长期鼻炎与鼻的生物药物的进展
Yiming Di1,2, Ruizhi Zeng2, Lei Huang1
1Department of Otorhinolaryngology Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Frontiers in allergy
|March 16, 2026
概括
在其他治疗方法失败时,生物药物可以改善慢性鼻炎与鼻息肉 (CRSwNP) 的症状控制. 这些疗法可以减少对手术和全身类固醇的需求,改善生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 免疫学 免疫学 免疫学
- 肺部病理学 肺部病理学
背景情况:
- 带有鼻息肉的慢性鼻炎 (CRSwNP) 存在管理挑战,特别是传统疗法对症状控制的不足.
- CRSwNP的特点是2型炎症,并且经常与喘等其他2型疾病同时发生.
研究的目的:
- 审查CRSwNP生物疗法的疗效和安全性.
- 为了比较生物治疗与内镜外科手术 (ESS).
- 探索在CRSwNP管理中转换和同时使用生物药物的策略.
主要方法:
- 对CRSwNP的生物治疗方法的临床试验和现实世界的数据的审查.
- 生物治疗与ESS结局的比较分析.
- 探索生物转换和组合治疗方案.
主要成果:
- 已批准的生物药物 (杜皮卢马布,奥马利祖马布,梅波利祖马布,斯塔波基巴特) 在CRSwNP管理中表现出有效性.
- 生物制剂可以显著改善患者的生活质量.
- 生物疗法可以减少对全身皮质类固醇和内镜鼻手术 (ESS) 的依赖.
结论:
- 生物药物在管理CRSwNP方面取得了重大进展,特别是在患有并发性2型疾病的患者中.
- 生物疗法为ESS提供了一个替代方案或辅助方案,可能减少手术干预.
- 对最佳生物策略的进一步研究,包括切换和同时使用,对于个性化的CRSwNP治疗是有必要的.
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