癥狀：鼻竇炎患者感覺巨痛

【?2008-09-23 發(fā)布?】　美迪醫(yī)訊

一份最新的分析報告建議，對于有類似于80歲的患有關(guān)節(jié)炎和情緒沮喪的病人疼痛癥狀的鼻竇炎患者；研究者表示，當(dāng)藥物不起作用的時候，內(nèi)窺手術(shù)可以緩解疼痛的癥狀。

這項研究發(fā)現(xiàn)，用鼻竇內(nèi)窺手術(shù)去清理鼻竇可以極大的緩解疼痛身體的疼痛。肢體疼痛沒有被教科書或者醫(yī)學(xué)期刊列為慢性鼻竇炎的癥狀，患者有時被診斷為其他無關(guān)的疾病如關(guān)節(jié)炎，情緒沮喪，肌肉疼痛或者慢性疲勞綜合癥。這個研究的發(fā)起者Alexander C. Chester先生談到。“很遺憾的是，這讓很多人沒有了解對于鼻竇炎的治療會改變他們身體的綜合狀況。”

這項研究的目的是確定肢體的高度疼痛與鼻竇炎之間的聯(lián)系以及確定肢體疼痛是否會通過鼻竇內(nèi)窺手術(shù)得以緩解。Chester和他的同事們進(jìn)行了一次包括了11項研究的元分析（元分析：是一種定量綜合研究結(jié)果的方法，其在診斷、治療、危險度評價、干預(yù)、預(yù)防及決策等方面起著獨(dú)特的作用，在國外已應(yīng)用于醫(yī)學(xué)各領(lǐng)域）其中包括了一個全面的與健康相關(guān)的基本生活條件的調(diào)查和分別對于肢體疼痛在鼻竇內(nèi)窺手術(shù)前和手術(shù)后的評估，評估疼痛的級別從0（最大的肢體疼痛）到100（最小的肢體疼痛）

“我們發(fā)現(xiàn)相對于全體人口，日常的肢體疼痛是鼻竇炎患者共同的經(jīng)歷。” Chester先生解釋說“證據(jù)顯示周身疼痛被者被發(fā)現(xiàn)患有鼻竇疾病，對于很多認(rèn)為自己患有兩種不同疾病的患者來說是一個解脫”

除此之外，他們發(fā)現(xiàn)關(guān)于的疼痛的普遍性，大多數(shù)的研究分析顯示進(jìn)行鼻竇內(nèi)窺手術(shù)的患者，手術(shù)之后肢體疼痛的級別改善到普通大眾相同的水平。

所有的數(shù)據(jù)顯示疼痛將在進(jìn)行鼻竇手術(shù)后得以緩解，特別要考慮到藥物治療失敗后進(jìn)行手術(shù)位患者所帶來的幫助。Chester解釋說。他談到在美國每年要進(jìn)行200，000以上的鼻竇內(nèi)窺手術(shù)，這項技術(shù)與那些舊的方法相比所帶來得損害也大大減小了。

Symptoms: Sinusitis Patients Feel Severe Pain
A new analysis suggests many patients with sinusitis have pains similar in severity to people in their 80s and those with arthritis or depression. When medicines do not work, researchers say endoscopic surgery can offer relief. 22/09/2008
The study finds that endoscopic sinus surgery to clear clogged sinuses can bring significant pain relief. "Bodily pain is not listed as a symptom of chronic sinusitis in general medical texts or journals and as a result, patients are sometimes diagnosed with unrelated conditions such as arthritis, depression, fibromyalgia or chronic fatigue syndrome," says the study's author Alexander C. Chester. "Unfortunately, this leave too many people unaware of treatments for sinusitis that can improve their overall condition."
The purpose of the study was to determine if elevated levels of bodily pain were associated with sinusitis and to examine whether bodily pain improved following endoscopic sinus surgery. Chester and his colleagues performed a meta-analysis of eleven studies which included a general, health-related quality-of-life survey with a separate assessment of bodily pain before and after endoscopic sinus surgery on a scale of zero (most bodily pain) to 100 (least bodily pain).
"We found that the daily experience of bodily pain was much more common in patients with sinusitis than in the overall population," explains Chester. "Confirmation that aches and pains occur with sinus disease is
In addition to their findings about the pervasiveness of pain, a majority of the studies analysed showed that following endoscopic sinus surgery, postoperative bodily pain scores improved to values similar to that in the general population.
"Having data showing that pain will improve after sinus surgery is particularly helpful when considering the merits of undergoing surgery when medications fail," explains Chester. He says more than 200,000 endoscopic sinus surgeries are done annually in the United States using a technique considered less invasive and much safer than older methods.

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