舌下免疫治疗变应性鼻炎患者的脱落特点分析
作者:
基金项目:

中国博士后科学基金面上项目(2017M613438)。


Analysis of characteristics of drop-out from sublingual immunotherapy in patients with allergic rhinitis
Author:
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • | |
    摘要:

    目的 研究耳鼻咽喉科门诊行舌下免疫治疗(SLIT)变应性鼻炎(AR)患者的脱落率、脱落特点及脱落原因。方法 通过电话随访2018年5—8月东部战区总医院耳鼻咽喉科门诊行SLIT的AR患者343例,男214例,女129例,年龄3~55岁。根据年龄分为5组:学龄前组(3~6岁),学龄组(7~12岁),青春期组(13~20岁),青年期组(21~40岁),中年期组(41~60岁)。分析患者的脱落率。结果 ①343例患者具有完整随访资料的患者299例,其中男194例,女105例。学龄前组27例,学龄组91例,青春期组104例,青年期组66例,中年期组11例。年龄4~52岁;②随访的299例患者中,用药6个月后脱落率为51.17%;1年后脱落率为59.20%;2年后脱落率为74.25%。停药例数最多的月份位于用药的第3、4个月。男女之间的脱落率比较无差异。不同年龄组间的脱落率比较无差异;③7例患者因不良反应停止用药,占脱落患者3.15%;④排名前四的脱落原因依次为:疗程太长、对治疗效果的感知、不方便继续获取药物、经济原因。结论 AR患者SLIT脱落率较高,年龄、性别因素对脱落率的影响无明显差异;脱落最多的月份位于用药的第3、4月份。加强患者教育、加强随访、延长首次处方时长有助于减少脱落。

    Abstract:

    Objective To analyze the drop-out rate, characteristics of drop-outs and the causes leading to premature discontinuation of sublingual immunotherapy (SLIT) in allergic rhinitis (AR).Methods Clinical data of 343 AR patients who received SLIT in our department from May 2018 to Aug 2018 were collected by telephone follow-up and analyzed retrospectively. All the patients were divided into 5 groups based on the age (3~6 years old, preschool group; 7~12 years old, school group; 13~20 years old, puberty group; 21~40 years old, adolescent group; 41~60 years old, middle-age group).Results ①Of the 343 patients, 299 (194 males and 105 females) had complete follow-up data and aged from 4 to 52.The case numbers of preschool, school, puberty,adolescent and middle-age groups were 27, 91, 104, 66 and 11, respectively;②The drop-out rate was 51.17% at the first 6 months, 59.20% at the first year and 74.25% at the second year. Most patients terminated SLIT at the third and the fourth month of treatment. There was no difference of the drop-out rate between the male and the female groups, and the differences of the drop-out rate among different age groups were all statistically insignificant; ③Seven patients (3.15% of the drop-out cases) terminated the therapy because of adverse reactions; ④The top 4-ranked causes of drop-out were the long course of treatment, perceived efficacy of treatment, inconvenience of getting the prescription, and cost of drugs.Conclusions The drop-out rate of SLIT for AR is quite high, and the most drop-outs happen at the third and fourth month of the therapy. Neither age nor gender has an significant effect on the drop-out rate. Enhancing education of patients, strengthening follow-up and extending the duration of the first prescription may help to reduce the drop-out rate of SLIT.

    网友评论
    网友评论
    分享到微博
    发 布
    参考文献
    [1] Li H, Chen S, Cheng L, et al. Chinese guideline on sublingual immunotherapy for allergic rhinitis and asthma[J]. J Thorac Dis, 2019, 11(12):4936-4950.
    [2] Roberts G, Pfaar O, Akdis CA, et al. EAACI guidelines on allergen immunotherapy:Allergic rhinoconjunctivitis[J]. Allergy, 2018, 73(4):765-798.
    [3] Rienzo VD, Marcucci F, Puccinelli P, et al. Long-lasting effect of sublingual immunotherapy in children with asthma due to house dust mite:a 10-year prospective study[J]. Clin Exp Allergy, 2003, 33(2):206-210.
    [4] Ozdemir C, Yazi D, Gocmen I, et al. Efficacy of long-term sublingual immunotherapy as an adjunct to pharmacotherapy in house dust mite-allergic children with asthma[J]. Pediatr Allergy Immunol, 2007, 18(6):508-515.
    [5] 曹成, 许昱. 变应性鼻炎患者舌下免疫治疗的临床依从性192例分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(1):114-118.
    [6] Wang T, Li Y, Wang F, et al. Nonadherence to sublingual immunotherapy in allergic rhinitis:a real-life analysis[J]. Int Forum Allergy Rhinol, 2017, 7(4):389-392.
    [7] Senna G, Lombardi C, Canonica GW, et al. How adherent to sublingual immunotherapy prescriptions are patients? The manufacturers' viewpoint[J]. J Allergy Clin Immunol, 2010, 126(3):668-669.
    [8] Wang D, Chen L, Cheng L, et al. Fast onset of action of sublingual immunotherapy in house dust mite-induced allergic rhinitis:a multicenter, randomized, double-blind, placebo-controlled trial[J]. Laryngocope, 2013, 123(6):1334-1340.
    [9] 刘湘, 楼响瑜, 高月秋, 等. 变应性鼻炎患者变应原谱及舌下免疫治疗分析[J]. 中国耳鼻咽喉头颈外科, 2019, 26(9):491-494.
    [10] Scurati S, Frati F, Passalacqua G, et al. Adherence issues related to sublingual immunotherapy as perceived by allergists[J]. Patient Prefer Adherence, 2010, 4:141-145.
    [11] Jin M, Zhang L, Zhou G, et al. The effect of the standard length of the first prescription on the adherence to sublingual immunotherapy for patients with allergic rhinitis[J]. Int Forum Allergy Rhinol, 2020, 10(6):768-772.
    [12] Asaria M, Dhami S, Ree van R, et al. Health economic analysis of allergen immunotherapy for the management of allergic rhinitis, asthma, food allergy and venom allergy:A systematic overview[J]. Allergy, 2018, 73(2):269-283.
    [13] 王鹛嵩, 吴海涛, 黄学彬, 等.舌下含服粉尘螨滴剂对变应性鼻炎伴哮喘患者的疗效及其经济性分析[J].临床耳鼻咽喉头颈外科杂志, 2016, 30(7):538-542.
    引证文献
引用本文

潘晗,张勇,朱亚骄,程友.舌下免疫治疗变应性鼻炎患者的脱落特点分析[J].中国耳鼻咽喉颅底外科杂志,2021,27(4):387-390

复制
分享
文章指标
  • 点击次数:68
  • 下载次数: 280
历史
  • 收稿日期:2020-10-06
  • 在线发布日期: 2021-09-02
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭