Servicio de Alergia e Inmunología, Clínica Universitaria Reina Fabiola, Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, Córdoba, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):331-338. doi: 10.5546/aap.2021.eng.331.
Nasal obstruction (NO) is the most irritating symptom of chronic rhinitis (CR). The results of studies that correlated subjective and objective methods of NO in children and adults were contradictory.
To analyze the correlation between subjective NO scales and peak nasal inspiratory flow (PNIF) measurements and compare the subjective NO assessment and PNIF in children by age.
Participants were patients with CR. The correlation between the subjective NO assessment using a visual analog scale (NO-VAS) and the Nasal Obstruction Symptom Evaluation (NOSE) and nasal airflow measurement pre- and post-vasoconstrictor administration using the PNIF was estimated. The differences in the subjective NO assessment and PNIF between children aged 8-11 years and 12-15 years were analyzed.
A total of 79 patients aged 8-15 years were included. No correlation was established between the NO-VAS and the PNIF before and after vasoconstrictor administration (r = -0.19; p = 0.11 and r = -0.18; p = 0.15 respectively) or between the NOSE and the baseline PNIF (r = -0.23; p = 0.07). Differences were observed in the PNIF between children aged 8-11 years and 12-15 years (p =<0.0001), but there were no differences in the subjective perception assessed with the NO-VAS (p = 0.7591).
No correlation was demonstrated between the subjective NO score and the PNIF in children and adolescents with CR. Older children have a lower perception of NO than younger ones. Subjective NO scales cannot replace the PNIF measurement in patients with rhinitis.
鼻塞（NO）是慢性鼻炎（CR）最令人困扰的症状。将儿童和成人的主观和客观 NO 方法相关联的研究结果相互矛盾。
分析主观 NO 评分与最大鼻吸气流量（PNIF）测量之间的相关性，并比较儿童按年龄划分的主观 NO 评估和 PNIF。
参与者为 CR 患者。使用视觉模拟量表（NO-VAS）对主观 NO 评估与鼻腔阻塞症状评估（NOSE）以及使用 PNIF 进行血管收缩剂给药前后鼻气流测量之间的相关性进行评估。分析 8-11 岁和 12-15 岁儿童之间主观 NO 评估和 PNIF 的差异。
共纳入 79 名 8-15 岁的患者。在血管收缩剂给药前后，NO-VAS 与 PNIF 之间未建立相关性（r = -0.19；p = 0.11 和 r = -0.18；p = 0.15），或 NOSE 与基础 PNIF 之间未建立相关性（r = -0.23；p = 0.07）。8-11 岁和 12-15 岁儿童的 PNIF 存在差异（p <0.0001），但在 NO-VAS 评估的主观感觉方面没有差异（p = 0.7591）。
在患有 CR 的儿童和青少年中，主观 NO 评分与 PNIF 之间未显示相关性。年龄较大的儿童对 NO 的感知度低于年龄较小的儿童。主观 NO 量表不能替代鼻炎患者的 PNIF 测量。
