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补充维生素D可以改善mometasone对过敏性鼻炎的治疗效果
1Respiratory Department, Huichang People's Hospital, Ganzhou, China.
Acta biochimica Polonica
|September 16, 2023
概括
维生素D补充剂增强了对过敏性鼻炎 (AR) 的莫梅松治疗. 这项研究发现,维生素D改善了AR患者的症状和免疫标记,这表明它可以作为辅助疗法使用.
科学领域:
- 免疫学 免疫学 免疫学
- 过敏学 过敏学
- 营养科学 营养科学
背景情况:
- 过敏性鼻炎 (AR) 是一种普遍的疾病,通常用鼻腔皮质类固醇治疗.
- 在AR患者中观察到血清维生素D水平较低.
- 维生素D作为AR辅助疗法的潜力需要进一步研究.
研究的目的:
- 评估维生素D补充剂与mometasone鼻喷剂在治疗中度至重度过敏性鼻炎中的疗效和安全性.
- 评估维生素D对AR患者症状评分,生活质量,T淋巴细胞子集和细胞因子的影响.
主要方法:
- 一项随机对照试验,涉及140名中度至重度AR患者.
- 患者接受了mometasone鼻雾剂;实验组额外接受了维生素D四周.
- 使用总鼻腔症状得分 (TNSS) 和犀牛结膜炎生活质量调查问卷 (RQLQ) 测量有效性.
- 分析的免疫标志物包括T淋巴细胞子集 (CD3+,CD4+,CD8+),IL-10,TNF-α和IFN-γ.
主要成果:
- 两组治疗后的TNSS,CD3+,CD4+,CD4+/CD8+比率,TNF-α和RQLQ得分均显著改善.
- 观察到CD8 +,IFN-γ,IL-10和血清维生素D水平显著增加.
- 实验组 (用维生素D) 与对照组相比,表现出明显更大的改善,除了打喷和眼睛症状.
结论:
- 维生素D补充剂显著增强了梅鼻雾剂在中度至重度过敏性鼻炎患者的治疗效果.
- 维生素D可以作为过敏性鼻炎的有益辅助疗法,改善临床症状和免疫调节.
- 进一步的研究可以探索维生素D在AR管理中的最佳剂量和长期影响.
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