主观鼻塞与客观鼻阻力测压结果差异性分析  

Analysis of the variability of subjective nasal congestion and objective nasal resistance manometry results

作　　者：李政 张往石 薛迎春 Li Zheng;Zhang Wangshi;Xue Yingchun(Departmentof Otolaryngolog,Eastern Theater Air Force Hospital,Nanjing 210000,China)

机构地区：[1]中国人民解放军东部战区空军医院,江苏南京210000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第5期123-126,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析主观鼻塞与客观鼻阻力结果存在差异的相关因素,为诊断和治疗提供经验指导和应对策略。方法收集2022年就诊于东部战区空军医院耳鼻咽喉科门诊主诉鼻塞行鼻阻力测压检查患者186例,均对鼻塞症状行视觉模拟评分法(VAS)和病史问卷调查,根据测压结果分为一致组和不一致组。结果主观鼻塞患者客观鼻阻力结果中一致组145例,不一致组41例,一致率为77.96%;两组间鼻塞VAS评分(Z=-0.907,P=0.364)、性别(×2=0.654,P=0.419)、学历(X^(2)=0.085,P=0.771)、体质指数BMI(%2=0.045,P=0.832)、吸烟情况(X^(2)=0.332,P=0.564)、饮酒情况(X^(2)=0.338,P=0.561)均无显著差异,与年龄(×2=5.548,P=0.019)、发病时间(X^(2)=7.359,P=0.007)、有无伴随症状(X^(2)=14.211,P<0.001)存在显著差异,进一步多因素回归分析结果显示:发病时间和有无伴随症状是影响主观鼻塞与客观鼻阻力结果差异的重要因素。结论鼻阻力测压对鼻塞诊断具有重要辅助作用,发病时间≥3个月和无伴随症状是影响主观鼻塞感觉和客观检查结果差异的重要因素,诊疗时注意详细病史询问,警惕假性鼻塞。Objective To analyze the factors associated with the difference between subjective nasal congestion and objective nasal resistance results,and to provide empirical guidance and coping strategies for diagnosis and treatment.Methods A total of 186 patients who complained of nasal obstruction and underwent nasal resistance manometry in the Outpatient Department of Otorhinolaryngology,Air Force Hospital of Eastern Theater Command in 2022 were collected.,and all of them underwent visual analog scoring(VAS)and medical history questionnaire for nasal congestion symptoms,and were divided into consistent and inconsistent groups according to the manometry results.Results There were 145 cases of objective nasal resistance in the subjective nasal congestion patients in the consistent group and 41 cases in the inconsistent group,with a consistency rate of 77.96%;the VAS scores of nasal congestion(Z=-0.907,P=0.364),gender(X^(2)=0.654,P=0.419),education(X^(2)=0.085,P=0.771),body mass index BMI(X^(2)=0.045,P=0.832),smoking status(X^(2)=0.332,P=0.564),and alcohol consumption(X^(2)=0.338,P=0.561)were not significantly different from age(X^(2)=5.548,P=0.019),time of onset(X^(2)=7.359,P=0.007),and presence of concomitant symptoms(X^(2)=14.211,P<0.001)The results of further multifactorial regression analysis showed that time of onset and the presence of concomitant symptoms were important factors influencing the difference between subjective nasal congestion and objective nasal resistance results.Conclusion Nasal resistance manometry is an important adjunct to the diagnosis of nasal congestion,and time of onset≥3 months and absence of concomitant symptoms are important factors influencing the difference between subjective nasal congestion sensation and objective examination results,so pay attention to detailed medical history inquiry during treatment and be alert to pseudo-nasal congestion.

关 键 词：鼻塞 鼻阻力测压 差异性 发病时间 伴随症状 

分 类 号：R76[医药卫生—耳鼻咽喉科]