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变应性鼻炎变应原特异性免疫治疗中国专家共识

Chinese Guideline on allergen immunotherapy for allergic rhinitis.

作者信息

Bao Yixiao, Chen Jianjun, Cheng Lei, Guo Yinshi, Hong Suling, Kong Weijia, Lai He, Li Houyong, Li Huabin, Li Jing, Li Tianying, Lin Xiaoping, Liu Shixi, Liu Zheng, Lou Hongfei, Meng Juan, Qiu Qianhui, Shen Kunling, Tang Wei, Tao Zezhang, Wang Chengshuo, Wang Xiangdong, Wei Qingyu, Xiang Li, Xie Hua, Xu Yu, Zhang Gehua, Zhang Yuan, Zheng Yiwu, Zhi Yuxiang, Chen Dehua, Hong Haiyu, Li Quansheng, Liu Lin, Meng Yifan, Wang Nan, Wang Yihui, Zhou Yue, Zhang Luo

机构信息

Department of Pediatric Respiratory Medicine, Pubin Children Hospital, Shanghai Children Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

出版信息

J Thorac Dis. 2017 Nov;9(11):4607-4650. doi: 10.21037/jtd.2017.10.112.

Abstract

The present document is based on a consensus reached by a panel of experts from Chinese Society of Allergy (CSA) and Chinese Allergic Rhinitis Collaborative Research Group (C2AR2G). Allergen immunotherapy (AIT), has increasingly been used as a treatment for allergic rhinitis (AR) globally, as it has been shown to provide a long-term effect in improving nasal and ocular symptoms, reducing medication need, and improving quality of life. AIT is currently the only curative intervention that can potentially modify the immune system in individuals suffering from AR and prevent the development of new sensitization and the progression of disease from AR to asthma. Although the use of AIT is becoming more acceptable in China, to date no AR immunotherapy guideline from China is available for use by the international community. This document has thus been produced and covers the main aspects of AIT undertaken in China; including selection of patients for AIT, the allergen extracts available on the Chinese market, schedules and doses of allergen employed in different routes of AIT, assessment of effect and safety, patients' administration and follow-up, and management of adverse reactions. The Chinese guideline for AR immunotherapy will thus serve as a reference point by doctors, healthcare professionals and organizations involved in the AIT of AR in China. Moreover, this guideline will serve as a source of information for the international community on AIT treatment strategies employed in China.

摘要

本文件基于中华医学会变态反应学分会(CSA)和中国变应性鼻炎协作研究组(C2AR2G)的专家小组达成的共识。变应原免疫疗法(AIT)在全球范围内越来越多地被用作治疗变应性鼻炎(AR)的方法,因为它已被证明在改善鼻和眼症状、减少药物需求以及提高生活质量方面具有长期效果。AIT是目前唯一能够潜在改变AR患者免疫系统并预防新的致敏反应发生以及疾病从AR进展为哮喘的治愈性干预措施。尽管AIT在中国的应用越来越被接受,但迄今为止,国际社会尚无中国的AR免疫治疗指南可供使用。因此编写了本文件,涵盖了中国进行AIT的主要方面;包括AIT患者的选择、中国市场上可用的变应原提取物、不同AIT途径中使用的变应原的方案和剂量、效果和安全性评估、患者的给药和随访以及不良反应的管理。中国AR免疫治疗指南将为中国参与AR的AIT的医生、医疗保健专业人员和组织提供参考。此外,本指南将为国际社会提供中国采用的AIT治疗策略的信息来源。

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