鼻通气功能客观评价  

Objective assessment of nasal patency

作　　者：张伟[1] 张罗[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科北京市耳鼻咽喉科研究所教育部耳鼻咽喉头颈外科重点实验室,北京100730

出　　处：《首都医科大学学报》2012年第6期740-744,共5页Journal of Capital Medical University

基　　金：国家杰出青年科学基金(81025007);北京市自然科学基金(7102030);北京市卫生系统高层次卫生技术人才课题(2009-02-007)~~

摘　　要：鼻通气功能障碍(鼻塞)是鼻病理状态时最常见的症状之一。评价鼻塞的程度既可以采用主观评估法也可采用客观测定法。目前主观评估临床上主要采用的是视觉模拟量表评分(visual analogue scale,VAS),即以受试者的主观感受来评定鼻塞的程度。鼻阻力测定(rhinomanometry,RMM)和鼻声反射测定(acoustic rhinometry,AR)是目前临床最常用的客观评价鼻腔通气状况的方法,前者主要测定的是鼻内压力和气流,后者主要反映的是鼻腔内部解剖学改变。鼻通气功能客观评价在疾病辅助诊断、治疗方法的选择和疗效评价等方面具有广泛的应用价值。本文将着重就鼻通气功能的客观评价特别是鼻阻力的测定技术作一综述。Nasal obstruction is one of the most common complaints in rhinologic practice. There are subjective and objective methods available for the assessment of nasal patency. Currently, visual analogue scale, based on what the subjects feel, is the most widely used subjective assessment of nasal obstruction. Objective assessment of nasal patency and nasal physiology includes the use of rhinomanometry and acoustic rhinometry, which respectively provides the relationship between pressure and airflow, and a mimic topographic map of the nasal cavity. This review focuses on rhinomanometry and its application in clinical practice.

关 键 词：鼻塞 鼻阻力 鼻测量 声学 

分 类 号：R765[医药卫生—耳鼻咽喉科]