儿童人群中鼻中隔偏曲的临床表现及相关因素：一项回顾性横断面病历审查
Clinical manifestations and associated factors of deviated nasal septum in the pediatric population: A retrospective cross-sectional chart review.
文献信息
| PMID | 42748786 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Norah Hadhram Aldawsari |
| 作者单位 | College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Electronic address: Nouraaldawsari0@gmail.com. |
| 期刊 | American journal of otolaryngology |
| SCI 分区 | Q2 |
| IF | 1.8 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 鼻中隔偏曲（DNS）是儿童中的一种常见疾病，可能表现为鼻塞和口呼吸等症状。本研究旨在描述DNS患儿的DNS类型分布、临床表现以及有记录的出生相关和创伤相关特征。
方法： 对诊断为DNS的6-10岁儿童进行了一项回顾性横断面病历审查。从医疗记录中提取人口学特征、出生相关参数、创伤史和临床特征。使用卡方检验或Fisher精确检验（视情况而定）分析DNS类型、有记录的临床特征与出生相关和创伤相关因素之间的关联，使用IBM SPSS Statistics 29.0.0版将统计学显著性设定为p < 0.05。
结果： 共纳入150名儿童，包括117名男孩（78.0%）和33名女孩（22.0%），平均年龄为8.47 ± 1.23岁（平均值 ± 标准差[SD]）。鼻中隔中部DNS是最常见的类型（116例，77.3%），其次是前部/尾端偏曲（34例，22.7%）。最常记录的临床表现是鼻塞（77例，51.3%）和口呼吸（70例，46.7%）。在有出生相关数据的儿童中（n = 89），大多数为正常阴道分娩（64例，71.9%）且为头位胎位（83例，93.3%），而低出生体重记录于10例（11.2%）。分娩方式（p = 0.032）和胎位（p < 0.001）与DNS类型显著相关。有记录的面部创伤报告于37名儿童（24.7%）。鼻塞（p < 0.001）和外鼻畸形（p = 0.009）也与DNS类型显著相关。有记录的面部创伤与年龄（p = 0.017）和鼻塞（p = 0.008）显著相关，但与性别或其他评估变量无关。
结论： 鼻中隔中部偏曲是该儿科队列中最常记录的DNS类型。鼻塞和口呼吸是最常见的临床表现。在该队列中，若干有记录的出生相关特征、面部创伤和临床特征与DNS类型显著相关。这些发现描述了本回顾性横断面病历审查中DNS儿童的特征，并可能有助于指导未来的前瞻性研究。
英文摘要
BACKGROUND: Deviated nasal septum (DNS) is a common condition in children that may present with symptoms such as nasal obstruction and mouth breathing. This study aimed to describe the distribution of DNS types, clinical manifestations, and documented birth- and trauma-related characteristics among children with DNS.
METHODOLOGY: A retrospective cross-sectional chart review was conducted among children aged 6-10 years diagnosed with DNS. Demographic characteristics, birth-related parameters, trauma history, and clinical features were extracted from medical records. Associations between DNS type, documented clinical characteristics, and birth- and trauma-related factors were analyzed using the chi-square test or Fisher's exact test, as appropriate, with statistical significance set at p < 0.05 using IBM SPSS Statistics version 29.0.0.
RESULTS: A total of 150 children were included, comprising 117 boys (78.0%) and 33 girls (22.0%), with a mean age of 8.47 ± 1.23 years (mean ± standard deviation [SD]). Mid-septal DNS was the most common type (116, 77.3%), followed by anterior/caudal deviation (34, 22.7%). The most frequently documented clinical manifestations were nasal obstruction (77, 51.3%) and mouth breathing (70, 46.7%). Among children with available birth-related data (n = 89), most were delivered by normal vaginal delivery (64, 71.9%) and had a cephalic fetal presentation (83, 93.3%), while low birth weight was documented in 10 cases (11.2%). Mode of delivery (p = 0.032) and fetal presentation (p < 0.001) were significantly associated with DNS type. Documented facial trauma was reported in 37 children (24.7%). Nasal obstruction (p < 0.001) and external nasal deformity (p = 0.009) were also significantly associated with DNS type. Documented facial trauma was significantly associated with age (p = 0.017) and nasal obstruction (p = 0.008), but not with sex or other evaluated variables.
CONCLUSION: Mid-septal deviation was the most frequently documented type of DNS in this pediatric cohort. Nasal obstruction and mouth breathing were the most common clinical manifestations. Several documented birth-related characteristics, facial trauma, and clinical features were significantly associated with DNS type within this cohort. These findings describe the characteristics of children with DNS in this retrospective cross-sectional chart review and may help guide future prospective studies.