负性情绪对慢性鼻窦炎内镜术后症状改善的影响-国际精神病学杂志-CSCIED科技核心评价数据库-手机版

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负性情绪对慢性鼻窦炎内镜术后症状改善的影响

The Influence of Negative Emotion on the Symptom Improvement of Chronic Sinusitis after Endoscopic Surgery

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刊名	国际精神病学杂志 Journal of International Psychiatry
年，卷(期)	2021, 48(6)
作者	张帅刚*,
作者单位	河南省许昌市中心医院耳鼻咽喉头颈外科 ;
摘要	【摘要】研究负性情绪对慢性鼻窦炎(CRS)内镜术后症状改善的影响。方法选择本院2018年1月-2020年6月120例CRS内镜术后患者作为研究对象，分别比较术前抑郁组和无抑郁组、术前焦虑组和无焦虑组的术后鼻腔鼻窦结局测试-22(SNOT-22)、Lund-Mackay内镜评分。结果 120例患者中，术前HAMD评分>17分者75例，为抑郁组；术前HAMD评分≤17分者45例，为无抑郁组。抑郁组术后SNOT-22评分显著高于无抑郁组，差异有统计学意义(P<0.05)；两组术后Lund-Mackay内镜评分比较，差异无统计学意义(P>0.05)。120例患者中，术前HAMA评分>13分者72例，为焦虑组；术前HAMA评分≤13分者48例，为无焦虑组。焦虑组术后SNOT-22评分显著高于无焦虑组，差异有统计学意义(P<0.05)；两组术后Lund-Mackay内镜评分比较，差异无统计学意义(P>0.05)。经Pearson直线相关法分析，HAMD、HAMA与CRS内镜术后SNOT-22均呈正相关(P<0.05)，与CRS内镜术后Lund-Mackay内镜评分均无相关性(P>0.05)。结论负性情绪可在一定程度上加重CRS内镜术后症状，临床宜根据患者实际情况进行干预。
Abstract	[Abstract] Objective To study the effect of negative emotion on the improvement of symptoms after endoscopic surgery for chronic sinusitis (CRS). Methods A total of 120 patients after CRS endoscopy in our hospital from January 2018 to June 2020 were selected as the study subjects. The postoperative nasal cavity and sinus outcome test-22 (SNOT-22) and Lund-Mackay endoscopy scores of preoperative depression group and no depression group, preoperative anxiety group and no anxiety group respectively were compared. Results Among the 120 patients, 75 patients with preoperative HAMD scores >17 were set as the depression group; 45 patients with preoperative HAMD scores ≤17 were set as the non-depression group. The postoperative SNOT-22 score of the depression group was significantly higher than that of the no depression group, and the difference was statistically significant (P<0.05). There was no statistically significant difference in Lund-Mackay endoscopy scores between the two groups after surgery (P>0.05). Among the 120 patients, 72 patients with preoperative HAMA score> 13 were set as the anxiety group; 48 patients with preoperative HAMA score ≤ 13 were set as the non-anxiety group. The postoperative SNOT-22 score of the anxiety group was significantly higher than that of the non-anxiety group, the difference was statistically significant (P<0.05). There was no statistically significant difference in Lund-Mackay endoscopy scores between the two groups after surgery (P>0.05). Pearson linear correlation analysis showed that HAMD and HAMA were positively correlated with SNOT-22 after CRS endoscopy technic (P<0.05), and there was no correlation with Lund-Mackay endoscopy score after CRS endoscopy technic (P>0.05). Conclusion Negative emotions can aggravate the symptoms of CRS endoscopic surgery to a certain extent, and clinical intervention should be carried out according to the actual situation of the patient.
关键词	【关键词】负性情绪；CRS；内镜；SNOT-22；Lund-Mackay内镜评分
KeyWord	Key words Negative Emotion; CRS; Endoscopy; SNOT-22; Lund-Mackay Endoscopy Score
基金项目
页码	1080-1082

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张帅刚*. 负性情绪对慢性鼻窦炎内镜术后症状改善的影响 [J]. 国际精神病学杂志. 2021; 48; (6). 1080 - 1082.

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