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Epidemiological investigation of allergic rhinitis in children in Ganzhou area and clinical effect of Dermatophagoides Farinae Drops |
WANG Xin-tao YANG Ming-fu GAO Shu-feng ZHANG Ke-hui HUANG Zhen-he CAI Yun-xiang HUANG Yun |
Department of Otolaryngology,Ganzhou People′s Hospital,Jiangxi Provinmce,Ganzhou 341000,China |
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Abstract Objective To investigate the epidemiology of allergic rhinitis in children in Ganzhou area,and to analyze the clinical efficacy of Dermatophagoides Farinae Drops.Methods A total of 160 children with allergic rhinitis were investigated in Ganzhou area from January 2018 to January 2020.The clinical symptoms and the standard allergen skin prick test(SPT)were recorded.The symptoms scores change and clinical sign score changes before and after treatment,curative effect and adverse reactions were observed.Results The mainly clinical symptoms of 160 children were sneezing and nasal congestion.Other nasal symptoms were nasal itching,runny nose and hyposmia.Among 160 children,there were 145 children with SPT positive,50 cases(34.48%)aged 5-7 years,63 cases(43.45%)aged 8-10 years,32 cases(22.07%)aged 11-14 years.Among them,the positive rate of dust mite sting was the highest,accounting for 78.62%,followed by corn pollen and willow pollen.After treatment,the scores of symptoms and clinical signs of sneezing,runny nose,nasal congestion,and nasal itching were lower than those before treatment(P<0.05).Among the 160 children,102 cases were markedly effective(63.75%),54 cases were effective(33.75%),4 cases were ineffective(2.50%),and the total effective rate was 97.50%,the incidence of adverse reactions was 5.00%.Conclusion The mainly clinical symptoms of children with allergic rhinitis are sneezing,and most of the children′s skin prick tests are allergic to dermatophagoides farinae.The application of sublingual Dermatophagoides Farinae Drops can help improve the clinical symptoms and clinical signs,and the adverse reaction rarely occurr.
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[1] |
孙红军.标准化粉尘螨滴剂舌下特异性免疫治疗儿童变应性鼻炎疗效及与年龄的关系[J].陕西医学杂志,2018,47(4):503-505.
|
[2] |
中华耳鼻喉咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.变应性鼻炎诊断和治疗指南(2015,天津)[J].中华耳鼻咽喉头颈外科杂志,2016,51(1):6-24.
|
[3] |
武勇进,王鹏,刘智献,等.标准化粉尘螨滴剂舌下免疫治疗变应性鼻炎患儿的疗效及TGF-β和IL-13 mRNA表达水平的变化[J].临床耳鼻咽喉头颈外科杂志,2018,32(4):256-259.
|
[4] |
Bousquet J,Lockey R,Malling HJ,et al.Allergen Immunotherapy:Therapeutic Vaccines for Allergic Diseases[J].Allergy,1998,53(44 Suppl):1-42.
|
[5] |
中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉科分会.变应性鼻炎的诊治原则和推荐方案(2004年,兰州)[J].中华耳鼻咽喉头颈外科杂志,2005,40(3):166-167.
|
[6] |
李守珍,黄若葵,李婉.舌下含服粉尘螨滴剂治疗儿童变应性鼻炎的临床效果[J].临床医学,2019,39(3):99-100.
|
[7] |
高玲,李果,许昱,等.湖北省枣阳市6~12岁儿童变应性鼻炎流行病学调查分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(21):1641-1645,1650.
|
[8] |
马婷婷,庄严,石海云,等.内蒙古自治区草原地区儿童变应性鼻炎流行病学调查[J].中华耳鼻咽喉头颈外科杂志,2019,54(8):571-575.
|
[9] |
王洁,常换换,魏苗,等.舌下含服尘螨滴剂治疗单一或多重过敏原儿童变应性鼻炎的疗效观察[J].临床耳鼻咽喉头颈外科杂志,2018,32(21):1646-1650.
|
[10] |
许树深,陈志强,黄志昂.粉尘螨滴剂联合加味玉屏风汤治疗变应性鼻炎41例临床观察[J].中国民族民间医药,2018,27(2):100-102.
|
[11] |
庞冲,梁洁琼,刘传合,等.不同严重程度鼻炎患者尘螨舌下特异性免疫治疗临床效果观察[J].中国实用儿科杂志,2020,35(2):142-146.
|
[12] |
梁芳健.舌下免疫治疗常年性变应性鼻炎临床研究[J].中国医学创新,2011,8(21):34-36.
|
[13] |
程雷,李华斌.世界变态反应组织舌下免疫治疗意见书(2009)解读[J].中华耳鼻咽喉科外科杂志,2011,46(1):80-83.
|
[14] |
张富旺.舌下粉尘螨滴剂联合氯雷他定治疗变应性鼻炎疗效观察[J].实用中西医结合临床,2019,19(4):64-66.
|
[15] |
洪原城,阙镇如,林丹琪,等.粉尘螨滴剂联合匹多莫德对小儿变应性鼻炎合并哮喘患者炎症反应、免疫应答的影响[J].海南医学院学报,2018,24(17):58-61.
|
[16] |
石福斌,曹松霞,李蕙,等.粉尘螨滴剂脱敏治疗儿童变应性鼻炎100例疗效观察[J].广西中医药大学学报,2019,22(3):34-37.
|
[17] |
王佳蓉,邱连升,陈翊民,等.舌下含服标准化尘螨滴剂治疗儿童变应性鼻炎的疗效及机制研究[J].福建医药杂志,2020,42(1):19-22.
|
[18] |
陈建军,孔维佳,项济生,等.舌下含服免疫治疗依从性分析及对策.临床耳鼻咽喉头颈外科杂志,2010,24(5):203-206.
|
|
|
|