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(CRSw NP)围手术期生活质量评估中的应用效果。方法将74例CRSw NP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-M ackay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CRSw NP围手术期生活质量的效果进行评估。
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.
作者
吴喜福
孔维封
王玮豪
徐惠清
戚敏
杨钦泰
WU Xifu;KONG Weifeng;WANG Weihao;XU Huiqing;QI Min;YANG Qintai(Department of Otolaryngelogy-Head and Neck Surgery,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,Guangdong,China)
出处
《山东大学耳鼻喉眼学报》
CAS
2018年第5期5-8,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
国家自然科学基金面上项目(81670912)
广州市产学研协同创新重大专项(201704030046)
