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目的 探讨鼻咽癌放疗后患者应用规律化鼻镜随访后对并发症及生活质量的影响.方法 采用随机数字表法将83例鼻咽癌放疗后患者分为对照组 (41例) 与观察组 (42例).对照组患者依据其症状体征进行鼻镜复查,观察组给予规律化鼻镜随访,比较两组患者随访后并发症发生率及生活质量 (SF-36评分) 改善效果.结果 观察组并发症发生率 (26.19％) 低于对照组 (60.98％),差异有统计学意义 (P＜0.05);观察组SF-36评分高于对照组,差异有统计学意义 (P＜0.05).结论 规律化鼻镜随访能降低鼻咽癌放疗后并发症发生率,改善患者生活质量.“,”Objective To investigate the influences of regular nasal endoscopic follow-up on complications and quality of life after radiotherapy for patients with nasopharyngeal carcinoma.Methods A total of 83 patients with nasopharyngeal carcinoma after radiotherapy were randomly divided into the control group and the observation group according to the random digital table method. Patients in the control group were examined by nasal endoscopy according to their symptoms and signs, and the patients in the observation group were given regular endoscopic sinus follow-up. The incidence of complications and the improvement of quality of life in the two groups after follow-up were compared.Results The incidence of complications of the patients in observation group (26. 19％) was lower than that in the control group, the difference was significant (60. 98％, P ＜ 0. 05), and the SF-36 scores in the observation group were higher than those in the control group, the differences were significant (P ＜0. 05) . Conclusions Regular nasal endoscopic follow-up can significantly reduce the incidence of postoperative complications and improve the quality of life of patients with nasopharyngeal carcinoma after radiotherapy.