| Objective To explore the difference of life quality between those chronic rhinosinusitis patients with nasal polyps (CRSwNP) and without nasal polyps (CRSsNP).Methods One hundred patients with chronic rhinosinusitis,ever treated in our hospital from Jan 2017 to Jun 2017, were collected and divided into the CRSwNP group (n=50) and the CRSsNP group (n=50) according to the EuropeanPosition Paper on Rhinosinusitis and Nasal Polyp.The Lund-Mackay CT grading system and Lund-Kennedy nasal endoscopic grading system were used to evaluate the objective conditions of all patients. Their subjective qualities of life were evaluated by means of Chinese versions of visual analogue scale(VAS) and life quality scale (SF-36), and then the difference of life quality between the two groups were analyzed.Results The Lund-Mackay CT score and Lund-Kennedy endoscopic score in the CRSwNP group[(13.71±6.60),(8.38±2.81)] were significantly higher than those scoresin the CRSsNP group[(8.11±6.45), (4.78±2.08);P<0.05].Although there was no significant difference in the overall VAS scores between the CRSwNP and CRSsNP groups[(19.55±8.02), (19.21±9.65);P>0.05], but the VAS scores of CRSsNP patients with symptoms ofheadache and facial pain[(3.70±3.10), (3.72±3.01)] were significantly higher than the scores of corresponding CRSwNP patients[(0.98±1.83), (0.55±1.18); P<0.05], whereas the VAS scores of CRSsNP patients with symptoms of nasal obstruction and olfactory disturbance[(4.19±3.28), (2.72±3.51)] were significantly lower than the scores of corresponding CRSwNP patients[(6.65±3.24), (7.23±3.36); P<0.05].The physical component summary(PCS)scores of SF-36 scale in the CRSwNP and CRSsNP groups were (319.21±54.34) and (295.22±70.52), and their difference was of no significance (P>0.05), but the physiological function (RF) scores in the CRSsNP patients was significantly lower than those in the CRSwNP patients[(64.27±39.04) vs (79.42±28.54); P<0.05].The mental component summary (MCS)scores of SF-36 scale in the CRSwNP and CRSsNP groupswere(306.79±67.52) and (286.24±86.02), with no significant difference between them (P>0.05), but the vitality (VI) and mental health (MH) scores in the CRSsNP group[(66.39±23.32), (66.98±21.14)] were significantly lower than those scores in the CRSwNP group[(76.51±16.49), (76.65±17.48); P<0.05].Conclusion In the objective condition, patients in the CRSwNP group are more serious than those in the CRSsNP group, but in the physiological function, vitality and mental health,patients with CRSsNP may have more evident reduction than those with CRSwNP. So, improvement of life quality should be noted for those patients with mild objective illness and poor subjective quality of life. |
