Altissimi G, Simoncelli C, Gallucci L
Acta Otorhinolaryngol Ital. 1989 Nov-Dec;9(6):555-63.
Measurement of decubitus-caused variations in air flow resistance through the nasal cavities indicates the vascular reactivity of turbinate cavernous tissue and makes it possible to evaluate the variable component in nasal resistance; a component usually suppressed by previous pharmacological vasoconstriction. The aim of the present work has been to indicate normative values regarding variations in nasal resistance in different types of decubitus. The latter will be referenced for future studies regarding nasal vasomotor pathologies (specific or aspecific hyperreactivity). Eighty nasal cavities from normal subjects were examined by means of Anterior Active Rhinomanometry in the following positions: seated, supine, homolateral and contralateral to the fossa in question. As absolute values are highly variable even in normal subjects, the resistance variations in decubitus were expressed in percentage of basal value (seated position). In every decubitus there is an average increase in resistance due to the increased venous pressure in the cephalic area although the greatest statistical significance and lowest scattering of values is found in the supine position with 20 degrees head-trunk angle. Mean values and standard deviations are given and will be referenced for further studies on rhinopathology.
通过鼻腔测量因卧位引起的气流阻力变化,可表明鼻甲海绵状组织的血管反应性,并有可能评估鼻阻力中的可变成分;该成分通常会被先前的药物性血管收缩所抑制。本研究的目的是指出不同卧位下鼻阻力变化的标准值。这将为今后有关鼻血管运动性病变(特异性或非特异性高反应性)的研究提供参考。通过前鼻主动测压法对80个来自正常受试者的鼻腔在以下体位进行了检查:坐位、仰卧位、患侧卧位和对侧卧位。由于即使在正常受试者中绝对值也高度可变,卧位时的阻力变化以基础值(坐位)的百分比表示。尽管在头躯干角度为20度的仰卧位时发现最大的统计学意义和最小的值离散度,但在每个卧位时,由于头部区域静脉压升高,阻力平均都会增加。给出了平均值和标准差,将为鼻病学的进一步研究提供参考。