Effects of functional endoscopic sinus surgery on olfactory function in patients with chronic rhinosinusitis
功能性内镜鼻窦手术对慢性鼻－鼻窦炎患者嗅觉功能的影响

摘要

目的 本文主要是在慢性鼻－鼻窦炎患者的治疗方案中，探讨了功能性内镜鼻窦手术对患者嗅觉功能的影响。方法 研究的样本、数量：我院收治的慢性鼻－鼻窦炎患者140例，分组的方法、组别分别为：随机法、对照组和观察组，每组70例，分别施以对照组、观察组患者传统手术治疗、功能性内镜鼻窦手术治疗，研讨两组患者的嗅觉功能、治疗效果、并发症发生情况和SDS评分。结果 对两组患者嗅觉功能调查后得知：两组患者术后1个月、3个月以及6个月后的评分均呈下降趋势，且观察组更低（P＜0.05）；就两组患者的治疗效果而言：观察组总有效率为97.14%，对照组为85.71%，数据对比观察组更高（P＜0.05）；分析两组患者的并发症发生情况、SDS评分可得：观察组总发生率、SDS评分更低（P＜0.05）。结论 将功能性内镜鼻窦手术治疗方案应用于慢性鼻－鼻窦炎患者治疗中，对改善患者的嗅觉功能、负性情绪具有促进作用，能够降低其并发症的发生概率，提高临床治疗效果，临床应用十分显著。

Abstract

Objective This paper mainly discusses the effect of functional endoscopic sinus surgery on olfactory function in patients with chronic rhinosinusitis.
Methods the sample and quantity of the study: 140 patients with chronic rhinosinusitis in our hospital were divided into three groups: random method, control group and observation group, with 70 patients in each group. The patients in the control group and observation group were treated with traditional surgical treatment and functional endoscopic sinus surgery respectively. The olfactory function, treatment effect, complications and SDS score of the two groups were discussed
Results after investigating the olfactory function of the patients in the two groups, it was found that the scores of the patients in the two groups decreased 1 month, 3 months and 6 months after operation, and the scores in the observation group were lower (P < 0.05); In terms of the treatment effect of the two groups of patients: the total effective rate of the observation group was 97.14%, and that of the control group was 85.71%, and the data was higher than that of the observation group (P < 0.05); Analysis of the complications and SDS score of the two groups showed that the total incidence and SDS score of the observation group were lower (P < 0.05).
Conclusion   the application of functional endoscopic sinus surgery in the treatment of patients with chronic rhinosinusitis can improve the olfactory function and negative emotion of patients, reduce the probability of complications and improve the clinical treatment effect. The clinical application is very significant.