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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Nasal Symptom Questionnaire: Our Proposed Scoring System and Prognostic Factors in Chronic Rhinosinusitis
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Nasal Symptom Questionnaire: Our Proposed Scoring System and Prognostic Factors in Chronic Rhinosinusitis

机译：鼻腔症状问卷：我们提出的评分系统和慢性鼻窦炎的预后因素

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Objectives: We aimed to verify the usefulness of our proposed nasal symptom questionnaire (NSQ) scoring system and to determine predictors linked to the improvement in nasal symptoms in chronic rhinosinusitis (CRS) patients undergoing endoscopic sinus surgery (ESS). Patients and Methods: Ninety-one CRS patients undergoing ESS and 144 volunteers with results of NSQ available were enrolled. The NSQ consists of 10 items. Receiver-operating-characteristic (ROC) curve, area under the ROC curve (AUC), internal consistency, and test-retest reproducibility of the NSQ were analyzed. The relationship of the NSQ score with the visual analogue scale (VAS) was examined. After classifying into two groups, i.e., (i) "improvement group" and (ii) "no-improvement group," factors linked to the improvement in NSQ after ESS were investigated. Results: ROC-AUC (0.9318), the Cronbach alpha coefficient (0.8696), and the test-retest coefficient (0.8131) showed high reliability. NSQ score significantly correlated with VAS in both pre- (p 0.0001, r(s) = 0.6007) and postoperative stages (p 0.0001, r(s) = 0.5975). The postoperative NSQ scores significantly decreased compared with baseline levels (p 0.0001). In multivariate analysis, the computed tomography (CT) score by the Lund-Mackay scoring system revealed to be significant (p = 0.0481). Conclusion: Our proposed NSQ scoring system was well verified. The CT score can be helpful for predicting the improvement in nasal symptoms after ESS in CRS patients. (C) 2018 S. Karger AG, Basel
机译：目的：我们旨在核实我们提出的鼻症状问卷（NSQ）评分系统的有用性，并确定与接受内窥镜鼻窦外科（ESS）的慢性鼻窦炎（CRS）患者的鼻症状有关的预测因子。患者及方法：纳入九十一患者接受ESS和144名志愿者的NSQ可用结果进行了注册。 NSQ由10项组成。分析了接收器 - 工作特征（ROC）曲线，ROC曲线（AUC）下的区域，内部一致性和NSQ的测试 - 重保持再现性。检查了NSQ评分与视觉模拟量表（VAS）的关系。分为两组后，即（i）“改善组”和（ii）“无改善组”，调查了​​ESS以后对NSQ的改善相关的因素。结果：ROC-AUC（0.9318），Cronbach alpha系数（0.8696）和测试 - 保持系数（0.8131）显示出高可靠性。 NSQ得分在预处理（P <0.0001，R（S）= 0.6007）和术后阶段中的VAS显着相关（P <0.0001，R（S）= 0.5975）。与基线水平相比，术后NSQ分数显着降低（P <0.0001）。在多变量分析中，Lund-Mackay评分系统的计算断层扫描（CT）得分显示出很大（P = 0.0481）。结论：我们提出的NSQ评分系统得到了很好的验证。 CT得分可能有助于预测CRS患者ESS后鼻症状的改善。 （c）2018年S. Karger AG，巴塞尔

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