Efficacy of nasal spray-type allergen blocker combined with oral antihistamines in patients with dust mite allergic AR
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摘要: 目的:探讨鼻喷型过敏原阻隔剂联合口服抗组胺药对尘螨过敏型变应性鼻炎(AR)患者的临床疗效。方法:将90例中重度对尘螨过敏的AR患者随机分为试验组和对照组,每组45例,属于单盲(受试者设盲)研究。2组患者均口服抗组胺药(枸地氯雷他定片),试验组采用鼻喷型过敏原阻隔剂联合枸地氯雷他定片,对照组采用生理海水联合枸地氯雷他定片。分别于用药前和用药2周后评估患者的主观鼻炎症状、客观体征、生活质量评分的改善情况和不良反应情况。结果:2组患者服药2周后均有不同程度的病情缓解,试验组患者的症状、体征评分及生活质量改善状况优于对照组(P<0.05),2组患者均无明显的不良反应发生。结论:以鼻喷型过敏原阻隔剂联合抗组胺药治疗对尘螨过敏的AR患者疗效显著,可以显著缓解患者的鼻炎症状、体征和改善生活质量,在临床上值得推广应用。Abstract: Objective: To investigate the clinical effect of nasal spray type allergen blocker combined with oral antihistamine on dust mite allergic allergic rhinitis (AR).Method: Ninety cases of patients withmild-severe allergic to dust mite were randomly divided into experimental group and control group, 45 cases in each group. The experimental group used nasal spray allergen barrier agent combined with citrate tablets, and the control group used physiological seawater combined with citrate sheet. The symptoms of subjective rhinitis, objective signs, improvement of quality of life scores and adverse reactionsof 2 groups were evaluated before and 2 weeks after treatment.Result: The symptoms, signs and quality of life of the patients in the experimental group were better than those in the control group (P<0.05). No obvious adverse reactions were observed.Conclusion: The effect of nasal spray type allergen blocker combined with antihistamine on AR patients with allergic to dust mite is remarkable. They can significantly alleviate the symptoms and signs of rhinitis in patients, and is worthy to be popularized in clinical application.
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Key words:
- dust mite /
- rhinitis, allergic /
- allergen barrier agent
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[1] BOUSQUET J, KHALTAEV N CRUZ A A, et al.Allergic Rhinitis and its Impact on Asthma (ARIA) 2008update (in collaboration with the World Health Organization, GA (2) LEN and AllerGen)[J].Allergy, 2008, 63:8-160.
[2] OKUBO K, KURONO Y, FUJIEDA S, et al.Japanese Guideline for Allergic Rhinitis 2014[J].Allergol Int, 2014, 63:357-375.
[3] WHEATLEY L M, TOGIAS A.Clinical practice.Allergic rhinitis[J].N Engl J Med, 2015, 372:456-463.
[4] ZHANG F, KRAFFT T, ZHANG D, et al.The association between daily outpatient visits for allergic rhinitis and pollen levels in Beijing[J].Sci Total Environ, 2012, 418:39-44.
[5] JUNIPER E F.Measuring health-related quality of life in rhinitis[J].J Allergy Clin Immounil, 1997, 99:742-749.
[6] 吴海明, 王秋萍, 张恺, 等.鼻腔冲洗治疗变应性鼻炎的疗效观察[J].临床耳鼻咽喉头颈外科杂志, 2014, 28(5):287-289.
[7] ABERGN, DAHL A, BENSON M.A nasnal applied cellulose powder in seasonal allergic rhinitis (SAR) in children and adolencents;reduction of symptom and relation to pollen load[J].Pediatr Allergic Immunol, 2011, 22:594-599.
[8] DEWEGER L A, BEERTHUIZEN T, GASTSTROOKMAN J M, et al.Difference in symptom severity bttween early and late grass pollenseason in patients with seasonal allergic rhinitis[J].Clin Transl Allergy, 2011, 1:18-18.
[9] HOWARTH P H, STERN M A, ROI L, et al.Doubleblind, placebo-controlled study comparing the efficacy and safety of fexpfenadine hydrochloride (120and 180mg once daily) and cetirzinein seasonal allergic rhinitis[J].J Allergic Clin Immunol, 1999, 104:927-933.
[10] LI Y, CHENG L, CHEN X, et al.Efficacy evaluation of a pollen blocker cream against dust-mite allergy:A multicenter, randomized, double-blinded, placebocontrolled crossover trial[J].Am J Rhinol Allergy, 2015, 29:129-133.
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