Grosclaude M, Balland S, Ballandras A, Perrin-Fayolle M
Rev Pneumol Clin. 1985;41(1):9-16.
Passive anterior rhinomanometry used for nasal provocation tests in respiratory allergology is a very easy test to perform. On the basis of five years' experience, the authors analyse their opinion concerning this technique and review the value of nasal challenge tests in allergic rhinitis. The only real problem is that of the quality of the allergen used, this being the essential factor in terms of correlation with other diagnostic tests (for D.P.: 66.6% between challenge test and skin tests, and 78.5% between challenge test and RAST). Indications are very wide and the results of nasal challenge provide a substantial diagnostic argument when taking therapeutic decisions. However it cannot serve as a substitute for the bronchial challenge test in cases of combined rhinitis and asthma since there are differences in sensitivity and reactivity between the nasal and bronchial mucosae.
用于呼吸过敏学鼻激发试验的被动前鼻测压法是一种非常易于操作的检查。基于五年的经验,作者分析了他们对该技术的看法,并回顾了鼻激发试验在变应性鼻炎中的价值。唯一真正的问题是所用变应原的质量,这是与其他诊断试验相关性方面的关键因素(对于双盲法:激发试验与皮肤试验之间为66.6%,激发试验与放射变应原吸附试验之间为78.5%)。适应证非常广泛,鼻激发试验的结果在做出治疗决策时提供了重要的诊断依据。然而,在合并鼻炎和哮喘的病例中,它不能替代支气管激发试验,因为鼻黏膜和支气管黏膜在敏感性和反应性方面存在差异。