摘要
目的分析鼻中隔偏曲患者手术前后鼻腔阻力的变化,为手术前后患者主观症状的改变提供客观依据。方法采用前鼻孔测压法对25例鼻中隔偏曲患者术前及术后1个月的鼻腔阻力进行测试,并同时行视觉模拟量表评分,采用配对资料的秩和检验和t检验进行数据分析。结果①鼻中隔成形术后,患者鼻腔阻力较术前明显改善,总有效率可达92%(23/25);②狭窄侧鼻腔术后鼻阻力较术前明显下降,且差异具有统计学意义;③宽敞侧鼻腔术后鼻阻力较术前有所升高。结论鼻阻力测定作为鼻通气功能的检测手段,可用于鼻中隔偏曲患者手术前后,以客观评估患者手术前后症状的改善程度。
OBJECTIVE To explore the changes of nasal resistance in patients with nasal septumdeviation before and after surgery, and provide objective basis for the changes of the subjective symptoms of the patients before and after operation. METHODS Twenty five patients with nasal septum deviation were treated surgically. Rhinomanometry through front nostril and visual analogue scale (VAS) of nasal symptoms score before and one month after the operation were recorded. Paired t-test and paired rank sum test were used for the data analysis. RESULTS After septoplasty, nasal resistance decreased compared with preoperative states and total efficiency rate was 92% (23/25) . Nasal resistance for the narrow side of the nasal cavity decreased obviously compared with preoperative states, and the difference was statistically significant. But nasal resistance for the wide side increased. CONCLUSION Rhinomanometry is a kind of measurement for nasal ventilation function. It can be used before and after surgery to objectively evaluate the changes of symptom for the patients with nasal septum deviation.
出处
《中国耳鼻咽喉头颈外科》
CSCD
2013年第12期639-641,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
鼻塞
气道阻力
鼻中隔偏曲
Nasal Obstruction
Airway Resistance
deviation of nasal septum