Ciprandi Giorgio, Tosca Maria Angela, Signori Alessio, Ameli Franco
Department of Internal Medicine, Genoa University, Italy.
Int J Pediatr Otorhinolaryngol. 2010 Dec;74(12):1405-8. doi: 10.1016/j.ijporl.2010.09.019. Epub 2010 Oct 14.
Nasal obstruction is a common symptom in childhood. It may be frequently observed in children with allergic rhinitis and/or adenoidal hypertrophy. However, its assessment is very difficult. The aim of the study was to compare the use of both a Face Related Scale (FRS), recorded by children and their parents, and a simplified Visual Analogue Scales (sVAS) with nasal endoscopy in children complaining nasal obstruction.
121 children (75 males, mean age 7.5 years) were studied. FRS and sVAS for nasal obstruction and endoscopy were performed in all patients.
A moderate correlation has been observed between FRS and sVAS and obstruction of nasal anterior segment (r=0.51 for FRS; r=0.52 for sVAS), a strong correlation was observed with nasal posterior segment (r=0.60 for FRS; r=0.61 for sVAS) assessed by endoscopy. However, parents' perception did not relate with objective parameters.
This study suggests that assessment of FRS and sVAS for nasal obstruction may be used in clinical practice to approximately quantify this symptom in children.
鼻塞是儿童常见症状。在变应性鼻炎和/或腺样体肥大患儿中可能经常见到。然而，对其评估非常困难。本研究的目的是比较由儿童及其父母记录的面部相关量表（FRS）和简化视觉模拟量表（sVAS）与鼻内镜检查在主诉鼻塞儿童中的应用。
对121名儿童（75名男性，平均年龄7.5岁）进行研究。对所有患者进行鼻塞的FRS和sVAS以及鼻内镜检查。
FRS和sVAS与鼻前段阻塞之间观察到中度相关性（FRS的r = 0.51；sVAS的r = 0.52），与鼻内镜评估的鼻后段观察到强相关性（FRS的r = 0.60；sVAS的r = 0.61）。然而，父母的感知与客观参数无关。
本研究表明，FRS和sVAS对鼻塞的评估可用于临床实践，以大致量化儿童的这种症状。
