TRIỆU CHỨNG THEO THANG ĐIỂM VAS Ở NGƯỜI BỆNH VIÊM MŨI XOANG MẠN TÍNH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP NĂM 2025

Abstract

Introduction: Chronic rhinosinusitis is a persistent inflammatory disease of the nasal mucosa and paranasal sinuses, characterized by enduring symptoms such as nasal obstruction, anterior or posterior rhinorrhea, facial pain or pressure, and olfactory dysfunction. The prolonged and persistent nature of these symptoms largely determines the impact of CRS on patients’ quality of life and their need for medical management. Objectives: To describe the severity profile of symptoms in adult patients with chronic rhinosinusitis. Methods: A cross-sectional study was conducted on 142 adult patients treated at Viet Tiep Friendship Hospital in 2025. Results: The mean VAS scores of four symptoms—nasal obstruction, rhinorrhea, facial pain/pressure, and olfactory dysfunction —were 2.58 ± 1.85, 3.26 ± 1.13, 1.36 ± 1.95, and 1.29 ± 2.01, respectively, with the majority of cases classified as mild (73.2%, 66.2%, 81.0%, and 89.4%, respectively). The severity of nasal obstruction and olfactory dysfunction differed significantly between patients with and without nasal polyps (p = 0.001). No significant differences were observed between smoking history and the severity of sinonasal symptoms. Conclusion: Chronic rhinosinusitis symptoms predominantly presented at a mild level, with nasal obstruction and olfactory impairment emerging as the symptoms most strongly associated with the presence of nasal polyps.