| 亓晓宇,汪银凤,郭涛,等.鼻腔扩容术后患者嗅觉改善情况及其影响因素分析[J].中国临床保健杂志,2025,28(5):640-643. |
| 鼻腔扩容术后患者嗅觉改善情况及其影响因素分析 |
| Analysis of olfactory improvement and its influencing factors in patients after nasal dilation surgery |
| 投稿时间：2025-03-15 |
| DOI：10.3969/J.issn.1672-6790.2025.05.011 |
| 中文关键词: 鼻外科手术 嗅觉障碍 手术后并发症 危险因素 |
| 英文关键词: Post-nasal dilation surgery Olfaction Postoperative complications Influencing factors 〖FL |
| 基金项目:国家自然科学基金项目(82271180,82471179) |
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| 中文摘要: |
| 目的 探讨患者鼻腔扩容术后嗅觉障碍改善情况及其影响因素。方法 回顾性分析2022年1月至2024年6月于中国科学技术大学附属第一医院(安徽省立医院)行鼻腔扩容术的123例患者临床资料。依据术后嗅觉障碍改善情况分为嗅觉改善良好组和嗅觉改善不良组。收集2组患者的临床资料,用单因素及多因素logistic分析鼻腔扩容术后患者嗅觉障碍改善的影响因素。结果 嗅觉改善良好组患者的嗜酸性粒细胞百分比、术后并发症发生率、伴随变应性鼻炎发病率明显低于嗅觉改善不良组 (P<0.05)。多因素logistic回归分析提示嗜酸性粒细胞百分比(OR=0.716,P=0.003)、伴有变应性鼻炎(OR=0.440,P=0.049)及术后出现并发症(OR=0.211,P=0.015)是术后嗅觉障碍改善不良的独立危险因素(P＜0.05)。结论 鼻腔扩容术后嗅觉障碍的改善情况与嗜酸性粒细胞百分比、伴随变应性鼻炎发生及术后并发症等因素密切相关。 |
| 英文摘要: |
| Objective To explore the improvement of olfactory dysfunction and its influencing factors after nasal cavity expansion surgery in patients.Methods A total of 123 patients who underwent nasal cavity expansion surgery in the First Affiliated Hospital of University of Science and Technology of China from January 2022 to June 2024 were retrospectively included.They were divided into a good olfactory improvement group and a poor olfactory improvement group based on the improvement of olfactory dysfunction after surgery.General and clinical data were collected from both groups of patients,and univariate and multivariate logistic analysis were used to investigate the factors affecting the improvement of olfactory dysfunction after nasal cavity expansion surgery.Results The percentage of eosinophils,postoperative complications,and incidence rate of concomitant allergic rhinitis in good olfactory improvement group in smell were significantly lower than those in the group with poor improvement group in smell (P<0.05).Multivariate logistic regression analysis suggested that the percentage of eosinophils (OR=0.716,P=0.003),concomitant allergic rhinitis (OR=0.440,P=0.049),and postoperative complications (OR=0.211,P=0.015) were independent risk factors for poor improvement in postoperative smell disorders (P＜0.05).Conclusions The improvement of olfactory dysfunction after nasal cavity expansion surgery is closely related to factors such as eosinophil percentage,allergic rhinitis,and postoperative complications. |
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