76 patients)and chronic rhinosinuvitis with nasal polyp(CRSwNP)group(48 patients).The subjective condition was evaluated by visual analog scale(VAS).Nasal mucosal morphology was graded by nasal endoscopy Lund-Kennedy(L-K)assessment table.Paranasal sinus Lund-Mackay(L-M)assessment table was used to score the range of lesions in nasal sinus CT scan.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the anxiety and depression status of the patients,and to analyze the differences in gender,CRS and the scores of SAS and SDS.Results The SAS scores were positively correlated with nasal obstruction and olfactory disorder(P<0.05),but not with nasal discharge,facial pain,headache,L-M score and L-K score(P>0.05).The score of SDS was positively correlated with nasal discharge and olfaction decline,but not with the nasal obstruction,head and face pain,headache,L-M score and the L-K score(P>0.05).The scores of SAS and SDS of female in CRS patients were significantly higher than that of men(P<0.05).The scores of SAS and SDS in the patients with CRSwNP were significantly higher than those in the patients with CRSsNP(P<0.05).Conclusion Long term nasal congestion,purulent nasal discharge and olfactory regression may cause anxiety and depression in CRS patients.The female patients and CRS with nasal polyps patients have high incidence for mental disorders.
作者
冯娟
王燕
阳玉萍
周伟
张波
张华
FENG Juan;WANG Yan;YANG Yuping;ZHOU Wei;ZHANG Bo;ZHANG Hua(Department of Otolaryngology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《新疆医科大学学报》
CAS
2020年第2期233-235,240,共4页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金(2017D01C281)
关键词
慢性鼻窦炎
心理障碍
相关因素
chronic rhinosinusitis
psychopathological disorder
associated factor
