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[儿童过敏性鼻炎]

[Childhood allergic rhinitis].

作者信息

Marmouz F

出版信息

Allerg Immunol (Paris). 2000 Dec;32(10):381-7.

Abstract

Allergic rhinitis is the most common chronic disease in children. This frequency is in strong progress. According to ISAAC' study, it concerns a child (6/7 years) on four and a teenager on two. The seasonal rhinitises are generally well treated. Perennial allergic rhinitises are chronic and often neglected. They are more often complicated or associated to asthma which represents the major evolutionary risk. In a general way, allergic rhinitis are sub-diagnosed and untreated while we have more and more effective therapeutic means. Although allergic rhinitis is not considered as a severe disease, its echo on children's quality of life, physical and psychological well-being, and capacity to learn. It has also important socio-economic consequences. A better coverage is imperative itself as far as the diagnosis based on the symptoms and the allergy cutaneous tests which are easy. The options for treating allergic rhinitis in the child are not so different as those for adult. Complete avoidance of inhalant allergens is not always possible and medication are quite always possible. Intranasal corticosteroids are sometimes prescribed. In persistent disease, allergen immunotherapy may be considered according to the last OMS consensus statement.

摘要

变应性鼻炎是儿童最常见的慢性疾病。其发病率呈显著上升趋势。根据国际儿童哮喘和变应性疾病研究(ISAAC)的研究,每四名6/7岁儿童中就有一名患病,每两名青少年中就有一名患病。季节性鼻炎通常治疗效果良好。常年性变应性鼻炎呈慢性且常被忽视。它们更常并发或与哮喘相关,而哮喘是主要的病情进展风险。总体而言,变应性鼻炎常被漏诊和未得到治疗,然而我们现在有越来越有效的治疗手段。尽管变应性鼻炎不被视为严重疾病,但它会影响儿童的生活质量、身心健康及学习能力。它还会产生重要的社会经济后果。鉴于基于症状和简单的皮肤过敏试验进行诊断,更好地覆盖诊断范围势在必行。儿童变应性鼻炎的治疗选择与成人的并无太大差异。完全避免吸入性变应原并不总是可行的,而药物治疗通常是可行的。有时会开具鼻用糖皮质激素。对于持续性疾病,根据世界卫生组织的最新共识声明,可考虑进行变应原免疫治疗。

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