根据炎症特征对非变应性鼻炎进行分型的初步研究
DOI:
作者:
作者单位:

作者简介:

王秋萍,Email:qpwang1016@vip.sina.com.

通讯作者:

基金项目:

呼吸疾病国家重点实验室开放课题(2007DA780154F0907)


Characteristics and classification of nonallergic rhinitis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 研究非变应性鼻炎(nonallergic rhinitis, NAR)患者鼻腔与下气道的炎症特征,探讨根据炎症特征对NAR进行分型的方法及意义。方法 收集2010年6月~2011年6月就诊的NAR患者117例,同期选取162例作为健康对照组。经皮肤点刺实验、鼻部和肺部症状视觉模拟量化评分(VAS)、鼻灌洗检测、诱导痰检测、血常规、鼻激发试验、支气管激发试验等炎症相关指标检查,评价鼻腔及气道炎症特征。根据鼻部及气道炎症特征对NAR进行分型并分析其临床意义。结果 与健康对照组相比,NAR患者鼻灌洗、诱导痰、血嗜酸性粒细胞EOS、鼻激发和支气管激发阳性率均显著增高(P均<0.01)。鼻灌洗与诱导痰嗜酸性粒细胞(EOS)增高存在明显相关性(r=0.531,P=0.000),鼻激发与支气管激发等级存在相关性(r=0.190,P=0.040)。117例NAR患者中,鼻EOS增高39例(33.3%),鼻激发反应性增高50例(42.7%), EOS及激发均无异常28例(23.9%)。依上述特征,将NAR分为非特异型(A组)、EOS增高型(B组)和高反应型(C组)3组。结论 NAR患者鼻部以EOS增高及高反应性为主要炎症特征的全身炎症疾病,与下气道各炎症相关指标的增高以及血EOS增高存在明显的一致性。根据鼻部炎症特征提出的NAR分型方法有充分的临床和实验室依据,为NAR的诊断提供了更为科学和临床实用的方法,为进一步研究不同类型NAR发病机理以及根据NAR类型制定不同的治疗方案提供了理论依据。

    Abstract:

    Objective To study the inflammatory characteristics of nasal cavity and lower respiratory tract in patients with nonallergic rhinitis (NAR), and to discuss the classification of NAR according to the nasal characteristics. Methods The inflammatory characteristics of nasal cavity and lower respiratory tract were assessed in 117 NAR patients, by using disease survey, skin prick test (SPT), visual analogue scale, nasal lavage, serum eosinophil, induced sputum, nasal and bronchial provocation test. NAR was classified based on nasal inflammatory characteristics. Results The eosinophil counts in nasal lavage fluid, induced sputum, serum, and positive rates of nasal and bronchial provocation test in NAR group were all significantly higher than those in the control group (P<0.01). There was obvious correlation between the eosinophil in nasal lavage fluid and induced sputum (r=0.531, P=0.000), and between the eosinophil in nasal lavage fluid and serum (r=0.334, P=0.000). The grade of nasal and bronchial provocation test was also obviously correlated (r=0.190, P=0.040). Of all the 117 NAR patients, 39(33.3%) got higher eosinophil in nasal lavage fluid, 50(42.7%) got enhancement of nasal provocation test, and 28 (23.9%) kept normal. According to these characteristics, NAR was classified into 3 subtypes, i.e. nonspecific type, eosinophilia type and hyperresponsive type. Conclusion NAR is a systematic inflammatory disease with increase of nasal eosinophilia and nasal hyperresponsiveness, with satisfied consistence with serum eosinophil and hyperresponsiveness of lower respiratory tract. The classification of NAR based on nasal inflammatory characteristics may be helpful to further research of NAR.

    参考文献
    相似文献
    引证文献
引用本文

王志颐 张勇 王秋萍 庞新举 马莉 谢燕清 钟南山.根据炎症特征对非变应性鼻炎进行分型的初步研究[J].中国耳鼻咽喉颅底外科杂志,2012,18(5):364-369

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2012-10-31
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭