上海市崇明地区成年人鼻阻力和鼻声反射的初步研究

doi:10.6040/j.issn.1673-3770.0.2020.203

摘要/Abstract

摘要： 目的通过对上海市崇明地区健康成年人鼻通气功能的客观测定,建立崇明地区健康成年人鼻阻力(RM)、鼻声反射(AR)等参数的正常参考值范围,并初步分析两者相关性。方法采用NR6鼻阻力计采集受试者经鼻压差为150 Pa下前端测量的单侧鼻腔吸气阻力(Ri)、呼气阻力(Re)等数据,通过计算机软件计算后得出单侧总阻力(RI)、双侧总阻力(TR)等结果;采用A1鼻声反射计采集受试者双侧鼻腔容积(V₆、V_2-5、V₃)、鼻腔最小截面积(MCA)、最小截面积距前鼻孔的距离(MD)等数据。对2种检查不同指标做相关性分析。结果鼻健康的成年人鼻阻力参数:经鼻压差在150 Pa前端测量下RI、TR分别为(0.85±0.36)、(0.42±0.16)Pa/(cm³·s),在性别上差异无统计学意义。鼻声反射参数:V₆、V_2-5、MD分别为(6.14±1.70)、(2.77±1.10)、(1.92±0.27)cm³;V3、MCA分别为女性(2.19±0.51)(0.34±0.19)cm³、男性为(2.06±0.39)、(0.31±0.14)cm³;V₆、V_2-5、MD在性别上均差异无统计学意义;V₃、MCA在男女性别间差异有统计学意义。MD与RI有一定的负相关性(r=-0.149,P<0.05)。结论鼻声反射、鼻阻力作为评估鼻通气功能的客观参考指标,两者之间相关性较弱,临床中结合两者结果参考价值更大。

关键词: 成年人, 鼻阻力, 鼻声反射, 参考值, 相关性

Abstract: Objective To establish the normal reference ranges of nasal rhinomanometry(RM)and acoustic rhinometry(AR)results for healthy adults in the Chongming area as an objective measurement of the nasal ventilation function and to analyze the correlation preliminarily. Methods The NR6 rhinomanometer was used to calculate the inspiratory expiratory resistances of the unilateral nasal cavity measured at the front end under the pressure difference across the nose of 150 Pa. Unilateral and bilateral total resistances were calculated using computer software. The A1 nose acoustic reflect meter was used to collect the volume(V₆, V_2-5, and V₃), minimum cross-sec6tional area(MCA), and minimum nasal cavity volume of bilateral nasal cavities, and distance from the cross-sectional area to the anterior nostril(MD). Correlation analyses was performed for two indexes. Results The nasal resistance parameters of healthy adults showed a unilateral total resistance of(0.85±0.36)Pa/cm³·s and bilateral total resistance of(0.42±0.16)Pa/cm³·s, when the nasal pressure difference at the front was 150 Pa. There was no significant difference in sex. Nasal acoustic reflex parameters were as follows: V₆,(6.14±1.70)cm³; V_2-5,(2.77±1.10)cm³; MD,(1.92±0.27)cm³; V₃,(2.19±0.51)cm³ for women and(2.06±0.39)cm³ for men; MCA,(0.34±0.19)cm³ for women and(0.31±0.14)cm³ for men. V₆, V_2-5, and MD were not statistically different between the sexes, whereas V₃ and MCA statistically differed between the sexes. There was a negative correlation between MD and unilateral total resistance(r=-0.149, P<0.05). Conclusion RM and AR are objective reference indexes to evaluate the function of nasal ventilation. The correlation between them is weak; therefore, it is more valuable to combine the two results in clinical practice.

Key words: Adults, Rhinomanometry, Acoustic rhinometry, Reference value, Correlation

中图分类号:

R765

汪峘,张殷杰,黄庆峰,施乐娟,陈向平. 上海市崇明地区成年人鼻阻力和鼻声反射的初步研究[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 56-60.

WANG Huan, ZHANG Yinjie, HUANG Qingfeng, SHI Lejuan, CHEN Xiangping. Preliminary study of rhinomanometry and acoustic rhinometry for normal adults in Chongming, Shanghai[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 56-60.

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