吴丽萍　蒋学范　廖志苏.浙江省湖州市中心医院耳鼻咽喉头颈外科，浙江湖州　33000；.浙江省人民医院耳鼻咽喉头颈外科，浙江杭州30000；3.温州医学院附属第一医院耳鼻咽喉头颈外科，浙江温州　35000

慢性鼻-鼻窦炎主客观评价的相关性分析

吴丽萍1蒋学范2廖志苏3▲
1.浙江省湖州市中心医院耳鼻咽喉头颈外科，浙江湖州313000；2.浙江省人民医院耳鼻咽喉头颈外科，浙江杭州310000；3.温州医学院附属第一医院耳鼻咽喉头颈外科，浙江温州325000

目的探讨慢性鼻-鼻窦炎患者的主客观评分之间的相关性。 方法对126例慢性鼻-鼻窦炎的患者进行主观评分（视觉模拟评估量表VAS，鼻腔-鼻窦结果测试SNOT-20）及客观检查评分（Lund-Mackay鼻窦CT影像与Lund-Kennedy内镜评分），采用Origin 8.0统计学软件包进行Pearson相关分析。结果主观评价VAS总分与SNOT-20总分之间呈显著相关（R2=0.482，P＜0.01）。客观评价方式鼻内镜LK评分和Lund-Mackay CT评分之间呈高度相关（R2=0.59，P＜0.01）。主观评价VAS、SNOT-20与客观评价方式鼻内镜LK评分无显著相关（P＞0.05）；VAS、SNOT-20与Lund-Mackay CT评分也无显著相关（P＞0.05）。VAS评价中鼻塞、面部胀痛、嗅觉障碍、头痛单项症状评分与鼻内镜LK评分、Lund-Mackay CT评分间呈显著相关（P＜0.01）。结论 慢性鼻-鼻窦炎患者的主观评价与客观评价之间存在部分分离。故而，慢性鼻-鼻窦炎患者的评价需要结合主观症状和客观检查。

慢性鼻-鼻窦炎；视觉模拟评估量；鼻腔-鼻窦结果测试；Lund-Mackay鼻窦CT影像；Lund-Kennedy内镜评分

［Abstract］Objective To explore the correlation between subjective and objective scoring in chronic rhino sinusitis. M ethods Prospective data of 126 patients with CRSwere collected and analyzed retrospectively.Subjective rhino sinusitis examinations include visual analog scale and the Sino nasal Outcomes Test-20.Objective sinus examinations include Lund-Kennedy nasal endoscopy score and Lund-Mackay computed tomography（CT）score.Pearson correlation analysis was performed by Origin 8.0 statistical package.Results There was significant correlation between VAS score and SNOT-20 score（R2=0.482，P＜0.01）.There was significantly correlation between Lund-Kennedy nasal endoscopy score and Lund-Mackay CT score（R2=0.59，P＜0.01）.VAS score and SNOT-20 scores had no correlation with Lund-Kennedy nasal endoscopy score（P＞0.05）.VAS score and SNOT-20 scores had no correlation with Lund-Mackay CT score（P＞0.05）.There were significant correlation between Lund-Kennedy nasal endoscopy score and individual scores of VASnasal obstruction，facial pain，dysosmia dysfunction and headache（P＜0.01）.Conclusion The subjective and objective score of chronic rhino sinusitis are contradictive sometimes.Therefore，the evaluation of CRS requires a combination of subjective symptoms and objective examination.

［Key words］Chronic rhino sinusitis；Visual analog scale；The Sino nasal Outcomes Test-20；Lund-Mackay computed tomography；Lund-Kennedy nasal endoscopy score

慢性鼻-鼻窦炎（chronic rhino sinusitis，CRS）是耳鼻咽喉科的常见病、多发病。由于CRS的患病率较高，且可严重影响患者的生存质量，故而CRS患者的心理健康及生活质量问题越来越受到研究者的关注。……