CAJ | 학술논문

目的：评估儿童腺样体肥大患者的鼻通气功能，为手术治疗提供科学依据。方法选取55例儿童腺样体肥大患者，分别在手术前和手术后进行症状记分表调查以及鼻声反射测量，并与45例健康儿童的各项指标进行对照研究。结果与手术前比较，观察组患者在手术后鼻阻塞症状记分降低，差异有统计学意义（P＜0．01）；与手术前比较，观察组患者手术后的两侧鼻腔总的鼻气道阻力（NAR）明显降低（t＝2．1280，P＜0．05），双侧鼻咽腔容积（NPV）明显增加（t＝13．1806，P＜0．01）；与对照组比较，手术前的 NAR、NPV和双侧鼻腔最小横截面积（MC‐SA）差异均有统计学意义（t＝5．9824，P＜0．01；t＝6．5273，P＜0．01；t＝4．1174，P＜0．01），手术6周后的NAR、NPV和MCSA差异均有统计学意义（t＝4．0328，P＜0．01；t＝7．4901，P＜0．01；t＝3．1495，P＜0．01）。结论腺样体手术可明显改善儿童鼻通气状态，且鼻声反射测量可以作为腺样体肥大所致儿童鼻通气功能的定量评估工具。
목적：평고인동선양체비대환자적비통기공능，위수술치료제공과학의거。방법선취55례인동선양체비대환자，분별재수술전화수술후진행증상기분표조사이급비성반사측량，병여45례건강인동적각항지표진행대조연구。결과여수술전비교，관찰조환자재수술후비조새증상기분강저，차이유통계학의의（P＜0．01）；여수술전비교，관찰조환자수술후적량측비강총적비기도조력（NAR）명현강저（t＝2．1280，P＜0．05），쌍측비인강용적（NPV）명현증가（t＝13．1806，P＜0．01）；여대조조비교，수술전적 NAR、NPV화쌍측비강최소횡절면적（MC‐SA）차이균유통계학의의（t＝5．9824，P＜0．01；t＝6．5273，P＜0．01；t＝4．1174，P＜0．01），수술6주후적NAR、NPV화MCSA차이균유통계학의의（t＝4．0328，P＜0．01；t＝7．4901，P＜0．01；t＝3．1495，P＜0．01）。결론선양체수술가명현개선인동비통기상태，차비성반사측량가이작위선양체비대소치인동비통기공능적정량평고공구。
Objective To assess the nasal ventilation function in the patients with adenoidal hypertrophy to provide a scientific basis for the surgical treatment .Methods 55 children cases of adenoidal hypertrophy were select‐ed .The symptom score tables were surveyed and the acoustic rhinometry measurements were performed before and after surgery .The results were conducted the control research with those in 45 normal children .Results Compared with before treatment ,the nasal obstruction symptom score after treatment in the observation group was significantly decreased ,the difference was statistically significant (P< 0 .01);compared with before operation ,NAR after opera‐tion in the observation group was decreased significantly (t=2 .128 0 ,P<0 .05) ,while NPV was increased signifi‐cantly (t=13 .180 6 ,P< 0 .01);compared with control group ,the preoperative NAR ,NPV and MCSA had highly significant difference (t=5 .982 4 ,P<0 .01 ;t=6 .527 3 ,P<0 .01 ;t=4 .117 4 ,P<0 .01);NAR ,NPV and MCSA af‐ter 6 weeks of surgery also had highly significant difference (t=4 .032 8 ,P<0 .01;t=7 .490 1 ,P<0 .01 ;t=3 .149 5 , P<0 .01) ,all showing statistical significance .Conclusion Adenoid surgery can significantly improve the state of children′s nasal ventilation ,moreover the acoustic rhinometry can serve as the quantitative assessment tool of children adenoidal hypertrophy caused adenoidal nasal ventilation function .