Wang Yang, Qin Mali, Jin Ling, Liu Shuangxi, Fan Kai, Yu Shaoqing
Department of Otorhinolaryngology Head and Neck Surgery,Tongji Hospital,Tongji Medical University,Shanghai,200065,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov;34(11):1014-1018. doi: 10.13201/j.issn.2096-7993.2020.11.013.
In this study, the level of nasal nitric oxide(nNO), exhaled nitric oxide(eNO), and exhaled carbon monoxide(eCO) in patients with allergic rhinitis(AR) were tested, to explore the correlation between nNO, eNO, eCO and AR. A total of 60 AR patientswere enrolled as the allergy group and then divided into mild, medium and severe subgroups according to symptom scores. 30 healthy volunteers were recruited as control group. The levels of nNO, eNO and eCO were detected in AR group, AR subgroups and control group. The levels of nNO, eNO and eCO in AR group were higher than those in control group(<0.05). nNO, eNO and eCO levels were positively correlated with symptom scores(<0.05).Pairwise comparison was used between mild, moderate and severe subgroups. The difference of both nNO and eNO levels between mild, moderate and severe AR subgroups was statistically significant, severe>and moderate>were mild(<0.05), but there was no significant difference in eNO levels between the mild AR subgroup and the control group(>0.05). Level of eCO in severe AR subgroup was higher than those in moderate and mild AR subgroups(<0.05), but there was no significant difference between mild, moderate AR subgroups and control group(>0.05). nNO, eNO and eCO levels were used as indicators to evaluate the severity of AR, and the receiver operating characteristic(ROC) curves were plotted. The area under curve(AUC) was 0.978, 0.786 and 0.577, respectively. Taking eCO level as the indicator for disease assessment of severe AR, the AUC was 0.728. It showed that nNO had a high accuracy in evaluating the severity of AR, eNO had a certain accuracy in evaluating the severity of AR, and eCO had a certain accuracy in the assessment of severe AR. The detection of nNO, eNO and eCO levels can be used as an objective assessment method of the severity of AR.
在本研究中,检测了变应性鼻炎(AR)患者的鼻一氧化氮(nNO)、呼出一氧化氮(eNO)和呼出一氧化碳(eCO)水平,以探讨nNO、eNO、eCO与AR之间的相关性。共纳入60例AR患者作为过敏组,然后根据症状评分分为轻度、中度和重度亚组。招募30名健康志愿者作为对照组。检测AR组、AR亚组和对照组的nNO、eNO和eCO水平。AR组的nNO、eNO和eCO水平高于对照组(<0.05)。nNO、eNO和eCO水平与症状评分呈正相关(<0.05)。对轻度、中度和重度亚组进行两两比较。轻度、中度和重度AR亚组之间的nNO和eNO水平差异具有统计学意义,重度>中度>轻度(<0.05),但轻度AR亚组与对照组之间的eNO水平无显著差异(>0.05)。重度AR亚组的eCO水平高于中度和轻度AR亚组(<0.05),但轻度、中度AR亚组与对照组之间无显著差异(>0.05)。以nNO、eNO和eCO水平作为评估AR严重程度的指标,并绘制受试者工作特征(ROC)曲线。曲线下面积(AUC)分别为0.978、0.786和0.577。以eCO水平作为重度AR疾病评估指标时,AUC为0.728。结果表明,nNO在评估AR严重程度方面具有较高的准确性,eNO在评估AR严重程度方面具有一定的准确性,eCO在评估重度AR方面具有一定的准确性。检测nNO、eNO和eCO水平可作为AR严重程度的客观评估方法。