山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 14-16.doi: 10.6040/j.issn.1673-3770.0.2015.328

• 论著 • 上一篇    下一篇

变应性鼻炎儿童鼻呼出气一氧化氮浓度测定方法初探

王桂香,王蓬鹏,唐力行,张亚梅,张杰,葛文彤   

  1. 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科, 儿童耳鼻咽喉头颈外科疾病北京市重点实验室, 北京 100045
  • 收稿日期:2015-08-09 出版日期:2016-02-16 发布日期:2016-02-16
  • 通讯作者: 葛文彤. E-mail:dr_gewentong@hotmail.com E-mail:WGX_ENT@sina.co
  • 作者简介:王桂香. E-mail: WGX_ENT@sina.co
  • 基金资助:
    北京市教育委员会科技计划面上项目(3500-1142003201)

Study on measurement of nasal nitric oxide in children with allergic rhinitis.

WANG Guixiang, WANG Pengpeng, TANG Lixing, ZHANG Yamei, ZHANG Jie, GE Wentong.   

  1. Department of Otorhinolaryngolog &Head and Neck surgery, Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Children's Hospital of Capital Medical University, Beijing 100045, China
  • Received:2015-08-09 Online:2016-02-16 Published:2016-02-16

摘要: 目的 探讨变应性鼻炎儿童鼻呼出气一氧化氮浓度测定的方法及临床意义。 方法 选择2013年9月至2014年8月无鼻部不适症状的健康儿童受试者50例(100侧鼻腔)设为对照组,将周期收治的有鼻塞、喷嚏、流涕和头痛等鼻部不适症状,经鼻腔检查及过敏原检查确诊为变应性鼻炎的58例患儿(116侧鼻腔)设为变应性鼻炎组。使用Sunvou呼出气NO测定系统,采用鼻被动呼气+静音技术检测,分别测定对照组及变应性鼻炎组儿童鼻呼出气NO含量。 结果 对照组儿童鼻呼出气NO浓度为(266±84)ppb,变应性鼻炎组鼻呼出气NO浓度为(426±151)ppb,两组差异有统计学意义(P<0.01)。同组不同性别儿童鼻呼出气NO浓度差异无统计学意义(P>0.05)。 结论 鼻呼出气NO浓度可受到受试者年龄、配合程度等多因素影响,正常值范围波动较大。但采用鼻被动呼气+静音的技术检测,操作简便、安全无创、无侵袭性,可迅速对鼻部过敏情况做出初步判断,对诊断变应性鼻炎有一定的临床意义。

关键词: 鼻, 儿童, 呼气, 变应性鼻炎, 一氧化氮

Abstract: Objective To investigate the measurement of nasal nitric oxide in children with allergic rhinitis. Methods A total of 50 children(100 cases of nasal cavity)without nasal symptoms were selected as the control group between September 2013 and August 2014. Another 58 children(116 cases of nasal cavity)with allergic rhinitis between September 2013 and August 2014 were recruited as the allergy group. The nasal nitric oxide concentration of children from the two groups was measured by ‘passive nasal respiration’ technology. Results The concentration of nasal nitric oxide in the control group was(266±84)ppb and was(426±151)ppb in the allergy group(P<0.01). There was no significant difference in concentration of nasal nitric oxide between different genders(P>0.05). Conclusion The concentration of nasal nitric oxide may be affected by age and cooperation of children. The passive nasal respiration technology is a user-friendly and noninvasive measurement for initial diagnosis of allergic rhinitis.

Key words: Allergic rhinitis, Exhalation, Nose, Child, Nitric oxide

中图分类号: 

  • R765.21
[1] Kharitonov S, Alving K, Barnes P J. Exhaled and nasal nitric oxide measurements:recommendations[J]. Eur Respir J, 1997, 10(7):1683-1693.
[2] Kharitonov S A, Walker L, Barnes P J. Repeatability of standardised nasal nitric oxide measurements in healthy and asthmatic adults and children[J]. Respir Med, 2005, 99(9):1105-1114.
[3] Struben V M, Wieringa M H, Mantingh C J, et al. Nasal NO normal values in children age 6 through to 17 years[J]. Eur Respir J, 2005, 26(3):453-457.
[4] 白银,尤少华, 张静, 等. 鼻腔呼出气一氧化氮无创检测及其临床意义[J].中华耳鼻咽喉头颈外科杂志, 2014, 49(4):341-346. BAI Yin, YOU Shaohua, ZHANG Jing, et al. Noninvasive measurement of nasal NO and fractional exhaled NO in healthy people and patients with allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2014, 49(4):341-346.
[5] Tsang Kw, Ip S K, Tipoe G L, et al. Exhaled nitric oxide:the effects of age, gender and body size[J]. Lung, 2001, 179(2):83-91.
[6] Zetterquist W, Pedroletti C, Lundberg J O, et al. Salivary contribution to exhaled nitric oxide[J]. Eur Respir J, 1999, 13(2): 327-333.
[7] 张罗, 罗雪瑞, 刘承耀, 等. 健康成人口鼻呼出气一氧化氮含量测定及其影响因素分析[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(4):302-306. ZHANG Luo, LUO Xuerui, LIU Chengyao, et al. Measurement of exhaled nitric oxide in healthy Chinese[J]. Chin J Otorhinolaryngol Head Neck Surg, 2009, 44(4):302-306.
[8] Daya H, Qian W, McClean P, et al. Nasal nitric oxide in children: a novel measurement technique and normal values[J]. Laryngoscope, 2002, 112(10):1831-1835.
[9] Corbelli R, Hammer J. Measurement of nasal nitric oxide[J]. Pediatr Respir Rev, 2007, 8(3):269-272.
[10] Ragabl S M, Lund V J, Saleh H A, et al. Nasal nitric oxide in objective evaluation of chronic rhinosinusitis Therapy[J]. Allergy, 2006, 61(6):717-724.
[11] Strubenl V M D, Wieringa M H. Nasal nitric oxide and nasal allergy[J]. Allergy, 2006, 61(6):665-670.
[1] 冯思聪,于晓岚,娄丹. 基于囊泡组织Ki67、GM-CSF表达评估Messerklinger中鼻甲成形术对慢性鼻-鼻窦炎合并鼻息肉的效果[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 31-39.
[2] 林小雪,林葆睿,李佩珊,卢标清. 电子鼻咽镜联合窄带成像技术在鼻咽癌中医辨证中的应用[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 40-46.
[3] 刘迪,谢应恒,朱斌,马霖,关兵,王莹,曹清,焦成,严齐,孙海勇,马伟. 不同性别未成年人鼻出血与环境气象因素相关性及滞后效应[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 47-54.
[4] 朱希倩,王佳,孙祖贤,冯建秀,张梦佳,赵颖,王宏,姜敏敏. 上海市杨浦区2022—2024年6~9岁学龄儿童屈光状态分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 102-109.
[5] 翟雪纯,边欣,陈敬彩,邓家钰,叶子,杨萍丽. 慢性额窦炎患者焦虑抑郁特点及横断面研究[J]. 山东大学耳鼻喉眼学报, 2026, 40(2): 35-43.
[6] 唐嘉骏,后婕,窦鑫,俞晨杰. 鼻腔框架结构畸形影响鼻腔结构及鼻窦气化的CT研究进展[J]. 山东大学耳鼻喉眼学报, 2026, 40(2): 102-110.
[7] 朱江,刘太祥,江兵. 经鼻内镜下泪囊鼻腔吻合手术前后结膜囊菌群变化[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 13-20.
[8] 吕倩,唐源,顾子君,施赛磊,刘萍,万文锦. 变应性鼻炎患者疾病获益感现状及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 21-28.
[9] 卢朝阳, 翟兆雪, 王慧康, 邵丽婷, 张宇. 新冠肺炎治疗引发糖尿病酮症酸中毒合并鼻眶脑型毛霉菌病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 90-94.
[10] 彭中华,陈竹,袁洛花,余绍兰,马玉玲. 原发性鼻腔高级别非肠型腺癌1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 95-98.
[11] 顾敏,陆美萍. 纳米药物输送系统在变应性鼻炎过敏原免疫治疗中的应用进展[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 106-111.
[12] 程卓, 梁辉, 邢鲁民. 深度学习技术在咽喉内镜应用中的研究进展及前景分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 112-119.
[13] 李阳松,袁发洋,杨艳,张田,喻国冻. 基于Web of Science进行生物制剂治疗慢性鼻窦炎文献计量学分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 54-64.
[14] 李帅,黄春燕,常明章. 鼻内镜下鼻中隔软骨尾端偏曲矫正术的临床效果分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 65-70.
[15] 秦娜娜,李玉芬,孙雨浩,魏健,李钦. 基于TGF-β1/Smad信号通路探讨白细胞介素13受体α2对变应性鼻炎大鼠鼻黏膜组织重塑的影响[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 71-77.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!