Dean Medical Center, 1313 Fish Hatchery Road, Madison, WI 53715, USA.
Allergy Asthma Proc. 2009 Nov-Dec;30(6):567-72. doi: 10.2500/aap.2009.30.3297.
Allergic rhinitis is one of the most common chronic diseases with over 600 million people affected worldwide. More than 200 million of them also suffer from concomitant asthma. Allergic rhinitis is generally under-diagnosed and under-treated. A significant burden of allergic rhinitis is due to pet allergies. In 2008 two major evidence-based documents on the management of allergic rhinitis were published, namely the US Rhinitis Practice Parameters and the ARIA/WHO Guidelines that stress the burden of allergic rhinitis due to animal allergens and the comorbidities of allergic rhinitis. We need a new approach targeting individual disease control in rhinitis due to animal allergens emphasizing avoidance and active treatment. The goals of the avoidance-treatment are to first improve patient care by recognizing each individual patient's burden of disease and expectations of therapy, and then to target and adjust the appropriate therapies to meet these expectations. Achieving these goals will, ultimately, help the patient to better self-manage his or her disease, thereby improving overall quality of life.
变应性鼻炎是世界上最常见的慢性疾病之一，全球有超过 6 亿人受其影响。其中超过 2 亿人还同时患有哮喘。变应性鼻炎通常诊断不足和治疗不足。变应性鼻炎的一个主要负担是由于宠物过敏。2008 年，发表了两份关于变应性鼻炎管理的主要循证文件，即美国变应性鼻炎实践参数和 ARIA/WHO 指南，强调了动物过敏原引起的变应性鼻炎的负担以及变应性鼻炎的合并症。我们需要一种针对动物过敏原引起的鼻炎的新方法，强调避免和积极治疗。避免治疗的目标是首先通过识别每个患者的疾病负担和治疗期望来改善患者的护理，然后针对并调整适当的治疗方法以满足这些期望。实现这些目标最终将帮助患者更好地自我管理疾病，从而提高整体生活质量。
