非类固醇抗炎药物加剧呼吸道疾病的最新治疗方法:如何在脱敏后决定阿司匹林治疗或生物药物? 在什么时候? 如何? 如何? 一份EAACI工作组的报告
Gülfem E Çelik1, Joanna S Makowska2, Maria Jose Torres3,4
1Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, and Private Practice, Ankara, Türkiye.
非类固醇抗炎药物加剧呼吸道疾病 (NSAID-ERD) 的管理包括在阿司匹林脱敏和生物药物之间做出选择. 这两种治疗都有效地减少了鼻息肉大小,并改善了NSAID-ERD患者的生活质量.
科学领域:
- 免疫学 免疫学 免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
背景情况:
- 非类固醇抗炎药物 (NSAID) 加剧的呼吸道疾病 (NSAID-ERD) 呈现为慢性异氨基酸性气道炎症.
- 它会影响患有带鼻息肉的慢性鼻炎 (CRSwNP) 和喘的患者,随着NSAID摄入而恶化.
研究的目的:
- 根据当前的文献,审查和概述选择NSAID-ERD最佳治疗方法的考虑因素.
- 为了比较阿司匹林治疗脱敏后 (ATAD) 和生物疗法的疗效.
主要方法:
- 对NSAID-ERD治疗的当前研究的文献综述.
- 对治疗结果的分析,包括减少多体大小和改善生活质量.
主要成果:
- 脱敏后的阿司匹林治疗 (ATAD) 已在减少CRS症状和鼻增长方面表现出有效性.
- 生物疗法也显示了多体大小的显著减少和相关结果的改善.
结论:
- 对NSAID-ERD的治疗选择需要仔细考虑个体患者的因素和治疗疗效.
- ATAD和生物药物都为管理NSAID-ERD提供了可行的选择,具有明显的好处.
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