QoR-15在加速康复外科改善慢性鼻-鼻窦炎伴鼻息肉围手术期生活质量评估中的应用

doi:10.6040/j.issn.1673-3770.0.2018.308

摘要/Abstract

摘要： 目的探讨15项恢复质量量表(QoR-15)在加速康复外科(ERAS)改善慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)围手术期生活质量评估中的应用效果。方法将74例CRSwNP患者随机分为ERAS组36例和对照组38例。ERAS组围手术期实施优化的治疗方案,对照组围手术期按照传统方案进行。采用QoR-15对两组患者术前,术后24、48 h生活质量进行评估。结果 ERAS组、对照组术前Lund-Mackay鼻窦CT评分分别为(9.13±1.88)、(9.60±1.86)分,Lund-Kennedy内镜评分分别为(2.69±0.78)、(2.57±0.72)分,两组比较,P均>0.05。ERAS组、对照组的手术时间分别为(1.69±0.60)、(1.77±0.65)h, 术中出血量分别为(191.67±60.35)、(202.63±60.34)mL,两组比较,P均>0.05。ERAS组、对照组手术后出现恶心呕吐率分别为11.11%(4/36)、7.89%(3/38),两组比较,P均>0.05。手术前ERAS组和对照组QoR-15总计分分别为(139.19±4.21)、(140.07±5.96)分,两组比较,P>0.05;术后24 h ERAS组和对照组总计分分别为(102.75±10.83)、(83.14±5.43)分,两组比较,P<0.05;术后48 h ERAS组和对照组总计分分别为(115.31±10.14)、(109.65±9.52)分,P>0.05。结论 QoR-15可作为患者结局报告量表对ERAS在CRSwNP围手术期生活质量的效果进行评估。

关键词: 鼻-鼻窦炎, 加速康复外科, 围手术期, 生活质量, 15项恢复质量量表

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

中图分类号:

R765.41

吴喜福, 孔维封, 王玮豪, 徐惠清, 戚敏, 杨钦泰. QoR-15在加速康复外科改善慢性鼻-鼻窦炎伴鼻息肉围手术期生活质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 5-8.

WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.

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