Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Canada.
Curr Opin Allergy Clin Immunol. 2012 Oct;12(5):449-54. doi: 10.1097/ACI.0b013e328357cc32.
Asthma and rhinitis are commonly associated and they influence their respective control. New observations have contributed to better understand how to assess those conditions and how they influence each other.
Recent studies found that not only the intensity, but also the duration of rhinitis could be correlated with the development of asthma and possibly its remission. The measure of exhaled nitric oxide (FeNO) has been used to show the presence of lower airway inflammation in rhinitic patients, with or without asthma. Furthermore, it has been shown that allergic rhinitis could affect asthma control in children as in adults, and consequently suggested that allergic rhinitis and asthma should be concomitantly approached in regard to their diagnosis and treatment. Additional observations showed improvements in various asthma outcomes with the treatment of rhinitis.
These new data confirm the strong link between asthma and rhinitis, the importance of their interactions, and the need to identify and treat rhinitis adequately in asthmatic patients.
哮喘和鼻炎通常是相关的,它们会影响各自的控制。新的观察结果有助于更好地了解如何评估这些情况以及它们如何相互影响。
最近的研究发现,鼻炎的严重程度和持续时间不仅与哮喘的发展有关,而且可能与哮喘的缓解有关。呼出气一氧化氮(FeNO)的测量已被用于显示有或没有哮喘的鼻炎患者下气道炎症的存在。此外,研究表明,过敏性鼻炎可影响儿童和成人的哮喘控制,因此建议在诊断和治疗方面同时考虑过敏性鼻炎和哮喘。其他观察结果表明,鼻炎治疗可改善各种哮喘结局。
这些新数据证实了哮喘和鼻炎之间的紧密联系,以及它们相互作用的重要性,需要在哮喘患者中充分识别和治疗鼻炎。