长沙市青少年慢性鼻-鼻窦炎流行情况调查

Prevalence of chronic rhinosinusitis among students aged from 10 to 17 years old in Changsha

摘要:

目的 调查长沙市10~17岁学生慢性鼻-鼻窦炎患病率及疾病对生活质量影响情况。方法 自2017年8月—2018年2月对5 556名学生通过问卷、专科体查的方式进行流行病学调查，并通过视觉模拟量表及鼻腔鼻窦结局测试20条对患儿生活质量进行评估。结果 长沙市中小学生慢性鼻-鼻窦炎患病率为5.0%（280/5 556）。慢性鼻-鼻窦炎对学生学习及生活可造成困扰，且生活质量会受到影响。患病学生认为对生活质量影响最严重的问题依次为需要擤鼻涕、注意力不集中、沮丧、焦躁、易怒、难以入睡以及流脓鼻涕。结论 长沙市中小学10~17岁学生慢性鼻-鼻窦炎患病率为5.0%；慢性鼻-鼻窦炎对中小学生可造成学习及生活上的困扰，且会影响生活质量。

Abstract:

Objective To investigate the prevalence of chronic rhinosinusitis and the influence of disease on quality of life among students aged from 10 to 17 years old in Changsha. Methods From Aug 2017 to Feb 2018, an epidemiological survey was conducted on 5,556 students through questionnaires and specialist physical examinations. Their quality of life was evaluated by visual analogue scale (VSA) and sino-nasal outcome-20 (SNOT-20). Results The prevalence of chronic rhinosinusitis in primary and middle school students in Changsha was 5.0% (280/5 556). Chronic rhinosinusitis caused problems in students' learning and life and affected their quality of life. The problems seriously impacting the quality of life in the affected students were in order as follows:blowing their noses, poor attention, depression, anxiety, irritability, difficulty falling asleep, and purulent nasal discharge. Conclusions The prevalence of chronic rhinosinusitis in students aged from 10 to 17 years old in primary and middle schools in Changsha is 5.0%. Chronic rhinosinusitis can cause learning and life problems for primary and middle school students, and therefore affect their quality of life.