影响儿童变应性鼻炎舌下脱敏疗效的临床分析
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胡彬雅,Email:zhizi628@126.com

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湖南省中医药管理局课题(2015162)


Clinical analysis of sublingual desensitization effect on children with allergic rhinitis
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    摘要:

    目的分析螨虫相关儿童变应性鼻炎舌下脱敏的疗效及影响因素。方法回顾分析2017年1月~2017年7月就诊于湖南省儿童医院耳鼻咽喉头颈外科门诊、经皮肤点刺试验诊断为螨虫相关变应性鼻炎并进行舌下脱敏治疗的532例儿童病例资料,按性别、病程长短、是否单一螨虫(粉尘螨)过敏、是否合并哮喘、治疗依从性好坏、是否采取个性化治疗、用药疗程、皮肤点刺实验等因素进行分组比较。结果采用单因素分析方法,532例脱敏治疗病例中,在10%的置信水平下(P<0.10),变应原种类、病程、合并哮喘、个性化治疗、治疗依从性、用药疗程是舌下脱敏疗效的影响因素。随后采用多因素分析方法,结果532例脱敏治疗病例中,在5%的置信水平下(P<0.05),病程、变应原种类、合并哮喘、治疗依从性、个性化治疗、用药疗程是舌下脱敏疗效的影响因素。结论变应性鼻炎舌下脱敏患儿病程越短、疗程足够疗效越好;未合并哮喘者疗效较好;治疗依从性好、个性化治疗的疗效较好;单一粉尘螨过敏者疗效较好。患儿性别、皮肤点刺试验对疗效无影响。

    Abstract:

    ObjectiveTo analyze the effect and influential factors of sublingual desensitization of acaridrelated allergic rhinitis in children.MethodsA retrospective analysis was made of the data of 532 pediatric patients admitted to the department of otolaryngology head and neck surgery of Hunan Children's Hospital from January 2017 to July 2017. And the patients were diagnosed as acaridrelated allergic rhinitis and treated with sublingual desensitization through skin pricking test. A comparison of the factors of groups were performed on their gender, length of disease, whether single mite (dust mite) allergy, whether combined asthma, treatment compliance, whether to take personalized treatment, medication course, whether to take antimite measures, skin pringling test and other factors.ResultsBy the singlefactor analysis method, among the 532 cases of desensitization treatment, at the confidence level of 10% (P<0.10),the influencing factors of the efficacy of sublingual desensitization therapy were the types of allergens, course of disease, combined asthma, personalized treatment, treatment compliance and duration of medication. Subsequently, multifactor analysis was used to analyze the results of 532 cases of desensitization treatment. And at the confidence level of 5% (P<0.05),the course of disease, types of allergens, combined asthma, treatment compliance, personalized treatment and course of medication are the influential factors of the efficacy of sublingual desensitization.ConclusionsThe shorter the course of the disease is the better its treatment enough for the pediatric patients of sublingual desensitization. The patients without asthma have better curative effect. The treatment compliance is better, and the effects of individualized treatment is better. The patients with single dust mite allergy have better efficacy. The gender and skin prick test had no effect on the curative effect.

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王萍,胡彬雅,李曦.影响儿童变应性鼻炎舌下脱敏疗效的临床分析[J].中国耳鼻咽喉颅底外科杂志,2019,25(4):427-431

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  • 在线发布日期: 2019-08-31
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