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鼻阻力测量、鼻声反射测量和黏液纤毛传输时间在评估鼻通畅度中的作用。

The role of rhinomanometry, acoustic rhinometry, and mucociliary transport time in the assessment of nasal patency.

作者信息

Passàli D, Mezzedimi C, Passàli G C, Nuti D, Bellussi L

机构信息

ENT Department, University of Siena Medical School, Italy.

出版信息

Ear Nose Throat J. 2000 May;79(5):397-400.

Abstract

We conducted a study of 60 patients with different nasal pathologies who complained of nasal obstruction. Our goal was to evaluate the reliability of rhinomanometry, acoustic rhinometry, and the measurement of mucociliary transport time in helping make the diagnosis of nasal pathologies. We also sought to discover whether there is a correlation between the findings of these objective tests and the results of patients' own subjective assessments of nasal obstruction. We found that acoustic rhinometry was more specific and more sensitive than rhinomanometry in diagnosing rhinopathies in patients with structural anomalies. Symptom scores as rated by patients on the visual analog scale frequently did not correlate with objective measures, as patients often overestimated the severity of their obstruction. However, for a few patients, there was a correlation between symptom scores and mucociliary transport times.

摘要

我们对60名患有不同鼻腔疾病且主诉鼻塞的患者进行了一项研究。我们的目标是评估鼻阻力测量法、鼻声反射测量法以及黏液纤毛传输时间测量在辅助诊断鼻腔疾病方面的可靠性。我们还试图发现这些客观测试的结果与患者自身对鼻塞主观评估的结果之间是否存在相关性。我们发现,在诊断结构异常患者的鼻腔疾病时,鼻声反射测量法比鼻阻力测量法更具特异性和敏感性。患者在视觉模拟量表上给出的症状评分往往与客观测量结果不相关,因为患者常常高估其鼻塞的严重程度。然而,对于少数患者来说,症状评分与黏液纤毛传输时间之间存在相关性。

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