鼻阻力测定在腺样体肥大患儿中的诊疗意义

The diagnostic significance of nasal resistance measurement in children with adenoid hypertrophy

目的通过收集腺样体肥大患儿的鼻阻力测定数据,分析探讨鼻阻力测定在腺样体肥大患儿的诊疗意义。方法将昆明市儿童医院2019年7月至2020年7月门诊行电子鼻咽镜检查明确诊断腺样体肥大患儿60名,根据腺样体肥大的程度,分为两组,再将20名无腺样体肥大的患儿作为对照组。研究组及对照组均行鼻阻力测定,记录鼻阻力值,分析鼻阻力测定对腺样体肥大患儿的诊断率,分析鼻阻力值在腺样体肥大患儿中的诊疗意义。结果腺样体肥大组鼻阻力值与对照组对比有统计学差异(P<0.05);III度腺样体肥大组鼻阻力值与IV度腺样体肥大组无统计学差异(P>0.05)。腺样体肥大患儿术前鼻阻力值与术后对比有统计学差异(<0.05)。结论鼻阻力测定可以一定程度反映腺样体肥大,但不能准确的反应腺样体的肥大程度。鼻阻力测定可以一定程度地评估腺样体切除术后疗效。

Objective To analyze and discuss the clinical significance of nasal resistance measurement in children with adenoid hypertrophy by collecting the data of nasal resistance measurement.Methods 60 children with adenoid hypertrophy were diagnosed by electronic nasopharyngeal examination in the outpatient department of Kunming Children’s Hospital from July 2019 to July 2020.According to the degree of adenoid hypertrophy,they were divided into two groups,and 20 children without adenoid hypertrophy were taken as the control group.The nasal resistance was measured in both the study group and the control group,and the nasal resistance value was recorded to analyze the diagnostic rate of the nasal resistance value in children with adenoid hypertrophy,and analyze the diagnostic significance of the nasal resistance value in children with adenoid hypertrophy.Results There were statistically significant differences in nasal resistance between the adenoid hypertrophy group and the control group(P<0.05).There was no statistical difference in nasal resistance between grade III adenoid hypertrophy group and grade IV adenoid hypertrophy group(P>0.05).There were statistically significant differences between nasal resistance values before and after adenoid hypertrophy(P<0.05).Conclusion The determination of nasal resistance can reflect adenoid hypertrophy,but it cannot accurately reflect the degree of adenoid hypertrophy.Nasal resistance measurements can be used to assess the efficacy of adenoidectomy.