Study Of Immediate Effects Of ARhino-Pharyngeal Clearance Strategy In Nasal Blockage And Middle Ear Condition In Children Under 3 Years Of Age.

Research Journal of Pharmaceutical, Biological and Chemical Sciences

article

Gajanan Kashid¹  Anil Solunke²  Manoj Waghmare³  Naveen Kumar Reddy.⁴ 

[1] Department of E.N.T, D.V.V.P.F, S Medical College;Department of E.N.T., D.V.V.P.F, S Medical College;Department of Respiratory Medicine, D.V.V.P.F, S Medical College;Department of Paediatrics, D.V.V.P.F, S Medical College

关键词: Rhinopharyngeal clearance;    Nasal irrigation;    Respiratory tract infections;    Tympanometry.;   

DOI  :  10.33887/rjpbcs/2022.13.5.37

学科分类：工程和技术（综合）

来源: Research Journal of Pharmaceutical, Biological and Chemical Sciences

【 摘 要 】

Children up to 2 years old are at high risk of respiratory infections and nasal irrigation is oftenprescribed. Yet, to date there is no sufficient knowledge about its immediate effects on the nasopharynxand middle ear. Therefore, this study aimed to analyse the effect of a rhino-pharyngeal clearanceintervention protocol on nasal obstruction and middle ear condition in children under 3 years of age withURTI. Randomised controlled trial in a day-care centre of Porto, including 44 children randomised toIntervention Group (IG) and Control Group (CG). Nasal auscultation and tympanometry were performed atbaseline (M0) as well as after the intervention (M1), which consisted of nasal irrigation (NaCl .9%) followedby a forced nasal inspiration in the IG, and after 30 min of normal activities, in the CG. In M1 there was alower frequency of children classified as having an obstructed nasal sound in the IG when compared to theCG (IG = 33.3%; CG = 68.4%; p = 0.042). We also observed an improvement of mean peak pressure (PP) inthe IG (Left ear: M0 = 124daPa; M1 = 92daPa; p = 0.022. Right ear: M0 = 102daPa; M1 = 77daPa; p = 0.021),which was not observed in the CG (Left ear: M0 = 105daPa; M1 = 115daPa; p = 0.485. Right ear: M0 =105daPa; M1 = 131daPa; p = 0.105). There were no significant results concerning the compliance of thetympanic membrane. The rhino-pharyngeal clearance improved the nasal obstruction and PP of the middleear of children under 3 years of age with URTI.

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