1910名初中新生慢性鼻-鼻窦炎与鼻中隔偏曲的相关性分析

目的　了解初中新生慢性鼻-鼻窦炎发病与鼻中隔偏曲的相关性。 方法　分层随机抽取郑州市1910名12~15岁初中新生，采取问卷调查及专科体检的形式，根据量表、体检结果，了解鼻中隔偏曲和慢性鼻-鼻窦炎患病情况，分析两者相关性。 结果　抽样初中新生慢性鼻-鼻窦炎的患病率为6.2%（119/1910）；慢性鼻-鼻窦炎患病群体与非患病群体中，轻、中度鼻中隔偏曲的发生率分别为27.7%（33/119）和31.2%（559/1791），两者差异无统计学意义（χ2=0.632，P>0.05）；重度鼻中隔偏曲的发生率分别为13.4%（16/119）和8.0%（144/1791），两者差异有统计学意义（χ2=4.248，P<0.05）。 结论　初中新生慢性鼻-鼻窦炎发病与重度鼻中隔偏曲具有相关性。

Analysis of the correlation between chronic rhinosinusitis and nasal septum deviation in 1910 junior middle school students

Objective　To investigate the relationship between the incidence of chronic rhinosinusitis and the deviation of nasal septum in junior middle school students.　Methods　A total of 1910 junior middle school students aged 12~15 years in Zhengzhou city were randomly selected as the object of investigation by questionnaire, sino-nasal outcome test (SNOT-22), visual analogue scale (VAS) and nasal examination. According to the statistical results and the signs of examination, the prevalence of chronic rhinosinusitis and nasal septum deviation in junior middle school students were investigated, and the correlation between nasal septum deviation and the incidence of chronic rhinosinusitis was analyzed by statistical methods.　Results The prevalence rate of chronic rhinosinusitis of the junior middle school students was 6.2%（119/1910）. In patients with chronic rhinosinusitis, the prevalence rate of mild-to-moderate nasal septum deviation was 27.7% (33/119). In patients without chronic rhinosinusitis, the prevalence rate of nasal septum deviation was 31.2% (559/1791). There was no statistical difference between the prevalence of two groups（x2=0.632，P>0.05）. In patients with chronic rhinosinusitis, the prevalence rate of severe nasal septum deviation was 13.4% (16/119). In patients without chronic rhinosinusitis, the prevalence rate of nasal septum deviation was 8.0% (144/1791). There was statistical difference between the prevalence of two groups（x2=4.248，P<0.05）. Conclusions　The incidence of chronic rhinosinusitis is associated with severe nasal septum deviation in junior middle school students.