结构性鼻阻塞的临床检查结果与客观鼻通畅度测量之间的关系：一项系统评价。
Relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction: a systematic review.
作者信息
Maniam Pavithran, Lim Ian Wei, Lim Kim Hui, Carrie Sean, O'Hara James
机构信息
Ear, Nose & Throat Department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
The University of Sheffield Medical School, Sheffield, UK.
出版信息
J Laryngol Otol. 2025 Jan 3;139(5):1-9. doi: 10.1017/S002221512400210X.
BACKGROUND
The relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction remains uncertain. This review aims to explore the relationship between clinical nasal examination findings and objective nasal patency measures using acoustic rhinometry, peak nasal inspiratory flow, rhinomanometry and rhinospirometry.
METHODS
Qualitative systematic review using the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 statement.
RESULTS
A total of 17 articles were included in the systematic review. Several studies showed a positive relationship between objective nasal patency measures and clinical nasal examination findings, however evidence in the literature is limited and confined to cohort studies. Objective nasal patency measures using acoustic rhinometry, rhinomanometry and rhinospirometry assessment correlate positively in severe anterior septal deviation but its role in assessing middle/posterior and mild/moderate septal deviation in isolation remains uncertain. There is limited evidence in the literature to assess the relationship between peak nasal inspiratory flow and clinical examination findings.
背景
在结构性鼻阻塞中，临床检查结果与客观鼻通畅度测量之间的关系仍不明确。本综述旨在探讨临床鼻检查结果与使用鼻声反射、最大吸气鼻腔气流、鼻阻力测量法和鼻呼吸流量测量法的客观鼻通畅度测量之间的关系。
方法
采用《系统评价和Meta分析的首选报告项目2020声明》进行定性系统评价。
结果
系统评价共纳入17篇文章。多项研究表明客观鼻通畅度测量与临床鼻检查结果之间存在正相关关系，但文献中的证据有限且仅限于队列研究。使用鼻声反射、鼻阻力测量法和鼻呼吸流量测量法评估的客观鼻通畅度测量在严重鼻中隔偏曲中呈正相关，但其在单独评估中/后段和轻/中度鼻中隔偏曲中的作用仍不明确。文献中评估最大吸气鼻腔气流与临床检查结果之间关系的证据有限。
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