过敏性鼻炎是一种过敏性鼻炎
Alexander N Greiner1, Peter W Hellings, Guiseppina Rotiroti
1Asthma and Allergy Centre, San Diego, CA, USA.
Lancet (London, England)
|July 26, 2011
概括
过敏性鼻炎经常被忽视,影响健康和生产力. 有效的管理包括指导方针导向的护理,药物治疗和过敏原特异性免疫治疗,以改善生活质量.
科学领域:
- 过敏学和免疫学
- 肺部病理学 肺部病理学
- 临床医学 临床医学
背景情况:
- 过敏性鼻炎是一种普遍的疾病,影响所有年龄组,经常导致诊断不足和治疗不当.
- 尽管不危及生命,但它显著影响生活质量,生产力,并与不良的喘控制有关.
- 目前的管理层往往不足,强调了需要指导方针导向的方法.
研究的目的:
- 强调过敏性鼻炎的临床相关性和社会成本.
- 审查当前的管理策略,并强调准确诊断的重要性.
- 讨论过敏性鼻炎的各种治疗方案的疗效和安全性.
主要方法:
- 审查有关过敏性鼻炎诊断和管理的现有文献.
- 对药物治疗选择的分析,包括鼻内皮质类固醇和免疫治疗.
- 强调通过特定的IgE反应性测试进行诊断确认.
主要成果:
- 鼻腔内皮质类固醇在治疗过敏性鼻炎症状方面表现出效率和安全性的优越性.
- 特定的IgE反应性测试对于诊断和指导环境控制策略至关重要.
- 免疫疗法有可能改变过敏性鼻炎的自然过程.
结论:
- 有效的过敏性鼻炎管理需要遵守指南,准确诊断和量身定制的治疗.
- 药物治疗,特别是鼻腔内皮质类固醇,是有效的,但免疫治疗具有改变疾病的潜力.
- 患者教育和进一步的研究对于改善持续病例的结果至关重要.
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