中医辨证治疗对慢性鼻－鼻窦炎术后生活质量影响

摘要

Objective To study and observe the change situation of postoperative quality of life of patients with chronic nasal sinusitis which were treated with TCM syndrome differentiation.Methods 100 cases of patients with chronic nasal sinusitis treated with operation in our hospital from February 2014 to October 2015 were selected as the study objects, and they were randomly divided into control group of 50 cases and observation group of 50 cases.The control group was treated with conventional postoperative treatment.The observation group was treated with targeted treatment according to the TCM syndrome differentiation.Then the SNOT-20 scale and WHOQOL-BREF scale of two groups before the treatment at 1st and 4th week after the treatment were compared.Results The SNOT-20 scale and WHOQOL-BREF scale of two groups before the treatment all had no obvious differences, all P>0.05, while the two scales of observation group at 1st and 4th week after the treatment were all better than those of the control group, all P<0.05, and the differences were significant.Conclusion The postoperative quality of life patients with chronic nasal sinusitis treated with TCM syndrome differentiation are better.So it is more suitable to the treatment of the surgical patients.%目的：研究中医药辨证治疗慢性鼻－鼻窦炎患者术后生活质量情况。方法选取2014年2月—2015年10月于本院进行手术治疗的100例慢性鼻－鼻窦炎患者为研究对象，将其随机分为对照组50例和观察组50例，两组均进行术后常规治疗，观察组配合中医药辨证分型治疗，然后将两组患者治疗前和治疗后1周及4周的SNOT－20量表和WHOQOL－BREF量表评分进行比较。结果治疗前两组患者的SNOT－20量表和WHOQOL－BREF量表评分均无明显差异，均P＞0．05，而治疗后1周及4周观察组的两个量表评分均好于对照组，均P＜0．05，均有显著性差异。结论中医药辨证治疗慢性鼻－鼻窦炎患者术后生活质量相对更好，可用于配合本类患者的手术治疗。