汉化版SNOT-22评价慢性鼻-鼻窦炎患者生存质量的初步研究

目的 探讨慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)患者的健康相关生存质量(quality of life,QOL)状况.方法 采用中文版医学结局研究简表36项(medical outcome study shortform 36-items,MOS SF-36)和汉化版鼻腔鼻窦结局测试22条(sinonasal outcome test-22,SNOT-22),对2006年12月至2007年3月住院接受鼻内镜手术的64例CRS患者和20名健康志愿者进行QOL调查,并对汉化版SNOT-22量表进行考核.结果 汉化版SNOT-22量表的可行性、信度、效度和反应度等性质均通过考核(P值均＜0.01),其中影响健康最重要的5个问题依次是:鼻塞、流清鼻涕、嗅觉或味觉减退、头晕和鼻涕倒流.CRS患者术前鼻窦CT Lund-MacKay评分(10.19±6.37)与汉化版SNOT-22量表评分(33.77±14.90)的相关系数为0.233,表明二者之间有一定正相关性,但相关性不高.结论 汉化版SNOT-22量表能有效评价CRS患者的QOL.CRS患者术前鼻窦CT Lund-Mackay评分与汉化版SNOT-22量表评分有一定正相关性.

Quality of life survey on patients with chronic rhinosinusitis by using Chinese version of the 22-item sinonasal outcome test(SNOT-22)

OBJECTIVE: To explore the health-related quality of life (QOL) status of patients with chronic rhinosinusitis. METHODS: Sixty four patients with chronic rhinosinusitis and twenty healthy volunteers were enrolled, and their QOL scores were assessed by using SF-36 questionnaire (Chinese version) and SNOT-22 questionnaire translated into Chinese. RESULTS: The feasibility, reliability, validity, and responsibility of Chinese version of SNOT-22 questionnaire all passed the test. It showed that by Chinese version of SNOT-22 questionnaire the most five important items affecting health status were nasal obstruction, runny nose, loss of smell or taste, dizziness and post-nasal discharge respectively. The coefficient of correlation was 0. 233 between the SNOT-22 questionnaire and the Lund-MacKay CT score of patients with chronic rhinosinusitis. CONCLUSIONS: Chinese version of SNOT-22 questionnaire can effectively assess the QOL status of patients with chronic rhinosinusitis. It showed less correlation between the SNOT-22 questionnaire and the Lund-MacKay CT score of patients with chronic rhinosinusitis.