鼻中隔穿孔患者手术前后鼻腔通气功能的变化

Changes of objective and subjective ventilatory functions after surgery in patients with nasal septal perforation

摘要:

摘 要： 目的 探讨鼻中隔穿孔患者手术前后鼻腔主客观通气功能的变化。方法 对18例鼻中隔穿孔患者术前、术后分别行鼻阻力测量（Rhinomanometry，RM）、鼻呼吸量测量（Nasal spirometry, NS），并同时利用视觉评分系统（visual analogue scale, VAS）对患者的鼻塞症状进行评分。采用SPSS 16.0统计软件，对手术前后的数据进行配对t检验，并对VAS评分和RM、鼻呼吸量比率（nasal partitioning of airflow ratio, NPR）进行相关性分析。结果 术前RM、NPR和VAS评分分别为（0.365±0.124）kPa·s/L、0.28±0.14、3.46±1.02，术后分别为（0.32±0.112）kPa·s/L、0.18±0.12、1.74±0.64；手术前后的VAS评分差异有统计学意义（P<0.01），RM、NPR无统计学意义（P>0.05）。手术前后VAS评分和RM、NPR相关系数分别为0.638、0.687，但无统计学意义上的相关性；手术前后RM、NPR之间差异有统计学意义（P<0.01），其相关系数为0.864。结论 鼻中隔穿孔患者鼻阻力、鼻呼吸量客观通气功能和主观通气功能VAS评分具有一定的相关性，对选择手术侧别和制定手术方案具有一定的指导意义。

Abstract:

Abstract: Objective To study the changes of subjective and objective ventilatory functions after operation in patients with nasal septal perforation. Methods 18 patients with nasal septal perforation were treated surgically. They were given rhinomanometry (RM),nasal spirometry (NS) and visual analogue scale (VAS) of nasal symptoms score before operation and after complete healing of perforation respectively. Paired ttest was applied to analyzing the pre andpostoperative data and the correlation of the VAS score, RM and nasal partitioning of airflow ratio (NPR) were analyzed by SPSS16.0 statistical software. Results The preoperative RM, NPR and VAS scores were (0.365±0.124)kPa·s·L-1, 0.28±0.14, and 3.46±1.02 respectively, while the postoperativ data were (0.32±0.112) kPa·s·L-1, 0.18±0.12 and 1.74±0.64. The difference between preoperative and postoperative VAS scores was statistically significant (P<0.01), while those of RM, NPR were insignificant (P>0.05). The correlation coefficients between VAS scores and RM, NPR were 0.638 and 0.687, their correlations were statistically insignificant. The coefficient between RM and NPR was 0.864 with statistically significant correlation (P<0.01). Conclusion The objective ventilatory function (RM, NP) may be relevant to subjective ventilatory function (VAS) in patients with nasal septal perforation, which might be beneficial for the selection of surgery program and surgical side.