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Cold dry air provocation is a reliable diagnostic tool in nonallergic rhinitis

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机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China [3]Department of Allergy, Beijing TongRen Hospital, Capital Medical University, Beijing, China
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关键词: acoustic rhinometry cold dry air nonallergic rhinitis nasal hyperresponsiveness rhinomanometry

摘要:
Background: No diagnostic criteria have been available for nonallergic rhinitis (NAR) to this point in time. Nonspecific nasal hyperresponsiveness (NHR), which could be efficiently assessed by cold dry air (CDA) provocation, is an essential feature of NAR. Thus, this study's purpose was to assess the diagnostic value of CDA provocation in discriminating patients with NAR from healthy individuals. Methods: CDA provocation was performed among 13 healthy volunteers and 15 NAR patients. Nasal symptom scores, total nasal volume (TNV), total nasal resistance (TNR) and minimal cross-sectional area (MCA) were checked before and after the provocation. Non-paramedic tests and receiver operating characteristic (ROC) curves were used in data evaluation. Results: Subjects in the NAR group showed significantly larger changes after CDA provocation in total nasal symptom score (TNSS) and nasal congestion score compared with healthy volunteers, while the change for rhinorrhea score was comparable. Similarly, significant differences in the change of MCA and TNV were witnessed between both groups. We built a predictive model for NAR, Y= -3.825+ 2.520*.TNR (%) + 1.027*.TNSS-6.542*.TNV (%), whose area under curve was 0.93. According to the Youden index, the criterion was set to be Y > -0.52, when its sensitivity and specificity were 93.3% and 84.6%, respectively. Conclusions: With superior patient-friendliness, safety and efficacy, we successfully performed the first NAR predictive model in the Chinese population, based on a short protocol of CDA provocation, by means of both subjective scores and objective tests (acoustic rhinometry and rhinomanometry).

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 2 区 耳鼻喉科学
最新[2023]版:
大类 | 2 区 医学
小类 | 1 区 耳鼻喉科学
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出版当年[2017]版:
Q1 OTORHINOLARYNGOLOGY
最新[2023]版:
Q1 OTORHINOLARYNGOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China
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通讯机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China [2]Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China [3]Department of Allergy, Beijing TongRen Hospital, Capital Medical University, Beijing, China [*1]Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital Capital Medical University No.1, Dongjiaominxiang DongCheng District Beijing 100730 PR China [*2]Beijing Institute of Otolaryngology No. 17, HouGouHuTong DongCheng District Beijing, 100005 P.R. China
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