变应性鼻炎对支气管哮喘患者临床控制和肺通气功能的影响

Impact of allergic rhinitis on asthma control and lung function

目的研究变应性鼻炎对支气管哮喘(简称哮喘)患者的临床控制和肺通气功能的影响。方法分析39例哮喘合并变应性鼻炎患者的变应性鼻炎视觉模拟量表(VAS)评分与哮喘控制测试(ACT)评分、哮喘控制问卷(ACQ)评分和肺通气功能之间的相关性。结果变应性鼻炎VAS评分与ACT评分呈负相关(r=-0.591,P<0.05),与ACQ评分呈正相关(r=0.599,P<0.05)。变应性鼻炎VAS评分与FEV1%pred、PEF%pred、FEF25%pred、FEF50%pred、FEF25%-75%pred均呈负相关(r=-0.473,-0.581,-0.591,-0.567,-0.494,P<0.05)。结论在哮喘合并变应性鼻炎患者中,变应性鼻炎症状越重,哮喘控制越差,肺通气功能越低。

Objective The purpose of the study is to determine the impact of allergic rhinitis on bronchial asthma(asthma) control and lung function.Methods The correlation between allergic rhinitis VAS score and ACT score,ACQ score,lung function were analyzed in 39patients with comorbid asthma and allergic rhinitis.Results Allergic rhinitis VAS score had negative correlation with ACT score,FEV1%pred,PEF%pred,FEF25%pred and small airway function(FEF50%pred and FEF25%-75% pred)(P<0.05).Allergic rhinitis VAS score had positive correlation with ACQ score(P<0.05).Conclusions The asthma patients with allergic rhinitis experienced more poor asthma control and decreased lung function.