Karpishchenko S A, Kolesnikova O M
I.P. Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia, 197022.
Vestn Otorinolaringol. 2017;82(5):44-47. doi: 10.17116/otorino201782544-47.
The objective of the present work was to evaluate the effectiveness of the combination of azelastine hydrochloride and mometasone furoate for the intranasal application to treat the patients presenting with seasonal allergic rhinitis. A total of 60 subjects suffering from seasonal allergic rhinitis were available for the observation. All the patients were allocated to three groups comprised of 20 individuals each. The patients of the first group received the fixed combination of azelastine hydrochloride and mometasone furoate for the intranasal application, those in the second group were given mometasone furoate administered intranasally together with an oral antihistamine preparation of the third generation, and the patients of the third group were treated with intranasal mometasone furoate alone. The effectiveness of the treatment was evaluated on days 7 and 14 after its initiation. It was found that the treatment with the use of the combination of azelastine hydrochloride and mometasone furoate resulted in a more pronounced alleviation of rhinological symptoms and improvement of the quality of life at the early stages of therapy in comparison with mometasone furoate monotherapy. It is concluded that the patients with moderate and severe seasonal allergic rhinitis can be recommended to use the combination of azelastine hydrochloride and mometasone furoate as качестве the initial treatment.
本研究的目的是评估盐酸氮卓斯汀和糠酸莫米松联合鼻内应用治疗季节性变应性鼻炎患者的有效性。共有60例季节性变应性鼻炎患者可供观察。所有患者被分为三组,每组20人。第一组患者接受盐酸氮卓斯汀和糠酸莫米松的固定复方鼻内应用,第二组患者鼻内给予糠酸莫米松并同时口服第三代抗组胺制剂,第三组患者仅接受鼻内糠酸莫米松治疗。在治疗开始后的第7天和第14天评估治疗效果。结果发现,与糠酸莫米松单药治疗相比,使用盐酸氮卓斯汀和糠酸莫米松联合治疗在治疗早期能更显著地减轻鼻部症状并改善生活质量。得出结论,对于中重度季节性变应性鼻炎患者,可推荐使用盐酸氮卓斯汀和糠酸莫米松联合作为初始治疗。