Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2018, Vol. 32 ›› Issue (5): 5-8.doi: 10.6040/j.issn.1673-3770.0.2018.308

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Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15

WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai   

  1. Department of Otolaryngology-Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, Guangdong, China
  • Received:2018-06-28 Online:2018-09-20 Published:2018-09-20

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Abstract: Objective To evaluate the perioperative quality of life in chronic rhinosinusitis with nasal polyps(CRSwNP)patients under enhanced recovery after surgery using the quality of recovery-15 scale(QoR-15). Methods Seventy-four patients with CRSwNP were randomly divided into an ERAS group and a control group. The ERAS group performed the ERAS protocols during the perioperative period, while the control group followed the traditional plan. Outcomes of QoR-15 were compared preoperatively and postoperatively, at 24 hours and 48 hours. Results Scores of Lund-Mackay between ERAS group and control group were(9.13±1.88)and(9.60±1.86), while Lund-Kennedy scores between ERAS group and control group were(2.69±0.78)and(2.57±0.72),(P>0.05). The operating time and bleeding volume between ERAS group and control group were(1.69±0.60)and(1.77±0.65)h, and(191.67±60.35)and(202.63±60.34)mL, respectively(P>0.05). The rate of Nausea/Emesis between ERAS group and control group was 11.11%(4/36)and 7.89%(3/38), respectively(P>0.05). Preoperative scores of QoR-15 were(139.19±4.21)and(140.07±5.96)in the ERAS group and control group(P>0.05). However, the postoperative scores were ［(102.75±10.83)vs(83.14±5.43), P<0.05］ ［(115.31±10.14)vs(109.65±9.52), P>0.05］ in ERAS group and control group, at 24 hours and 48 hours. Conclusion Thus, this study shows that the QoR-15 can be used for ERAS evaluation of perioperative quality of life in CRSwNP patients.

Key words: Rhinosinusitis, Enhanced recovery after surgery, Perioperative period, Quality of life, QoR-15

CLC Number: 

  • R765.41
[1] Fokkens WJ, Lund VJ, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps 2012[J]. Rhinol Suppl, 2012, 23(3):1-298.
[2] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2012年,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guidelines for diagnosis and treatment of chronic rhinosinusitis(2012, Kunming)[J]. Chin J Otorhinolaryngol Head Neck Surg,2013,48(2):92-94.
[3] Bachert C, Zhang L, Gevaert P. Current and future treatment options for adult chronic rhinosinusitis: focus on nasal polyposis[J]. J Allergy Clin Immunol, 2015, 136(6):1431-1440.
[4] Shi JB, Fu QL, Zhang H, et al. Epidemiology of chronic rhinosinusitis: results from a cross-sectional survey in seven Chinese cities[J]. Allergy, 2015, 70(5):533-539.
[5] Stark PA, Myles PS, Burke JA. Development and Psychometric Evaluation of a Postoperative Quality of Recovery ScoreThe QoR-15[J]. Anesthesiology, 2013, 118(6):1332-1340.
[6] Bu XS, Zhang J, Zuo YX. Validation of the Chinese version of the quality of recovery-15 score and its comparison with the post-operative quality recovery scale[J]. The Patient-Patient-Centered Outcomes Research, 2016, 9(3):251-259.
[7] Myles PS, Weitkamp B, Jones K, et al. Validity and reliability of a postoperative quality of recovery score: the QoR-40[J]. Br J Anaesth, 2000, 84(1):11-15.
[8] 左可军,方积乾,Piccirillo JF, 等.鼻腔鼻窦结局测试-20(SNOT-20)量表中文版的研制[J].中华耳鼻咽喉头颈外科杂志,2008,43(10):751-756. ZUO Kejun, FANG Jiqian, Piccirillo JF, et al. Development of the Sino-Nasal Outcome Test-20 Chinese version(SNOT-20 CV)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2008, 43(10):751-756.
[9] 左可军,许庚,徐睿,等.慢性鼻-鼻窦炎鼻息肉内镜鼻窦手术后生存质量的转归及影响因素[J].中华耳鼻咽喉头颈外科杂志,2008,43(3):192-197. ZUO Kejun, XU Geng, XU Rui, et al. Quality of life outcome of patients with chronic rhinosinusitis and nasal polyposis after endoscopic sinus surgery and its influencing factors[J]. Chin J Otorhinolaryngol Head Neck Surg, 2008, 43(3):192-197.
[10] 迪丽达尔,王德辉,史丽,等.加强药物治疗与功能性内镜鼻窦手术+围手术期综合治疗慢性鼻-鼻窦炎疗效的多中心对照研究[J].中华耳鼻咽喉头颈外科杂志,2013,48(9):734-740. Dilidaer, WANG Dehui, SHI Li, et al. A prospective multicenter clinical trial of medical and surgical treatment for chronic rhinosinusitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2013, 48(9):734-740.
[11] Le PT, Soler ZM, Jones R, et al. Systematic review and meta-analysis of SNOT-22 outcomes after surgery for chronic rhinosinusitis with nasal polyposis[J]. Otolaryngol Head Neck Surg, 2018, doi: 10.1177/0194599818773065. [Epub ahead of print].
[12] 陈晓栋,石照辉,李晓媛,等.经鼻内镜鼻窦手术后鼻腔填塞或不填塞膨胀海绵的比较研究[J].中华耳鼻咽喉头颈外科杂志,2015,50(10):854-857. CHEN Xiaodong, SHI Zhaohui, LI Xiaoyuan, et al. Comparative study on packing with or without Merocel after endoscopic sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surg, 2015, 50(10):854-857.
[13] 中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志,2018,38(1):1-20.
[14] Aarts MA, Okrainec A, Glicksman A, et al. Adoption of enhanced recovery after surgery(ERAS)strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay[J]. Surg Endosc, 2012, 26(2):442-450.
[15] Feldheiser A, Aziz O, Baldini G, et al. Enhanced Recovery After Surgery(ERAS)for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice[J]. Acta Anaesthesiol Scand, 2016, 60(3):289-334.
[16] Cabellos Olivares M, Labalde Martinez M, Torralba M, et al. C-reactive protein as a marker of the surgical stress reduction within an ERAS protocol(enhanced recovery after surgery)in colorectal surgery: a prospective cohort study[J]. J Surg Oncol, 2018, 22(1):1-8.
[17] Coyle MJ, Main B, Hughes C, et al. Enhanced recovery after surgery(ERAS)for head and neck oncology patients[J]. Clin Otolaryngol, 2016, 41(2):118-126.
[18] 吴喜福,孔维封,王玮豪,等.加速康复外科在鼻中隔偏曲矫正术中的应用研究[J].中国耳鼻咽喉头颈外科,2018,25(5):247-251. WU Xifu, KONG Weifeng, WANG Weihao, et al. Application of enhanced recovery after surgery in patients after endoscopic septoplasty[J]. Chin Arch Otolaryngol Head Neck Surg, 2018, 25(5):247-251.
[19] Dai S, Wakamatsu K, Tanaka Y, et al. The postoperative patient-reported quality of recovery in colorectal cancer patients under enhanced recovery after surgery using QoR-40[J]. Bmc Cancer, 2015, 15(1):799.
[20] Chazapis M, Walker EMK, Rooms MA, et al. Measuring quality of recovery-15 after day case surgery[J]. Br J Anaesth, 2016, 116(2):241-248.
[21] Myles PS, Myles DB, Galagher W, et al. Minimal clinically important difference for three quality of recovery scales[J]. Anesthesiology, 2016, 125(1):39.
[22] Kleif J, Waage J, Christensen KB, et al. Systematic review of the QoR-15 score, a patient-reported outcome measure measuring quality of recovery after surgery and anaesthesia[J]. Br J Anaesth, 2018, 120(1):28.
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[1] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9 -12 .
[2] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13 -18 .
[3] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19 -22 .
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