摘要
目的评估儿童腺样体肥大患者的鼻通气功能,为手术治疗提供科学依据。方法选取55例儿童腺样体肥大患者,分别在手术前和手术后进行症状记分表调查以及鼻声反射测量,并与45例健康儿童的各项指标进行对照研究。结果与手术前比较,观察组患者在手术后鼻阻塞症状记分降低,差异有统计学意义(P<0.01);与手术前比较,观察组患者手术后的两侧鼻腔总的鼻气道阻力(NAR)明显降低(t=2.128 0,P<0.05),双侧鼻咽腔容积(NPV)明显增加(t=13.180 6,P<0.01);与对照组比较,手术前的NAR、NPV和双侧鼻腔最小横截面积(MCSA)差异均有统计学意义(t=5.982 4,P<0.01;t=6.527 3,P<0.01;t=4.117 4,P<0.01),手术6周后的NAR、NPV和MCSA差异均有统计学意义(t=4.032 8,P<0.01;t=7.490 1,P<0.01;t=3.149 5,P<0.01)。结论腺样体手术可明显改善儿童鼻通气状态,且鼻声反射测量可以作为腺样体肥大所致儿童鼻通气功能的定量评估工具。
Objective To assess the nasal ventilation function in the patients with adenoidal hypertrophy to provide a scientific basis for the surgical treatment. Methods 55 children cases of adenoidal hypertrophy were select- ed. The symptom score tables were surveyed and the acoustic rhinometry measurements were performed before and after surgery. The results were conducted the control research with those in 45 normal children. Results Compared with before treatment, the nasal obstruction symptom score after treatment in the observation group was significantly decreased, the difference was statistically significant （P〈 0.01 ） ; compared with before operation, NAR after opera- tion in the observation group was decreased significantly （t=2. 128 0, P〈0.05）, while NPV was increased signifi- cantly （t： 13. 180 6, P〈 0. 01） ; compared with control group, the preoperative NAR, NPV and MCSA had highly significant difference （t〈5. 982 4,P〈0. 01;t=6. 527 3,P〈0.01;t=4. 117 4,P〈0.01） ;NAR,NPV and MCSA af- ter 6 weeks of surgery also had highly significant difference （t=4. 032 8,P〈0.01;t=7. 490 1,P〈0.01;t=3. 149 5, P〈0.01）, all showing statistical significance. Conclusion Adenoid surgery can significantly improve the state of childrenrs nasal ventilation, moreover the acoustic rhinometry can serve as the quantitative assessment tool of children adenoidal hypertrophy caused adenoidal nasal ventilation function.
出处
《检验医学与临床》
CAS
2015年第16期2398-2399,共2页
Laboratory Medicine and Clinic
关键词
腺样体肥大
鼻通气
临床评估
hypertrophy
nasal ventilation
clinical evaluation
