Matsune Shoji, Saruya Shoji, Sawaki Seiij, Otsuka Hirokuni, Oyama Yoshio, Minowa Hitoshi, Koyama Mamoru, Ikui Akihiro, Yoshioka Yuma, Wakayama Nozomu, Ishida Mariko, Sekine Kuwon, Yamaguchi Satoshi, Okubo Kimihiro
Nippon Medical School, Musashikozugi Hospital, Division of Otolaryngology.
Arerugi. 2016 Feb;65(1):57-65. doi: 10.15036/arerugi.65.57.
Backgroud: It has already been reported that the prophylactic treatment by leukotoriene receptor antagonists is more effective on reducing symptoms of Japanese cedar pollinosis than the authentic treatment after the pollen dispersal. However, the treatment above has never evaluated in children cases around school age in ENT out-patient clinic. This study about the prophylactic treatment was planned to focus on the effect in the generation of pre- and post-elementary school entrance.
Children of pre- and post-elementary school entrance were enrolled for this study. This study was achieved in seasons of Japanese cedar pollinosis both in 2013 and 2014, and was designed as the comparison of clinical symptoms and quality of life in between two such groups as one group with the prophylactic treatment and another with the authentic treatment.
Efficacy of prophylactic treatment by leukotoriene receptor antagonists was elucidated as follows; quality of sleep was significantly better both in 2013 and 2014, and more kinds of clinical symptoms or quality of life impairments were significantly more suppressed than in the group with the authentic treatment in 2014 when less pollen was dispersed.
Even in the children of pre- and post-elementary school entrance, the prophylactic treatment by leukotoriene receptor antagonists is more effective on reducing symptoms of Japanese cedar pollinosis than the authentic treatment.
背景:已有报道称,白三烯受体拮抗剂预防性治疗在减轻日本雪松花粉症症状方面比花粉散播后的常规治疗更有效。然而,上述治疗在耳鼻喉科门诊的学龄儿童病例中从未进行过评估。这项关于预防性治疗的研究旨在关注小学入学前后的疗效。
本研究纳入了小学入学前后的儿童。该研究在2013年和2014年日本雪松花粉症季节进行,设计为比较预防性治疗组和常规治疗组两组之间的临床症状和生活质量。
白三烯受体拮抗剂预防性治疗的疗效如下:2013年和2014年睡眠质量均显著更好,在2014年花粉散播较少时,更多种类的临床症状或生活质量损害比常规治疗组得到更显著的抑制。
即使在小学入学前后的儿童中,白三烯受体拮抗剂预防性治疗在减轻日本雪松花粉症症状方面也比常规治疗更有效。