Thiadens H A
Leids Universitair Medisch Centrum, afd. Public Health en Eerstelijnsgeneeskunde, Postbus 96000, 2300 RC Leiden.
Ned Tijdschr Geneeskd. 2007 Oct 13;151(41):2251-2.
The Dutch guideline 'Allergic and nonallergic rhinitis' of the Dutch College of General Practitioners has been revised. The use of intranasal corticosteroids (INCS) is now advocated in cases with persistent complaints and there is more evidence to prescribe intranasal antihistamines for intermittent allergic rhinitis. The effect of dust-proof bedding covers is questioned and only advocated in persons showing both allergic rhinitis and asthma. Attention is given to the relationship between allergic rhinitis and asthma. Although the efficacy of INCS on asthma outcome has not been assessed, the guideline suggests that INCS could improve asthma symptoms and perhaps could diminish the dose of inhalation corticosteroids for persons with concomitant asthma.
荷兰全科医师学院的《变应性和非变应性鼻炎》荷兰指南已修订。对于持续有症状的病例,现提倡使用鼻内糖皮质激素(INCS),并且有更多证据支持为间歇性变应性鼻炎患者开具鼻内抗组胺药。防尘床罩的效果受到质疑,仅在同时患有变应性鼻炎和哮喘的患者中提倡使用。指南关注变应性鼻炎与哮喘之间的关系。虽然尚未评估INCS对哮喘转归的疗效,但该指南表明,INCS可能改善哮喘症状,或许还能减少合并哮喘患者吸入性糖皮质激素的剂量。