主观感觉评估与解剖结构及鼻功能测量在慢性鼻窦炎中的相关性研究

Analysis of correlation between subjective evaluation and anatomical structure and nasal function measurements in chronic rhinosinusitis

目的探讨主观感觉测量与解剖结构及鼻功能测量在慢性鼻窦炎疾病中的相关性。方法选择2019年9月—2020年10月在山西医科大学附属汾阳医院耳鼻咽喉科就诊的慢性鼻窦炎患者43例。分别应用视觉模拟量表评估患者鼻塞主观症状;Lund-Mackay评分和Lund-Kennedy评分系统评估鼻窦CT及鼻内镜检查结果;鼻声反射、鼻阻力测量评估鼻腔通气情况,采用SPSS 19.0软件对其相关性进行统计学分析。结果Spearman相关性显示,慢性鼻窦炎患者鼻塞视觉模拟评分量表(VAS)评分与最小横截面积2(MCA2)、最小横截面积距离前鼻孔的距离2(MD2)、距鼻孔2~5 cm鼻腔容积(Vol2~5)呈负相关(P<0.05),与鼻腔有效阻力、Lund-Mackay评分、Lund-Kennedy评分呈正相关(P<0.05);Lund-Mackay评分、Lund-Kennedy评分与鼻声反射、鼻阻力呈相关性(P<0.05)。结论主观感觉测量、解剖结构测量及鼻功能测量相联合能综合评估慢性鼻窦炎患者鼻塞病情的严重程度,有利于治疗方案的选择。

Objective To analyze the correlation between subjective evaluation,anatomical structure and nasal function measurements in chronic rhinosinusitis(CRS).Methods Forty-three CRS patients who visited our department between Sept 2019 and Oct 2020 were selected.Visual analogue scale(VAS)was used to evaluate their subjective symptoms of nasal congestion.Lund-Mackay score and Lund-Kennedy score system were used to evaluate the results of nasal sinus CT and nasal endoscopy.Acoustic rhinometry and rhinomanometer were used to evaluate their nasal ventilation.The correlation was analyzed by SPSS 19.0 software.Results Spearman correlation analysis showed that VAS score of nasal congestion in CRS patients was negatively correlated with minimum cross-sectional area 2(MCA2),distance between nostril and minimum cross-sectional area 2(MD2)and volume 2~5(Vol2~5)(all P<0.05),and positively correlated with effective nasal resistance,Lund-Mackay score and Lund-Kennedy score(all P<0.05).Lund-Mackay score and Lund-Kennedy score were correlated with nasal acoustic reflex and nasal resistance(all P<0.05).Conclusion The combination of subjective evaluation,anatomical structure and nasal function measurements can comprehensively evaluate the severity of nasal congestion in patients with CRS,which is beneficial to the choice of treatment.