Yan Shanshan, Liu Wen, Shen Ping, Liu Kang
Xuzhou Medical University Affiliated Hospital,Xuzhou,221000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Mar;38(3):235-239. doi: 10.13201/j.issn.2096-7993.2024.03.011.
To investigate the changes of nasal ventilation before and after septoplasty by using NOSE scoring scale and nasal function examination, and to explore the correlation between subjective nasal obstruction and nasal function examination and its clinical application value. A total of 129 cases of nasal septum deviation from December 2021 to April 2023 in our hospital were selected for study. All patients underwent septoplasty. Nasal obstruction symptom evaluation(NOSE) was performed in all patients before surgery and 3 months after surgery. nasal minimal cross-sectional area(MCA) and nasal cavity volume(NCV) were recorded by nasal acoustic reflex, nasal resistance meter and nasal respiration apparatus, nasal resistance(NR), distance between the nostril to minimum cross-sectional area,(the distance between the nostril to minimum cross-sectional area, MD), nasal inspiratory volume(IV), nasal expiratory volume(EV), the nasal partitioning ratio, NPR includes objective indicators such as inspiratory volume difference ratio(NPRi) and expiratory volume difference ratio(NPRe). Paired test was used to compare and analyze the changes of various indicators before and after surgery, and the difference(<0.05) was statistically significant, and Pearson correlation linear analysis was used to analyze the correlation between subjective and objective indicators. There were statistically significant differences in NOSE score, NCV, NR, MD, EV, IV, NPRe and NPRi of 129 patients before and after surgery(<0.05), while there was no statistically significant difference between MCA before and after surgery(>0.05). Preoperative NOSE score was correlated with NR, NCV, EV, IV, NPRe and NPRi(<0.05), but not with MD and MCA(>0.05). There was correlation between NOSE score and NR, MCA, NCV, EV, IV, NPRe and NPRi(<0.05), but no correlation between nose score and MD(>0.05). The subjective NOSE scale combined with nasal function test has certain clinical reference value in evaluating the surgical effect of patients with deviated nasal septum.
采用NOSE评分量表及鼻功能检查,探讨鼻中隔成形术前后鼻通气的变化,探索主观鼻阻塞与鼻功能检查之间的相关性及其临床应用价值。选取2021年12月至2023年4月在我院就诊的129例鼻中隔偏曲患者进行研究。所有患者均接受鼻中隔成形术。对所有患者在手术前及手术后3个月进行鼻阻塞症状评估(NOSE)。采用鼻声反射、鼻阻力仪及鼻呼吸仪记录鼻最小横截面积(MCA)、鼻腔容积(NCV)、鼻阻力(NR)、鼻孔至最小横截面积的距离(MD)、鼻吸气容积(IV)、鼻呼气容积(EV)、鼻分隔率,NPR包括吸气容积差率(NPRi)和呼气容积差率(NPRe)等客观指标。采用配对检验比较分析手术前后各项指标的变化,差异(<0.05)有统计学意义,采用Pearson相关性线性分析主观指标与客观指标之间的相关性。129例患者手术前后的NOSE评分、NCV、NR、MD、EV、IV、NPRe及NPRi差异有统计学意义(<0.05),而手术前后MCA差异无统计学意义(>0.05)。术前NOSE评分与NR、NCV、EV、IV、NPRe及NPRi相关(<0.05),但与MD及MCA无关(>0.05)。NOSE评分与NR、MCA、NCV、EV、IV、NPRe及NPRi相关(<0.05),但与鼻评分与MD无关(>0.05)。主观NOSE量表联合鼻功能测试在评估鼻中隔偏曲患者手术效果方面具有一定的临床参考价值。