飞行员鼻通气状态的客观评估

Assessment of nasal airway patency in pilots

  • 摘要: 目的 测量飞行员鼻声发射(acoustic rhinometry,AR)、鼻阻力(rhinomanometry,RM)正常值范围,分析双侧鼻腔的差异及两种结果之间的关系。 方法 应用英国GM公司A1型鼻声发射仪和NR6型鼻阻力仪测量41例健康飞行员的鼻腔最小截面积(minimum cross-sectional area,MCA),0-5cm、2-5cm的鼻腔容积(V5、V2-5),通过前鼻主动测压法测量鼻压差为150Pa时单侧或双侧鼻腔阻力的呼气相和吸气相单侧鼻腔吸气、呼气阻力及鼻气道总阻力(Rins150,Rexp150,Rins150T,Rexp150T)。 结果 MCA右侧为(0.69±0.19)cm2,左侧为(0.57±0.20)cm2,平均为(0.63±0.20)cm2;V5右侧为(6.33±0.96)cm3,左侧为(5.64±1.00)cm3,平均为(5.99±1.03)cm2;V2-5右侧为(4.64±0.91)cm3,左侧为(3.96±0.92)cm3,平均为(4.30±0.97)cm2;Rins150右侧为(0.46±0.19)Pa/(cm2·s),左侧为(0.38±0.18)Pa/(cm2·s),平均为(0.42±0.18)Pa/(cm2·s);Rexp150右侧为(0.47±0.19)Pa/(cm2·s),左侧为(0.38±0.19)Pa/(cm2·s),平均为(0.42±0.19)Pa/(cm2·s);Rins150T为(0.20±0.08)Pa/(cm2·s),Rexp150T为(0.20±0.08)Pa/(cm2·s),以上两侧鼻腔及Rins150、Rexp150、Rins150T、Rexp150T间差异均无统计学意义。Rins150、Rexp150与MCA、V5、V2-5之间存在负相关性(P<0.05)。 结论 飞行员鼻阻力与鼻声反射之间具有相关性,所测值范围可为飞行员鼻腔通气状态评价提供依据。

     

    Abstract: Objective To measure the acoustic rhinometry(AR) and rhinomanometry(RM) in pilots and analyze their difference and relation. Methods Minimum cross-sectional area(MCA),0-5cm and 2-5cm nasal volumes(V5,V2-5) were measured in 41 healthy using the AI rhinomanometer made in Britain GM Company.Unilateral and bilateral inspiration and expiration resistance and total nasal airway resistance(Rins150,Rexp150,Rins150T,Rexp150T)were measured when the pressure difference was at 150Pa. Results The right and left MCA was(0.63±0.20)cm2 and(0.57±0.20)cm2 respectively(mean(0.63±0.20)cm2).The right and left V5 was(5.99±1.03)cm3 and(5.64±1.00)cm3 respectively(mean(5.99±1.03)cm2).The right and left V2-5 was(4.30±0.97)cm3 and(3.96±0.92)cm3 respectively(mean(4.30±0.97)cm2).The right and left Rins150 was(0.42±0.18)Pa/cm2·s and(0.38±0.18)Pa/cm2·s respectively(mean(0.42±0.18)Pa/cm2·s). The right and left Rexp150 was(0.42±0.19)Pa/cm2·s and(0.38±0.19)Pa/cm2·s respectively(mean(0.42±0.19)Pa/cm2·s).The Rins150T and Rexp150T were(0.20±0.08)Pa/cm2·s and(0.20±0.08)Pa/cm2·s respectively.No significant difference was found in Rins150,Rexp150,Rins150T,and Rexp150T.Rins150 and Rexp150 were negatively related with MCA,V5,and V2-5(P<0.05). Conclusion Nasal resistance is related with AR in pilots.Their measurement can provide evidence for the assessment of nasal airway patency in pilots.

     

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