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在北美,皮下免疫疗法剂量的艺术
Harold S Nelson1, Tricia Sowers2, Greg Plunkett3
1Department of Medicine, National Jewish Health, Denver, Colo.
概括
皮下免疫疗法 (SCIT) 对过敏的剂量仍然在很大程度上是经验性的,因为过敏原提取物的变化. 建立标准化剂量需要进一步研究提取物的效力和患者特异性因素,以确保安全有效的治疗.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 药理学 药理学是指药理学的学科.
- 临床治疗学 临床治疗学
背景情况:
- 皮下免疫疗法 (SCIT) 是过敏犀牛结膜炎的常见治疗方法,但其疗效和安全性严重依赖于精确的过敏原剂量.
- 目前,在美国可用的众多液态过敏原提取物中,只有有限的数量存在已建立的SCIT剂量协议,因此需要经验性剂量策略.
- 本综述涉及SCIT剂量的复杂性,包括历史背景,当前做法以及过敏原提取物的国际差异.
结论:
- 目前,SCIT剂量是一个艺术,依靠临床经验来管理多敏化,耐受性,混合物化合物和提取功效的变化.
- 需要进一步的研究,以建立基于证据的剂量SCIT使用美国的过敏原提取物.
- 对过敏原提取物和剂量方法的标准化对于提高SCIT疗效和安全至关重要.
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