变应性和非变应性鼻炎患者的鼻阻力测量

摘要

目的 对变应性鼻炎(allergic rhinitis,AR)和非变应性鼻炎(non-allergic rhinitis,NAR)患者进行鼻阻力测量,客观评估其差异.方法 鼻炎患者102例,其中57例AR、45例NAR.采用前鼻主动测压法行鼻阻力测量,记录两组患者单侧鼻腔阻力及双侧鼻腔总阻力,SPSS 13.0软件对所测数据进行统计分析.结果 AR组左侧鼻阻力为(1.164± 1.049)KPa/L·S-1,右侧鼻阻力为(0.843±0.768)KPa/L·S-1,双侧总的鼻阻力为(0.398±0.249)KPa/L·S-1.NAR组左侧鼻阻力为(1.020±1.242)KPa/L·S-1,右侧鼻阻力为(0.865±1.027)KPa/L·S-1,双侧总的鼻阻力为(0.384±0.269)KPa/L· S-1.无论是AR与NAR组间比较,还是同一组内左右侧比较,差异均无统计学意义(P＞0.05).结论 鼻阻塞是AR和NAR共有的临床表现,鼻阻力测量难以区分AR抑或NAR患者的鼻塞症状更为严重.%Objective To evaluate objective assessment of nasal airway resistance in patients with allergic rhinitis (AR) and non-allergic rhinitis (NAR).Methods A total of 102 patients with rhinitis were recruited and divided into AR group (n=57) and NAR group (n=45).Unilateral and total nasal airway resistance (Resist L,Resist R and Resist Total) were monitored respectively by active anterior rhinomanometry.SPSS 13.0 software was applied for statistical analysis.Results The mean values of Resist L,Resist R and Resist Total (KPa/L ·S-1)were 1.164±1.049,0.843±0.768 and 0.398±0.249 in AR group,and 1.020±1.242,0.865±1.027 and 0.384±0.269in NAR group,respectively.There were no significant differences inter-or intra-groups (P＞0.05).Conclusion Nasal obstruction is a common clinical characteristic of both AR and NAR.The severity of nasal obstruction cannotbe differentiated significantly by rhinomanometry between patients with AR and NAR.