鼻声反射应用于鼻塞患者鼻通气功能检查的评价

目的 :评估鼻声反射 (AR)在鼻塞患者鼻通气检查中的应用价值 ,并探讨其参数选择。方法 :对 36例因鼻病引起鼻塞的患者 (鼻病组 )及 2 0例无鼻病健康志愿者 (对照组 )进行AR测试 ,测算鼻腔平均截面积 (MNCA)、最小截面积 (MCA)、鼻腔容积 (NV)和鼻阻力 (NR) ,并进行统计学分析。结果 :对照组中 ,MNCA、MCA、NV、NR性别差异均无统计学意义 (P >0 .0 5 ) ,除NV(P <0 .0 5 )外侧别差异亦无统计学意义 (P >0 .0 5 ) ;鼻病组中鼻塞侧与非鼻塞侧各参数间差异无统计学意义 (P>0 .0 5 ) ;鼻病组中鼻塞侧与对照组比较 ,其中MCA和NR差异有统计学意义 (分别P <0 .0 1和P <0 .0 5 ) ;鼻病组中非鼻塞侧加对照组与鼻病组中鼻塞侧比较 ,其中MCA和NR差异有统计学意义 (分别P <0 .0 1和P <0 .0 5 )。结论 :AR对鼻通气状况有较客观的反映 ,其中MCA和NR对鼻塞状况的反映与患者的主观感受较为一致 ,可作为反映鼻通气状况的敏感指标。

Assessment of acoustic rhinometry in examining nasal ventilation function

Objective:To evaluate the use of acoustic rhinometry (AR) in determination of nasal ventilation function in patients complaining of nasal obstruction, and to discuss the selection of parameters.Method:Acoustic rhinometry was measured in 36 patients complaining of nasal obstruction with nasal diseases and 20 adults without nasal obstruction as control,the parameters including mean nasal cross-sectional area(MNCA),minimal cross-sectional area (MCA),volume of nasal cavity(NV) and nasal resistance(NR).Result:There is no sex difference for MNCA, MCA, NV and NR measured in control group (P> 0.05 ),and no lateral difference except NV(P< 0.05 ). MCA and NR show remarkable difference between patients and control(P< 0.05 ).Conclusion:Acoustic rhinometry can be adopted as an objective way to evaluate the nasal ventilation. Since MCA and NR coincide with the subjective perception of patients, they can be used as the sensitive parameters to evaluate the nasal ventilation function.