在过敏方面有争议的做法
JAMA
|June 11, 1982
概括
几种过敏测试方法缺乏科学支持. 有控制的研究表明,皮肤内定位,挑性测试和自身尿液免疫疗法是无效或有害的,影响患者的护理和成本.
科学领域:
- 免疫学 免疫学 免疫学
- 临床过敏 临床过敏
背景情况:
- 现代的过敏实践依赖于理解过敏的病原性.
- 尽管科学审查,但某些过敏的临床实践仍然存在争议.
研究的目的:
- 评估支持有争议的过敏诊断和治疗程序的科学证据.
- 告知医生关于未经证实的过敏治疗方法的疗效和风险.
主要方法:
- 对检查特定过敏测试和免疫治疗方式的受控研究的审查.
- 评估皮肤内定位,挑性测试和自身尿液免疫治疗的证据.
主要成果:
- 有控制的研究不支持皮肤内定位或低水平修改的放射性过敏吸收剂定位作为免疫治疗指导.
- 证据不支持挑性测试或白细胞毒性测试对食品过敏诊断的临床有用性.
- 食品添加剂对高运动的影响尚不清楚;自身尿液免疫疗法缺乏证据,可能是有害的.
结论:
- 医生必须了解过敏手术的科学基础,以便有效地向患者提供建议.
- 过敏的有争议的做法缺乏经验支持,可能会带来风险.
- 由于过敏性疾病的流行和经济影响,了解患者咨询至关重要.
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