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儿童声学鼻测量法在基线和充血消退后的参考值。

Reference values for acoustic rhinometry in children at baseline and after decongestion.

机构信息

Department of Otorhinolaryngology, Turku University Hospital, Turku, Finland.

出版信息

Rhinology. 2011 Jun;49(2):243-7. doi: 10.4193/Rhino10.143.

Abstract

BACKGROUND

Acoustic rhinometry is widely used for objective evaluation of nasal dimensions. However, there is a lack of agreement on the normative values in children at baseline, and especially after decongestion. The purpose of this study was to determine the reference values for Finnish school children for acoustic rhinometry in non-decongested and decongested noses, and to find out which of the potential predictors (age, sex, body surface area (BSA) and height) would be the most useful one(s).

METHODOLOGY

The study included 124 children aged between 6.90 and 13.84 years with no permanent nasal symptoms.

RESULTS

At baseline, the mean total minimal cross-sectional area (MCA) was 0.752 cm2, and the mean total volume between 0 - 3 cm (VOL) was 4.00 cm3. After decongestion, the total MCA was 0.794 cm2, and the VOL was 4.38 cm3. There was a significant correlation between MCA and age, between VOL and height, and between VOL and BSA at baseline and after decongestion. We found no difference in the values between boys and girls.

CONCLUSIONS

We conclude that acoustic rhinometry is a suitable objective method to monitor the changes in mucosal swelling and nasal obstruction in children. Age and height or BSA of a child can be suggested as predictive factors.

摘要

背景

声学鼻测量法被广泛用于客观评估鼻腔尺寸。然而,在基础状态下,尤其是在充血消退后,儿童的正常参考值尚未达成共识。本研究旨在确定芬兰学龄儿童在未充血和充血消退的鼻腔中进行声学鼻测量法的参考值,并找出哪些潜在的预测因子(年龄、性别、体表面积(BSA)和身高)最有用。

方法

该研究纳入了 124 名年龄在 6.90 至 13.84 岁之间、无永久性鼻部症状的儿童。

结果

在基础状态下,平均总最小横截面积(MCA)为 0.752cm²,0-3cm 之间的总容积(VOL)为 4.00cm³。充血消退后,总 MCA 为 0.794cm²,VOL 为 4.38cm³。在基础状态和充血消退时,MCA 与年龄、VOL 与身高以及 VOL 与 BSA 之间均存在显著相关性。我们未发现男孩和女孩之间的数值存在差异。

结论

我们得出结论,声学鼻测量法是一种监测儿童粘膜肿胀和鼻阻塞变化的合适的客观方法。儿童的年龄和身高或 BSA 可以作为预测因素。

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