本文選題：鼻通氣功能檢查 + 鼻聲反射��； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：研究漢族與維吾爾族成年男性鼻中隔偏曲患者鼻聲反射(AR)及鼻阻力(RM)測(cè)量值之間的差異以及各測(cè)量值之間的相關(guān)性,試圖尋找能反應(yīng)鼻中隔偏曲程度的客觀指標(biāo)。方法：收集新疆自治區(qū)人民醫(yī)院住院病人中診斷為鼻中隔偏曲的漢族和維吾爾族成年男性患者102例,其中漢族患者44例,維族患者58例。記錄用前鼻主動(dòng)測(cè)壓法測(cè)量鼻壓差為150Pa時(shí)的阻塞側(cè)與非阻塞側(cè)鼻腔RM值及鼻腔總RM值,分別記錄AR檢查雙側(cè)鼻腔第一狹窄面積(Min1)、第二狹窄面積(Min2)、最小截面積(MCA)及其到前鼻孔的距離(DCAN),0～2cm、2～5cm、0-～5cm鼻腔容積(V0～2、V2～5、VO～5)。對(duì)上述結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)處理,并進(jìn)行相關(guān)性分析。結(jié)果：1.均值比較(1)鼻阻力：漢族與維吾爾族患者的R總、R租塞、R非阻塞存在統(tǒng)計(jì)學(xué)差異(具體數(shù)值見(jiàn)表1),鼻腔阻力維族患者明顯大于漢族患者。(2)鼻腔容積：非阻塞側(cè)V0-2兩民族間差異無(wú)統(tǒng)計(jì)學(xué)意義,V2-5、V0-5維族患者大于漢族患者,兩民族間差異有統(tǒng)計(jì)學(xué)意義。阻塞側(cè)V0～2、V2～5及V0～5兩民族間差異均無(wú)統(tǒng)計(jì)學(xué)意義(具體數(shù)值見(jiàn)表2)。(3)鼻腔截面積：兩民族患者阻塞側(cè)與非阻塞側(cè)Min1、Min2、MCA及DCAN差異均無(wú)統(tǒng)計(jì)學(xué)意義(具體數(shù)值見(jiàn)表2)。2.相關(guān)性分析(1)R總與雙側(cè)鼻腔總?cè)莘e無(wú)明顯相關(guān)(r=0.172,P0.05)。(2)R總與非阻塞側(cè)V0～2、V2～5、V0～5呈顯著正相關(guān)(r值分別為0.323、0.255、0.300,P0.01),與該側(cè)鼻腔Min1、Min2、MCA無(wú)明顯相關(guān)；R總與阻塞側(cè)VO～2、V2～5、V0-5及該側(cè)Min1、Min2、MCA無(wú)明顯相關(guān),但有負(fù)相關(guān)趨勢(shì)。(3)R非阻塞與同側(cè)V0～2、V2～5、V0-5顯著正相關(guān)(r值分別為0.319、0.265、0.308,P0.01),與同側(cè)最小截面積MCA非阻塞無(wú)明顯統(tǒng)計(jì)學(xué)相關(guān)性,但有負(fù)相關(guān)趨勢(shì)。(4)R阻塞與同側(cè)V0～2、V2～5、V0～5無(wú)明顯統(tǒng)計(jì)學(xué)相關(guān)性,但有負(fù)相關(guān)趨勢(shì)。R阻塞與同側(cè)最小截面積MCA阻塞呈現(xiàn)負(fù)相關(guān)(r值為-0.219,P0.05)。結(jié)論：來(lái)我院就診的維吾爾族與漢族成年男性鼻中隔偏曲患者鼻中隔偏曲程度存在差異,整體來(lái)說(shuō)維族患者較漢族患者偏曲程度更為嚴(yán)重。鼻阻力與鼻聲反射測(cè)量結(jié)果有一定相關(guān)性,兩者聯(lián)合應(yīng)用一定程度上可以反映患者鼻腔功能狀況。
[Abstract]:Objective: to study the difference of nasal acoustic reflex (ARN) and nasal resistance (RM) between Han and Uygur adult men and the correlation between the measured values, and to find out the objective index which can reflect the degree of nasal septum deviation. Methods: 102 Han and Uygur adult male patients with nasal septum deviation diagnosed in Xinjiang people's Hospital were collected, including 44 Han and 58 Uygur patients. The RM value of nasal cavity and the total RM value of nasal cavity were measured when nasal pressure difference was 150Pa. The first narrow area of bilateral nasal cavity, the second narrow area and the minimum cross section area were recorded respectively. The distance to the anterior nostril was 2 cm ~ 2 cm ~ 0 ~ 5 cm volume of nasal cavity volume of V _ 0 ~ (2) T _ (2) V _ (2) T _ (5) V _ (5) V _ (5) V _ (5). The above results were statistically processed and the correlation analysis was carried out. The result is 1: 1. Nasal resistance: there was a statistical difference between Han and Uygur patients in R total R Tsendron R nonobstruction (see Table 1, the nasal resistance in Uygur patients was significantly larger than that in Han nationality patients.) nasal volume: the non-obstructive side was V0-2. There was no significant difference between the two ethnic groups. The difference between the two nationalities is statistically significant. There was no significant difference in nasal sectional area between the two groups (see Table 2n. 3): there was no significant difference in MCA and DCAN between the patients with obstructive side and non-obstructive side (see Table 2. 2). Correlation analysis showed that there was no significant correlation between total nasal cavity volume and total volume of bilateral nasal cavity. There was no significant positive correlation between the total R and the non-occlusive side V02V2O5V05. The positive correlation was 0.3230.2550.300P0.01. there was no significant correlation between the total R and the V00-5 of the obstructed side and the V00-5 of the M1Min2Momus, and there was no significant correlation between the total MCA and the V00-5 of the obstructed side and the V00-5 of the M1Min2Mcanner of the obstructed side of the nasal cavity, and there was no significant correlation between the total R and the MCA of the bilateral nasal cavity (P < 0.01). However, there was a negative correlation between non-blocking and ipsilateral V _ 0 ~ (2) V _ (2V _ (2) ~ (5) V _ (0-5). The significant positive correlation r values were 0.319 ~ (0.265) ~ (0.308) (P ~ (0.01), respectively. There was no significant statistical correlation with the ipsilateral minimum cross-sectional area (MCA) non-obstruction, but there was no significant correlation between the negative correlation trend and the ipsilateral V _ (0) ~ (2V _ (2) V _ (25) V _ (0) P _ (0). However, there was a negative correlation between the negative trend of .R obstruction and the ipsilateral minimum cross-sectional area (MCA) occlusion. The negative correlation r value was -0.219m (P0.05). Conclusion: the degree of nasal septum deviation is different between Uygur and Han adult males, and the degree of deviation is more serious in Uygur than in Han nationality. The nasal resistance was correlated with the results of nasal acoustic reflex measurement, and the combined use of both could reflect the nasal function of the patients to a certain extent.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R765.3

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本文編號(hào)：1897079