Serrano E, Klossek J M, Didier A, Dreyfus I, Sévenier F, Dessanges J F
Hôpital Larrey, Service ORL, 31059 Toulouse 9, France.
Rev Laryngol Otol Rhinol (Bord). 2007;128(3):173-7.
To establish the ENT specialists's interest for the nasal obstruction measurement by the Peak Nasal Inspiratory Flow (PNIF) for the primary care medical management of patients with allergic rhinitis.
A nation wide mail survey was conducted on the whole set of 2,800 French ENT specialists. Physicians had to use the PNIF in 4-consecutive patients with allergic rhinitis and assess through a questionnaire their interest for this tool.
About 8% of all ENTs (n = 228) responded. 65.3% of them had used the PNIF with their 4 patients, 29.7% used it in only 1 to 3 of their patients, and 5% did not use it at all. The PNIF was mainly used in moderate to severe rhinitis (94%) in contrast with mild rhinitis (32%) and in persistent rhinitis (94.2%) compared to intermittent rhinitis (54.8%). The primary motivation to use the PNIF on a systematic basis was to quantitatively assess nasal obstruction and to obtain an objective measurement of nasal obstruction. Conversely, the reasons for not using the PNIF were the needless of an objective measurement of nasal obstruction, the drawback of the PNIF in the patient physician relationship and lack of patient's acceptance of the device. Most physicians considered training for a correct usage of the PNIF was easy. Finally, about 2 thirds of the sample gave a positive rating on the usefulness of the PNIF for their patients.
This study demonstrates the interest of the practitioners to dispose of a simple and reliable tool for the follow up of nasal obstruction in allergic rhinitis.
确定耳鼻喉科专家对采用鼻吸气峰流量（PNIF）测量鼻阻塞情况的兴趣，以便对过敏性鼻炎患者进行初级保健医疗管理。
对法国2800名耳鼻喉科专家进行了全国范围内的邮件调查。医生们需要对连续4例过敏性鼻炎患者使用PNIF，并通过问卷调查评估他们对该工具的兴趣。
约8%的耳鼻喉科医生（n = 228）做出了回应。其中65.3%的医生对4例患者使用了PNIF，29.7%的医生仅对1至3例患者使用了PNIF，5%的医生根本未使用。PNIF主要用于中重度鼻炎（94%），而轻度鼻炎患者中使用的比例为32%；用于持续性鼻炎患者的比例为94.2%，间歇性鼻炎患者中使用的比例为54.8%。系统使用PNIF的主要动机是定量评估鼻阻塞情况并获得鼻阻塞的客观测量值。相反，不使用PNIF的原因是不需要鼻阻塞的客观测量值、PNIF在医患关系中的缺陷以及患者对该设备的接受度不足。大多数医生认为对PNIF进行正确使用的培训很容易。最后，约三分之二的样本对PNIF对其患者的有用性给予了积极评价。
本研究表明从业者对拥有一种用于跟踪过敏性鼻炎鼻阻塞情况的简单可靠工具很感兴趣。
