鼻声反射测量对鼻塞主客观相关性的研究  

Relationship between nasal obstruction symptoms and objective parameters of acoustic rhinometry

作　　者：王秀敏[1] 舒畅[1] 陈建超[1] 彭志林[1] 单培[1] 

机构地区：[1]苏州大学附属第四医院耳鼻咽喉头颈外科江苏无锡,214062

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第11期486-488,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻声反射技术(acoustic rhinometry,AR)客观测量指标与鼻塞患者主观感受的相关性及相关程度。方法:将365例因鼻部病变就诊的患者分为鼻塞组220例和无鼻塞组145例,另征集健康志愿者(对照组)70例。3组均行AR,测试内容为鼻腔最小横截面积(NMCA),鼻腔容积(NV),鼻气道阻力(NAR),鼻腔最小横截面积到前鼻孔的距离(DCAN);鼻塞主观测试采取VAS评分测量,进行统计学分析。结果:鼻塞组与对照组在NAR、NV、DCAN中显示差异均有统计学意义(均P<0.05);VAS评分与NMCA、NV、NAR、DCAN存在直线相关关系,RNAR=0.738 5;RNV=-0.853 2;RNMCA=-0.745 4;RDCAN=0.369 7。结论:AR测量指标中NAR及NV的结果与患者的主观感受高度一致,可以作为评价患者主观是否具有鼻塞症状的客观评价测量工具。Objective：To investigate the relationship between the subjective sensation of nasal obstruction and the corresponding objective parameters of acoustic rhinometry.Method：Three hundred and sixty-five patients with nasal diseases were divided into two groups： one group included 220 cases with nasal obstruction,and the second group of 145 cases without nasal obstruction.Seventy healthy adults were selected as control.Each one were assessed for nasal minimal cross-sectional area（NMCA）,volume of nasal cavity（NV）,nasal airway resistance（NAR） and distance of the minimal cross section area from the nostril（DCAN） by using acoustic rhinometry,and the subjective test were performed using the VAS scores.The results were statistically analyzed.Result： NV,DCAN and NAR had a significant difference between nasal obstruct group and control group（P〈0.05）.The VAS score had linear correlation with NMCA,NV,DCAN and NAR,and the correlation coefficient were RNAR=0.738 5,RNV=-0.853 2,RNMCA=-0.745 4 and RDCAN=0.369 7,respectively.Conclusion：Since NAR and NV coincide with the subjective perception of patients with nasal obstruction,they can be used as the sensitive parameters to evaluate subjective symptoms of patients.

关 键 词：鼻声反射 鼻塞 气道阻力 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]