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外置鼻扩张器条在运动活动中是否有用?系统评价和荟萃分析。

Does the external nasal dilator strip help in sports activity? A systematic review and meta-analysis.

机构信息

Department of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais-Post Graduate Program in Health Sciences, Rua Sertões 100 - Ap 201 - Prado, Belo Horizonte, MG, CEP: 30411-164, Brasil.

Department of Dentistry, Pontifical Catholic University of Minas Gerais-Post Graduate Program in Orthodontics, Belo Horizonte, MG, Brasil.

出版信息

Eur Arch Otorhinolaryngol. 2021 May;278(5):1307-1320. doi: 10.1007/s00405-020-06202-5. Epub 2020 Jul 18.

DOI:10.1007/s00405-020-06202-5
PMID:32683573
Abstract

BACKGROUND

Numerous studies have shown that the external nasal dilator (END) increases the cross sectional area of the nasal valve, thereby reducing nasal resistance, transnasal inspiratory pressure, stabilizing the lateral nasal vestibule, and preventing its collapse during final inhalation.

OBJECTIVES

Our objective was to carry out a systematic review of the literature and meta-analysis on the effects of the END during physical exercise.

METHODS

After selecting articles in the PubMed, Cochrane Library and EMBASE databases, 624 studies were identified. However, after applying the inclusion and exclusion criteria, 19 articles were considered eligible for review.

RESULTS

Those studies included in the meta-analysis, the maximal oxygen uptake (VOmax.) outcome was assessed in 168 participants in which no statistically significant difference was found, MD (95% CI) = 0.86 [- 0.43, 2.15], p = 0.19, and I = 0%. The heart rate (HR) outcome was assessed in 138 participants in which no statistically significant difference was found, MD (95% CI) = 0.02 [- 3.19, 3.22], p = 0.99, and I = 0%. The rating of perceived exertion (RPE) outcome was assessed in 92 participants in which no statistically significant difference was found, MD (95% CI) =  - 0.12 [- 0.52, 0.28], p = 0.56, and I = 27%.

CONCLUSIONS

The external nasal dilator strip showed no improvement in VOmax., HR and RPE outcomes in healthy individuals during exercise.

摘要

背景

许多研究表明,外部鼻扩张器(END)增加了鼻阀的横截面积,从而降低了鼻阻力、经鼻吸气压力、稳定了外侧鼻前庭,并防止其在最后吸气时塌陷。

目的

我们的目的是对 END 在体育锻炼中的作用进行系统评价和荟萃分析。

方法

在选择了 PubMed、Cochrane 图书馆和 EMBASE 数据库中的文章后,确定了 624 项研究。然而,在应用纳入和排除标准后,有 19 项研究被认为符合审查条件。

结果

纳入荟萃分析的研究中,168 名参与者评估了最大摄氧量(VOmax.)的结果,未发现统计学差异,MD(95%CI)=0.86[-0.43, 2.15],p=0.19,I=0%。138 名参与者评估了心率(HR)的结果,未发现统计学差异,MD(95%CI)=0.02[-3.19, 3.22],p=0.99,I=0%。92 名参与者评估了主观用力感觉(RPE)的结果,未发现统计学差异,MD(95%CI)=-0.12[-0.52, 0.28],p=0.56,I=27%。

结论

在健康个体运动期间,外部鼻扩张器带对 VOmax.、HR 和 RPE 结果没有改善作用。

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本文引用的文献

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Nasal Dilators (Breathe Right Strips and NoZovent) for Snoring and OSA: A Systematic Review and Meta-Analysis.用于打鼾和阻塞性睡眠呼吸暂停的鼻扩张器(畅呼吸鼻贴和诺泽文):一项系统评价和荟萃分析
Pulm Med. 2016;2016:4841310. doi: 10.1155/2016/4841310. Epub 2016 Dec 13.
2
External nasal dilator strips do not affect treadmill performance in subjects wearing mouthguards.外置鼻腔扩张器在佩戴防护牙套的受试者中不会影响跑步机表现。
J Athl Train. 2000 Jan;35(1):60-4.
3
Oxygenation and exercise performance-enhancing effects attributed to the breathe-right nasal dilator.
呼吸畅通鼻扩张器的增氧和提高运动表现的作用。
J Athl Train. 1995 Sep;30(3):211-4.
4
Influence of changes in nasal ventilation on estimated workload during submaximal field running.鼻通气变化对次最大强度野外跑步时估计工作量的影响。
J Sports Med Phys Fitness. 2002 Sep;42(3):295-9.
5
Nasal strips do not affect cardiorespiratory measures during recovery from anaerobic exercise.鼻贴对无氧运动恢复过程中的心肺指标没有影响。
J Strength Cond Res. 2001 Aug;15(3):341-3.
6
Nostril dilatation increases capacity to sustain moderate exercise under nasal breathing condition.鼻孔扩张可提高在鼻腔呼吸条件下维持适度运动的能力。
J Sports Med Phys Fitness. 2001 Dec;41(4):470-8.
7
Effect of nostril dilatation on prolonged all-out intermittent exercise performance.
J Sports Med Phys Fitness. 2001 Jun;41(2):189-95.