CAJ | 학술논문

目的检测血管运动性鼻炎患者的鼻通气功能,分析其与主观症状的相关性,并与健康对照组进行比较.方法选择血管运动性鼻炎患者105例,健康对照组成人71例.采用鼻阻力测量获得压力-流速曲线,进而得到75 Pa和150 Pa下鼻腔总阻力值.采用鼻声反射测量应用鼻用缩血管药物前后的面积-距离曲线,进而得到鼻腔最小横截面积,计算鼻腔充血指数.对比两组研究对象各项鼻阻力和鼻声反射测量指标,分析血管运动性鼻炎患者主观症状评分与鼻通气功能指标间的相关性.采用SPSS 16.0软件进行统计分析.结果血管运动性鼻炎患者鼻阻力、鼻声反射指标与各种鼻部症状间的相关性分析均无统计学意义(P值均>0.05).收缩前后的鼻腔最小横截面积在两组间差异未见统计学意义(Z值分别为-1.541、-0.626,P值均>0.05);鼻腔充血指数在两组间差异有统计学意义(Z=-2.707,P<0.05).75 Pa下鼻总阻力值在两组间差异有统计学意义(Z=-4.334,P<0.05);150 Pa下鼻总阻力值在两组间差异无统计学意义(Z=-1.314,P>0.05).结论血管运动性鼻炎患者主观症状与客观鼻生理功能检测结果间无相关性,在诊疗过程中需全面综合评价患者的主观症状和客观检测结果 .
목적 검측혈관운동성비염환자적비통기공능,분석기여주관증상적상관성,병여건강대조조진행비교.방법 선택혈관운동성비염환자105례,건강대조조성인71례.채용비조력측량획득압력-류속곡선,진이득도75 Pa화150 Pa하비강총조력치.채용비성반사측량응용비용축혈관약물전후적면적-거리곡선,진이득도비강최소횡절면적,계산비강충혈지수.대비량조연구대상각항비조력화비성반사측량지표,분석혈관운동성비염환자주관증상평분여비통기공능지표간적상관성.채용SPSS 16.0연건진행통계분석.결과 혈관운동성비염환자비조력、비성반사지표여각충비부증상간적상관성분석균무통계학의의(P치균>0.05).수축전후적비강최소횡절면적재량조간차이미견통계학의의(Z치분별위-1.541、-0.626,P치균>0.05);비강충혈지수재량조간차이유통계학의의(Z=-2.707,P<0.05).75 Pa하비총조력치재량조간차이유통계학의의(Z=-4.334,P<0.05);150 Pa하비총조력치재량조간차이무통계학의의(Z=-1.314,P>0.05).결론 혈관운동성비염환자주관증상여객관비생리공능검측결과 간무상관성,재진료과정중수전면종합평개환자적주관증상화객관검측결과 .
Objective To measure the nasal patency in patients with vasomotor rhinitis (VMR)and healthy controls and to assess its correlation with visual analogue scale (VAS). Methods A total of 105 patients with VMR and 71 healthy controls were included in this study. By using nasal rhinomanometry,the pressure-flow curve and got total nasal resistances of 75 Pa and 150 Pa were measured. By means of acoustic rhinometry, the area-distance curve before and after using nasal vasoconstrictor substance was obtained, got the nasal minimum cross-sectional area (MCA), then calculated nasal congestion index (NCI). The outcomes of nasal resistance and acoustic rhinometry in two groups were compared. The correlation between VAS and nasal patency of VMR was evaluated. Results The correlation between the outcomes with nasal resistance and acoustic rhinometry and VAS of nasal symptom showed no statistical significance in VMR patients (all P > 0. 05). MCA before and after decongestion showed no difference (Z value were - 1. 541 and - 0. 626, each P > 0. 05), NCI had statistic differences in two groups (Z =- 2. 707, P < 0. 05). Nasal resistance of 75 Pa had statistic differences in two groups (Z = - 4. 334, P <0. 05), 150 Pa showed no difference (Z = - 1.314, P > 0. 05). Conclusions Vasomotor rhinitis is one of the most common non-allergic rhinitis. Subjective symptoms has no correlation with objective nasal patency tests. In clinical practice, comprehensive evaluation of subjective symptoms and objective test results of the patient is required.