首页|慢性鼻窦炎伴鼻息肉患者术后嗅觉恢复不良的影响因素分析

慢性鼻窦炎伴鼻息肉患者术后嗅觉恢复不良的影响因素分析

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目的 针对患有慢性鼻窦炎伴鼻息肉并在接受手术的患者,探讨术后嗅觉功能恢复不佳的独立危险因素。方法 选取新乡市中心医院自 2019 年 1 月至 2023 年 12 月间治疗的 120 名慢性鼻窦炎合并鼻息肉患者的病历资料进行回顾性分析。分析患者术后嗅觉功能恢复欠佳的比率及其相关因素。对术后嗅觉功能恢复欠佳的情况进行单变量分析和多变量分析。结果 在参与本项研究的 120 位患者中,有 28 位患者术后嗅觉功能恢复不理想,占总数的 23。33%。logistic单因素分析揭示,患者术后嗅觉恢复情况与疾病分型分期、病变部位、是否伴有变应性鼻炎以及Lund-Kennedy评分对比差异存在统计学意义(P<0。05)。经过logistic多因素回归分析发现,疾病阶段分类、病损区域、变应性鼻炎的并发情况以及Lund-Kennedy评分是慢性鼻窦炎伴鼻息肉患者术后嗅觉恢复的独立影响因素(P<0。05)。结论 慢性鼻窦炎合并鼻息肉患者经鼻内镜手术后嗅觉功能受损的情况较为常见,其发生率可能与病情的分级和分期、病患的病变区域、是否伴有过敏性鼻炎以及Lund-Lennedy评分因素相关。
Analysis of Factors Influencing Poor Olfactory Recovery After Surgery in Patients with Chronic Sinusitis with Nasal Polyps
Objective To explore the independent risk factors associated with poor olfactory function recovery in patients with chronic sinusitis accompanied by nasal polyps post-surgery.Methods A retrospective analysis was conducted on the medical records of 120 patients with chronic sinusitis combined with nasal polyps treated at Xinyang Central Hospital from January 2019 to December 2023.The study focused on the rate of poor olfactory function recovery after surgery and its related factors.Both univariate and multivariate analyses were performed on the factors related to olfactory recovery.Results Among the 120 patients included in the study,28 patients(23.33%)experienced unsatisfactory olfactory recovery following surgery.Logistic univariate analysis revealed significant differences in olfactory recovery in relation to disease classification and staging,the site of lesions,the presence of allergic rhinitis,and Lund-Kennedy scores(P<0.05).Logistic multivariate regression analysis identified disease stage classification,lesion location,presence of allergic rhinitis,and Lund-Kennedy scores as independent factors affecting olfactory recovery in patients with chronic sinusitis accompanied by nasal polyps(P<0.05).Conclusion Poor olfactory function is relatively common after endoscopic surgery in patients with chronic sinusitis combined with nasal polyps.The incidence may be related to the grading and staging of the condition,the location of the lesions,the presence of allergic rhinitis,and the Lund-Kennedy score.

sinusitisnasal polypsolfactory recoverylesion locationallergic rhinitis

李庆宇、赵婕、陈贺伟

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新乡市中心医院 耳鼻喉科,河南 新乡 453000

鼻窦炎 鼻息肉 嗅觉恢复 病变部位 变应性鼻炎

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(12)