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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Relationship between the frequency of postoperative debridement and patient discomfort, healing period, surgical outcomes, and compliance after endoscopic sinus surgery.
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Relationship between the frequency of postoperative debridement and patient discomfort, healing period, surgical outcomes, and compliance after endoscopic sinus surgery.

机译：内镜鼻窦手术后清创频率与患者不适，愈合时间，手术结果和依从性之间的关系。

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OBJECTIVES/HYPOTHESIS: To determine the optimal frequency of postoperative care after endoscopic sinus surgery, we evaluated the relationship between the frequency of postoperative debridement and patient discomfort, healing period, surgical outcomes, and compliance. STUDY DESIGN: A prospective randomized study. METHODS: Patients diagnosed with chronic rhinosinusitis with or without nasal polyposis were randomly allocated to three groups (N = 10 each group), according to the frequency of office visits for postoperative debridement during a 4-week postoperative period. Group 1 underwent debridement twice a week, group 2 once a week, and group 3 once every 2 weeks. Four weeks after the procedure, the patients in each group were asked about discomfort between visits for postoperative debridement, including nasal obstruction, nasal discharge, foul odor, postnasal drip, and headache. Responses were scored using the visual analogue scale (VAS). Six months after surgery, the healing period was evaluated and both subjective and objective surgical outcomes were assessed using the Sinonasal Outcome test 20 and endoscopic findings. Patient compliance to postoperative debridement was also evaluated using the VAS. We compared the statistical significance of these parameters among the three groups. RESULTS: In groups 1, 2, and 3, nasal polyposis was present in eight, eight, and six patients, respectively, and five, one, and four patients had unilateral sinusitis. The VAS scores for four of the five main symptoms regarding patient discomfort differed significantly among the groups; group 3 reported the worst scores. However, healing periods, Sinonasal Outcome test-20 scores, and objective endoscopic findings did not show statistical differences among the groups. Patient compliance to the frequency of postoperative debridement differed significantly among the groups. Patients in group 1 reported the greatest disturbance in academic and socioeconomic activities, whereas the patients in groups 2 and 3 demonstrated similar scores. CONCLUSIONS: One-week intervals seem to be the optimal frequency for postoperative debridement during the healing period after endoscopic sinus surgery. However, patient individualization should be taken into account depending on the extent of surgery and healing progress.
机译：目的/假设：为了确定内窥镜鼻窦手术后的最佳术后护理频率，我们评估了术后清创频率与患者不适，愈合时间，手术结果和依从性之间的关系。研究设计：一项前瞻性随机研究。方法：根据在术后4周内进行清创术的办公室就诊频率，将被诊断为患有或不患有鼻息肉的慢性鼻鼻窦炎患者随机分为三组（每组N = 10）。第1组每周进行两次清创，第2组每周一次，第3组每2周一次。手术后四周，询问每组患者术后清创术的不适，包括鼻塞，鼻涕，恶臭，滴鼻液和头痛。使用视觉模拟量表（VAS）对反应进行评分。手术六个月后，评估了愈合期，并使用《鼻腔鼻窦预后评估》 20和内窥镜检查结果评估了主观和客观手术结果。还使用VAS评估了患者对术后清创的依从性。我们比较了三组中这些参数的统计显着性。结果：在第1、2和3组中，分别有八，八和六名患者出现鼻息肉，而五名，一名和四名患有单侧鼻窦炎。各组患者不适的五个主要症状中的四个的VAS评分在各组之间存在显着差异。第三组的成绩最差。然而，各组的治愈期，鼻鼻窦结果测试20分和客观内镜检查结果均未显示统计学差异。各组患者对术后清创频率的依从性差异显着。第一组的患者报告了学术和社会经济活动的最大障碍，而第二组和第三组的患者表现出相似的评分。结论：内窥镜鼻窦手术后愈合期中，清创的最佳频率似乎是一周。但是，应根据手术的程度和愈合的进展考虑患者的个性化。

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