Fan Xuejie, Lin Peng, Sun Peiyong, Shi Wenjie, Zhang Jinmei, Wei Xianfeng, Zhang Yugeng, Bi Jing, Mi Yue
First Center Clinic College,Tianjin Medical University, Tianjin, 300192, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Jul;24(14):628-31, 635.
To establish reference values of acoustic rhinometry, rhinomanometry and rhinospirometer in healthy adults in Tianjin area, analyze the effects of age,sex and side on the value, investigate the correlation of the measure values, offer the diagnosis date for test nasal ventilation function in Tianjin area.
Four hundred and sixty-six healthy adults in Tianjin area were tested. A1 acoustic rhinometry was used to measure the minimum cross-sectional area (MCA), distance of the minimal cross-sectional area to the nostril (DCAN) and the nasal volume from 0-5 cm, 2-5 cm (V5, V2-5); At 150 Pa, 75 Pa and broms, NR6 Rhinomanometry was used to measure unilateral nasal inspiratory resistance (IR)and expiratory resistance (ER), bilateral nasal inspiratory and expiratory resistance (TIR and TER), and differences of the bilateral nasal resistance can be calculated; NV1 Rhinospirometer was used to measure unilateral inspiratory capacity (IC) and expiration capacity (EC), and the nasal partitioning ratio (NPR) can be calculated. Practical measure the distance of nostril to ahead of the inferior turbinate and compare with DCAN. Make the correlational analysis on different index of three exam.
Reference values of acoustic rhinometry: MCA was (0.45 +/- 0. 16) cm2 for male, (0.44 +/- 0.16) cm2 for female; V2-5 was (3.52 +/- 1.38) cm3 for male, (3.36 +/- 1.22) cm3 for female, V5 was (5.10 +/- 1.47) cm3 for male, (4.86 +/- 1.12) cm3 for female; DCAN have two distance, (2.22 +/- 0.398, 0.53 +/- 0.625) cm was for male, (2.10 +/- 0.37, 0.67 +/- 0.15) cm was for female. No significant gender, side and age differences were shown in MCA, V5, V2-5. Significant gender differences were shown in DCAN but no side and age differences. Reference values of rhinomanometry: Significant gender but no side and age differences were shown in IR, ER, TIR, TER. Reference values of rhinospirometer: IC was (2.06 +/- 1.10) L/20 s for male, (1.37 +/- 0.34) L/20 s for female, EC was (2.15 +/- 1.23) L/20 s for male (1.39 +/- 0.58) L/20 s for female. NPRi was 0.11 [0.05, 0.23],NPRe was 0.11 [0.05, 0.19]. Significant gender but no side and age differences were shown in IC and EC. No gender and age differences were shown in NPRi and NPRe. There was significant correlation found between MCA and IR/ER/IC/EC, IR and IC, ER and EC, Rlr and NPRi/ NPRe.
Acoustic rhinometry,rhinomanometry and rhinospirometer can be useful reference values to evaluate nasal ventilation function, more value will be found if use the three together.
建立天津地区健康成年人鼻声反射、鼻阻力计及鼻肺量计的参考值，分析年龄、性别及左右侧别对其测量值的影响，探讨各测量值之间的相关性，为天津地区鼻通气功能检测提供诊断依据。
对天津地区466例健康成年人进行检测。采用A1型鼻声反射仪测量鼻腔最小横截面积（MCA）、最小横截面积距鼻孔的距离（DCAN）及05 cm、25 cm的鼻腔容积（V5、V2-5）；采用NR6型鼻阻力计在150 Pa、75 Pa及自然呼吸时测量单侧鼻吸气阻力（IR）和呼气阻力（ER）、双侧鼻吸气阻力和呼气阻力（TIR和TER），并可计算双侧鼻阻力差值；采用NV1型鼻肺量计测量单侧吸气量（IC）和呼气量（EC），并可计算鼻分隔率（NPR）。实际测量鼻孔至下鼻甲前端的距离并与DCAN比较。对三项检查的不同指标进行相关性分析。
鼻声反射参考值：男性MCA为（0.45±0.16）cm²，女性为（0.44±0.16）cm²；男性V2-5为（3.52±1.38）cm³，女性为（3.36±1.22）cm³；男性V5为（5.10±1.47）cm³，女性为（4.86±1.12）cm³；DCAN有两个距离值，男性为（2.22±0.398，0.53±0.625）cm，女性为（2.10±0.37，0.67±0.15）cm。MCA、V5、V2-5在性别、左右侧别及年龄方面差异无统计学意义。DCAN在性别方面差异有统计学意义，在左右侧别及年龄方面差异无统计学意义。鼻阻力计参考值：IR、ER、TIR、TER在性别方面差异有统计学意义，在左右侧别及年龄方面差异无统计学意义。鼻肺量计参考值：男性IC为（2.06±1.10）L/20 s，女性为（1.37±0.34）L/20 s；男性EC为（2.15±1.23）L/20 s，女性为（1.39±0.58）L/20 s。NPRi为0.11[0.05，0.23]，NPRe为0.11[0.05，0.19]。IC和EC在性别方面差异有统计学意义，在左右侧别及年龄方面差异无统计学意义。NPRi和NPRe在性别及年龄方面差异无统计学意义。MCA与IR/ER/IC/EC、IR与IC、ER与EC、Rlr与NPRi/NPRe之间存在显著相关性。
鼻声反射、鼻阻力计及鼻肺量计可为评估鼻通气功能提供有用的参考值，三项联合应用价值更大。
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