Clinical observation of flupentixol and melitracen combined with specific immunotherapy for treatment of allergic rhinitis patients with anxiety and depression
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摘要: 目的:探讨氟哌噻吨美利曲辛联合特异性免疫治疗(SIT)治疗变应性鼻炎(AR)伴焦虑(抑郁)状态患者的疗效。方法:选取2014-10-2015-09期间收治的99例中重度持续AR伴焦虑及抑郁患者,随机分成2组(实验组45例,对照组44例),所有患者给予标准化尘螨变应原疫苗SIT,疗程1年,实验组在此基础上再予氟哌噻吨美利曲辛口服(1片/d),疗程4个月。观察治疗前、治疗4个月和1年后的鼻部症状评分、迷你鼻结膜炎生活质量问卷(MiniRQLQ)、用药评分、焦虑状态量表(SAS)、抑郁状态量表(SDS)评分及临床疗效。同时收集2组发生的不良反应。结果:与治疗前比较,治疗4个月和1年后2组鼻部症状评分、MiniRQLQ各项评分、用药评分、SAS及SDS积分均降低,均差异有统计学意义(P<0.05);与对照组比较,在治疗4个月后实验组鼻部症状评分、MiniRQLQ各项评分、用药评分、SAS和SDS评分以及在治疗1年后的用药评分、SAS和SDS评分均降低(P<0.05);在治疗1年后,2组鼻部症状评分和MiniRQLQ各项评分、临床总有效率差异无统计学意义(P>0.05)。治疗4个月后,实验组总有效率为84.4%,对照组为56.8%;治疗1年后,实验组显效率为57.8%,对照组为22.7%;均差异有统计学意义(均P<0.05);治疗过程中共出现13例轻度不良反应,实验组8例(17.7%)和对照组5例(11.4%),差异无统计学意义(P>0.05)。结论:对于中重度AR伴焦虑抑郁状态患者,应用氟哌噻吨美利曲辛联合SIT能够进一步改善其临床症状、生活质量和精神状态,可提高临床疗效且安全可靠。Abstract: Objective:To explore the clinical effects of Flupentixol/Melitracencombined with specific immunotherapy in allergic rhinitis patients with anxiety and depression.Method:Totally ninety-nine moderate-to-severe-persistent allergic rhinitis patients with anxiety and depression from October 2014 to Sepetember 2015 were randomly divided into two groups:45 patients in experimental group (Flupentixol/Melitracen 10.5 mg,QD,treatment last 4 months)and 44 patients in control group. All patients were treated with specific immunotherapy for 1 years. The nasal symptoms score, mini Rhinoconjunctivitis Quality of life questionnaire(MiniRQLQ), Medication score, SAS and SDS score and the clinical curative effect were observed before treatment, after 4 months or one year treatment. The drug reactions were also recorded.Result:The VAS scores, MiniRQLQ scores, medication scores, SAS and SDS scores of patients in two groups who were treated after 4 months and 1 year were significantly reduced than that of patients before treatment.The differences were statistically significant(P<0.05).Compared with the control group, nasal symptom scores, MiniRQLQ scores, medication scores, SAS and SDS scores in experimental group were decreased after 4 month or 1 year treatment(P<0.05).After 4 months of treatment, the total effective rate of the experimental group was 84.4%, while the control group was 56.8%.After 1 years of treatment, the experimental group excellence rate was 57.8%, while the control group was 22.7%.The differences were statistically significant(P<0.05). During the course of treatment, there were thirteen cases of mild adverse reactionsin experimental group (17.7%) and control group(11.4%). There was no significant differences(P>0.05).Conclusion:Flupentixol and melitracen combined[JP+4]with specific immunotherapy could sifnificantlly relieve clinical symptom, quality of life and mental depression.is a safe and reliable therapeutic regimen for further improving clinical symptoms,quality of life,mental statusand the clinical efficacy in moderate-to-severe-persistent with anxiety anddepression.
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Key words:
- rhinitis, allergic /
- flupentixol and melitracen /
- specificimmunotherapy /
- anxiety /
- depression
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