Ulkumen Burak, Ulkumen Burcu Artunc, Pala Halil Gursoy, Celik Onur, Sahin Nevin, Karaca Gizem, Demirdag Meltem
Burak Ulkumen, Assistant Professor, Department of Otorhinolaryngology, Celal Bayar University, School of Medicine, Manisa, Turkey.
Burcu Artunc Ulkumen, Associate Professor, Department of Obstetrics and Gynecology, Celal Bayar University, School of Medicine, Manisa, Turkey.
Pak J Med Sci. 2016 Jul-Aug;32(4):950-4. doi: 10.12669/pjms.324.10164.
To determine the cumulative incidence of pregnancy rhinitis along with prevalence in different trimesters and to find out whether gestational age, BMI and parity have any effect on pregnancy related nasal congestion.
In the prospective protocol at the obstetrics outpatient clinic, 167 pregnant women were enrolled consecutively. According to exclusion criteria, 67 of them were excluded. Visual-Analogue-Scale (VAS), Nasal-Obstructive-Symptom-Evaluation (NOSE) scale and Discharge-Inflammation-Polyps/Oedema (DIP) scoring were utilized for diagnosis of pregnancy rhinitis. Besides, weight, length, age, parity and week of pregnancy were recorded.
Total prevalence of pregnancy rhinitis was 17.17% and cumulative incidence was 38.89%. Our study revealed significant relation of NOSE score with both gestational week (r=0.474, p=0.001) and BMI (r=0.301, p=0.003). VAS score was significantly related with gestational week (r=0.409, p=0.001) and BMI (r=0.270, p=0.007). DIP score was found to be correlated only with gestational week (r=0.375, p=0.001).
Cumulative incidence of pregnancy rhinitis was 38.89%. Nasal congestion was significantly associated with BMI and gestational week. Patients should be informed about unfavorable fetal and maternal outcomes of pregnancy related nasal congestion which is triggered by obesity and excessive weight gain in pregnancy.
确定妊娠鼻炎的累积发病率以及不同孕期的患病率，并探究孕周、体重指数（BMI）和产次是否对妊娠相关鼻塞有影响。
在产科门诊的前瞻性研究方案中，连续纳入167名孕妇。根据排除标准，排除其中67人。采用视觉模拟量表（VAS）、鼻阻塞症状评估（NOSE）量表和分泌物-炎症-息肉/水肿（DIP）评分来诊断妊娠鼻炎。此外，记录体重、身高、年龄、产次和孕周。
妊娠鼻炎的总患病率为17.17%，累积发病率为38.89%。我们的研究显示，NOSE评分与孕周（r = 0.474，p = 0.001）和BMI（r = 0.301，p = 0.003）均存在显著相关性。VAS评分与孕周（r = 0.409，p = 0.001）和BMI（r = 0.270，p = 0.007）显著相关。发现DIP评分仅与孕周相关（r = 0.375，p = 0.001）。
妊娠鼻炎的累积发病率为38.89%。鼻塞与BMI和孕周显著相关。应告知患者妊娠相关鼻塞对胎儿和母亲的不良结局，这种鼻塞是由肥胖和孕期体重过度增加引发的。
