鼻声反射与鼻阻力检查在原发性萎缩性鼻炎诊断中的应用

Significance of acoustic rhinometry and rhinomanometryin diagnosis of primary atrophic rhinitis

摘要:

目的 探讨鼻声反射和鼻阻力检查在原发性萎缩性鼻炎患者诊断中的应用价值。方法 31例实验者中选取25例正常成年受试者为对照组，6例原发性萎缩性鼻炎患者为实验组，分别行鼻声反射（acoustic rhinometry，AR）和鼻阻力（rhinomanometry, RM）测量，获得单侧鼻腔第1狭窄面积、单侧鼻腔第2狭窄面积、单侧鼻腔最小截面积、单侧及总的0~5 cm和2～5 cm鼻腔容积（UV5、UV2～5、TV5、TV2～5）、单侧吸气阻力、单侧呼气阻力及鼻气道总阻力参数，比较两组间的差异并进行相关性分析。结果 实验组单侧鼻腔第1狭窄面积明显小于对照组（T=9.189，P<0.05），其余各参数差异无统计学意义。结论 鼻阻力与鼻声反射检查可为原发性萎缩性鼻炎的诊断和治疗提供客观参数。

Abstract:

Objective To discuss the significance of acoustic rhinometry and rhinomanometry in diagnosis of primary atrophic rhinitis. Methods 31 cases were divided into 2 groups: group 1 was 25 normal adult men, group 2 was 6 patients with primary atrophic rhinitis. Acoustic rhinometry and rhinomanometry was used for acquiring unilateral area of first constriction, unilateral area of second of constriction, unilateral minimum crosssectional area、unilateral and total nasal volume 0～5 cm、2～5 cm (UV5、UV2～5、TV5、TV2～5), the effective unilateral and total nasal resistances in inspiration, expiration (URins、URexp、TRins、TRexp). Results There was significant difference in UA1 between group 1 and group 2 (t=9.189, P<0.05), no significant differences existed in UA2、UMCA、UV5 、UV2～5、TV5、TV2～5 and nasal resistance. Conclusion The results of acoustic rhinometry and rhinomanometry can be used as a valuable reference for primary atrophic rhinitis.