儿童腺样体肥大所致鼻气道阻塞的客观评估  

An objective evaluation of nasal airway obstruction by enlarged adenoids in children

作　　者：张虹 李晓明[2] 肖淑芬[2] 裴士庚[1] 刘月梅[3] 

机构地区：[1]河北工程大学附属医院耳鼻咽喉头颈外科,河北邯郸056002 [2]白求恩国际和平医院耳鼻咽喉头颈外科 [3]河北工程大学附属医院骨科

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第23期1057-1059,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：河北省科技攻关计划项目(No:07276101D-18)

摘　　要：目的:研究鼻声反射技术在儿童腺样体肥大所致鼻气道阻塞客观评估中的临床应用价值。方法:30例腺样体肥大患儿分别于术前及术后8周接受声反射鼻腔测量和症状计分表调查,与27例正常儿童的声反射鼻腔测量各指标进行对照。结果:腺样体肥大组患儿手术前鼻气道阻力(NAR)和鼻咽腔容积(NPV)与手术后8周比较差异均有统计学意义(均P<0.01),手术前鼻腔最小横截面积(MCSA)与手术后比较差异无统计学意义(P>0.05);腺样体肥大组患儿NAR、NPV与MCSA与对照组比较差异均有统计学意义(P<0.01);术后NAR与对照组比较差异无统计学意义(P>0.05),NPV和MCSA与对照组比较差异有统计学意义(P<0.01);NAR与NPV症状计分无明显相关(P>0.05),MCSA与症状严重程度呈负相关(r=-0.519,P<0.05)。结论:鼻声反射测量可用于腺样体肥大所致儿童鼻气道阻塞的客观定量评估,在解释鼻声反射测量结果与主观症状关系时MCSA应作为主要参考指标。Objective：To evaluate the clinical application value of nasal airway obstruction objectively and quantificationally by acoustic rhinometry（AR）in children with adenoid hypertrophy.Method：Thirty patients with adenoid hypertrophy were examined with AR and questionnaire at preoperative and eight weeks after surgery.The values of AR were compared with those of 27nomal controls.Result：There were significant differences between preoperative and postoperative in NAR and NPV（P0.01）,no significant difference was observed between preop-erative and postoperative in MCSA（P0.05）;There were significant differences in NAR,NPV,MCSA between the patient group and the control group（P0.01）;There were significant differences between postoperative and the control group in NPV and MCSA（P0.01）,no significant difference was observed between postoperative and the control group in TNAR（P0.05）;There was negative correlation between MCSA and symptom scores （r=-0.519,P0.05）.No significant correlation was observed between NAR and NPV and symptom scores （P0.05）.Conclusion：Acoustic rhinometry was an objective and quantitative method for evaluating nasal airway in children with adenoid hypertrophy.In interpretation the relationships of the results of acoustic rhinometry reflection measurements and subjective symptoms,MCSA should be the main reference.

关 键 词：声反射鼻测量 腺样体肥大 儿童 鼻气道阻塞 

分 类 号：R764[医药卫生—耳鼻咽喉科]