摘要
目的探讨鼻阻力在鼻内镜手术治疗鼻阻塞疾病中的疗效评估及预测疗效的价值。方法分析2011年4月—2013年6月在本院接受住院治疗的鼻阻塞患者的临床资料,根据鼻阻塞的病因分为鼻中隔偏曲组(A组),慢性鼻窦炎组(B组)和慢性鼻窦炎伴鼻息肉组(C组)。分析并比较3组患者鼻内镜术前、术后1月的鼻阻力改变及治疗有效率,并就NR的术前和术后1月的差值对鼻内窥镜治疗疗效的预测价值行ROC曲线分析。结果本研究共纳入患者120例,其中A组44例,B组39例,C组37例。A(t=11.46,P<0.01)、B(t=15.31,P<0.01)、C(t=4.793,P<0.01)3组患者术后的NR水平均显著低于术前值,差异均有统计学意义;3组患者的治疗有效率无显著差异(χ2=0.266,P=0.875);ROC曲线结果可知NR差值对于治疗疗效的预测曲线下面积为0.9002,敏感性为77.78%,特异性为86.14%。结论鼻阻力的测量对于鼻阻塞患者的症状、疗效评估及对治疗有效与否的预测均有着重要的意义。
Objective To explore the meaning of measurement of nasal resistance in the treatment of nasal obstruction with endoscope and to evaluate its effectiveness. Methods Clinical material of patients with nasal obstruction received treatment at our hospital from 2011 to 2013 was retrospectively analyzed. They were divided into A group, B group and C group. The changes of nasal obstruction and the effectiveness before and after one month of operation were compared and analyzed. Results A total of 120 patients were retrospective analyzed, including 44 in group A, 39 in group B and 37 in group C. The difference was statistically significant since the levels of NR of the three groups were significantly lower after 1 month surgery than that before the surgery while the difference wasn＇t statistically significant in effectiveness（x2 = 0. 266, P = 0. 875）. Conclusion The t of nasal resistance was significant for the assessment of the symptom, the evalua- tion of curative effect and prediction of the effectiveness
出处
《实用临床医药杂志》
CAS
2014年第3期136-138,共3页
Journal of Clinical Medicine in Practice
关键词
鼻阻塞
鼻内窥镜
鼻阻力
nasal obstruction
endoscope
nasal resistance
