变应性鼻炎伴哮喘患者经微波治疗后的肺功能及呼吸阻力改变

doi:10.6040/j.issn.1673-3770.0.2015.538

摘要/Abstract

摘要： 目的探讨变应性鼻炎伴哮喘患者经微波治疗后,肺通气功能及呼吸阻力受到的影响和变化。方法选取变应性鼻炎伴哮喘患者43例,分别在治疗前后对所有患者进行肺功能检测。微波治疗,功率选择30 W,启动时间4 s,针对下鼻甲黏膜下、中鼻甲前段以及鼻丘进行微波多点凝固。结果总有效率100%,显效30例(69.8%)、有效13例(30.2%)。未发生不良反应或并发症。一秒用力呼气量(FEV1)、一秒呼气/用力肺活量(FEV1%)、用力呼气量75%流速(FEF75)的改善差异有统计学意义(P<0.05),用力呼气量25%流速(FEF25)、用力呼气量50%流速(FEF50)的改善差异无统计学意义(P>0.05)。结论微波治疗变应性鼻炎伴哮喘患者,肺通气功能有效改善,呼吸阻力降低。

关键词: 支气管哮喘, 变应性鼻炎, 肺功能, 呼吸阻力

Abstract: Objective To study the changes of pulmonary function and respiratory resistance in patients with allergic rhinitis and asthma after microwave treatment. Methods The pulmonary function of 43 patients were detected before and after treatment. In the microwave treatment, the power was 30 w, and starting time was 4 s. Multipoint solidification was performed on the submucosal inferior turbinate, forepart of middle turbinate and nasal hillock. Results The total effective rate was 100%, 30 cases were markedly improved(69.8%), and 13 cases were relieved(30.2%). No adverse reactions or complications were observed. The FEV1, FEV1%, and FEF75 improved significantly(P<0.05), while the FEF25 and FEF50 had no significant improvement(P>0.05). Conclusion Microwave treatment can effectively improve the pulmonary ventilation function and reduce respiratory resistance in patients with allergic rhinitis and asthma.

Key words: Respiratory resistance, Allergic rhinitis, Pulmonary function, Bronchial asthma

中图分类号:

R765.21

杨美艳. 变应性鼻炎伴哮喘患者经微波治疗后的肺功能及呼吸阻力改变[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 82-84.

YANG Meiyan. Changes of pulmonary function and respiratory resistance in patients with allergic rhinitis and asthma after microwave treatment.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 82-84.

参考文献

[1] 韩建军, 邓丽, 任何贤, 等. 变应性鼻炎儿童气质特征的临床研究[J]. 中国实用医刊, 2012, 39(3):51-53. HAN Jianjun, DENG Li, REN Hexian, et al. Clinical study on temperament characteristics of children with allergic rhinitis[J]. Chin J Prac Med, 2012, 39(3): 51-53.
[2] 张玉芳. Toll样受体4与免疫球蛋白E在变应性鼻炎中的表达意义及相关性[J].中国实用医刊, 2012, 39(20):102-103. ZHANG Yufang. Expression and significance of Toll like receptor 4 and immunoglobulin E in allergic rhinitis[J]. Chin Prac J Med, 2012, 39(20):102-103.
[3] 韩德民. 变应性鼻炎[M]. 北京: 人民卫生出版社, 2007: 155-158.
[4] Host A, Andras S, Charkin S, et al. Auergy Testing in children: why, who, when and how[J]. Allergy, 2003, 581[J] :559-569.
[5] Burgess J A, Waiters E H, Byrnes G B, et al. Childhood allergic rhinitis predicts asthma, incidence and persistence to middie age:a longitudinal study[J]. J Auergy Clin Immunol, 2007, 120(4):863-869.
[6] 殷明德. 变应性鼻炎一哮喘联病患者诊治要点[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(5):193. YIN Mingde. Key points of diagnosis and treatment of allergic rhinitis in patients with allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2009, 23(5):193.
[7] 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 变应性鼻炎诊断和治疗指南[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(12):977-978. The Chinese medical association otolaryngology head and neck surgery branch of nasal science group. Diagnosis and treatment of allergic rhinitis guide[J]. Chin J Otorhinolarynol Head Neck Surg, 2009, 44(12):977-978.
[8] 周新. 支气管哮喘控制的评估方法[J]. 中华结核和呼吸杂志, 2008, 31(3):166-168. ZHOU Xin. Evaluation method of bronchial asthma control[J]. Chin J Tuberculosis Respiratory, 2008, 31(3):166-168.
[9] Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests[J]. Eur Respir J, 2005, 26:948-968.
[10] 王雯, 王辰. 支气管哮喘与变应性鼻炎的关系[J]. 中华哮喘杂志, 2009, 3(3):223-225. WANG Wen, WANG Chen. The relationship between bronchial asthma and allergic rhinitis[J]. Chin J Asthma, 2009, 3(3):223-225.
[11] 王向东, 韩德民, 周兵, 等. 上下呼吸道炎症反应相关性研究[J].中华耳鼻喉科杂志, 2003, 38(4):247-248. WANG Xiangdong, HAN Demin, ZHOU Bing, et al. Upper and lower respiratory tract inflammation correlation[J]. Chin J Otorhinolarynol, 2003, 38(4):247-248.
[12] 谭建成. 慢性鼻-鼻窦炎病变程度与支气管哮喘肺功能的相关性[J]. 山东大学耳鼻喉眼学报,2015, 29(1):28-31. TAN Jiancheng. Correlation of chronic nasal-sinusitis and bronchopulmonary asthma lung function[J]. J Otolaryngol Ophthalmol Shandong Univ, 2015, 29(1):28-31.
[13] 张丽, 胡红, 陈雷, 等. 变应性鼻炎对哮喘患者临床控制及肺通气功能的影响[J]. 疑难病杂志, 2012, 11(2):98-101. ZHANG Li, HU Hong, CHEN Lei, et al. The effect of allergic rhinitis on the clinical control and pulmonary ventilation function in patients with asthma[J]. J Difficult Dis, 2012, 11(2):98-101.
[14] Cruz A A, Popov T, Pawamkar R, et al. Common characteristics of upper and lower airways in rhinitis and asthma: ARIA update, in colladoration with GA(2)LEN[J]. Allergy, 2007, 62(suppl 84):1-41.
[15] 程雷, 陈育智, ARIA工作组. 变应性鼻炎及其对哮喘的影响(ARIA)指南十年回顾与展望[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(8):619-621. CHENG Lei, CHEN Yuzhi, ARIA Working Group. Review and Prospect of allergic rhinitis and its impact on asthma(ARIA)guideline ten years[J]. Chin J Otorhinolaryngol Head Neck Surg, 2012, 47(8):619-621.

相关文章 15

[1]	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.
[2]	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.
[3]	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.
[4]	熊琴, 张砚, 乌日娜, 李锋, 唐力行. 鼻用糖皮质激素在儿童中的应用[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 160-167.
[5]	许雪萌,樊磊,喻望博,蒋芝月,潘晨,黄泳芹. 奥马珠单抗联合特异性免疫治疗变应性鼻炎疗效的Meta分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 26-33.
[6]	刘怡君,谷悦,官大宇,杨玉成,沈暘. 翼管神经切断术在难治性变应性鼻炎中远期临床疗效和安全性[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 42-48.
[7]	张婷,王美兰,高映勤. 白细胞介素35在变应性鼻炎中的研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 139-147.
[8]	张竹萍,彭孜灿,肖振龙,李程,喻迪,王兴龙,陈伟,郭蓓. 新型鼻分泌物嗜酸粒细胞阳离子蛋白-髓过氧化物酶试纸在变应性鼻炎中的应用价值[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 129-134.
[9]	刘畅,杨景朴,高雨,王文佳. 长春地区儿童变应性鼻炎变应原检测结果分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 51-58.
[10]	周荷青,申琪. 中医药治疗变应性鼻炎疗效的生物标志物研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 168-176.
[11]	王曼娴,郑泉,杨亮. 细菌裂解物治疗变应性鼻炎的研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 141-145.
[12]	刘畅,方宏艳,刘敩,富东娜,王贺,王晶,杨景朴. 长春地区秋季变应性鼻炎蒿属花粉致敏特征分析[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 13-19.
[13]	朱朗,刘志奇. 移动医疗提供的真实世界数据在变应性鼻炎治疗方案中的参考[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 135-139.
[14]	张静祎,董湘依,牟亚魁,宋西成. 细胞焦亡在耳鼻咽喉科疾病中的研究进展[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 140-148.
[15]	张丽净,冯晓星,刘南仙,赵辉明,陈月华. 石墨烯养护鼻罩结合尘螨的皮下特异性免疫治疗在尘螨变应性鼻炎患者中的应用分析[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 26-32.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed