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舌下免疫疗法在过敏治疗中的临床效用的批判性评估。

Critical appraisal of the clinical utility of sublingual immunotherapy in allergy.

作者信息

Aissa S, Ben Jazia R, Ayachi J, Ben Salem C, Hayouni A, Abdelghani A, Ben Saad H, Boussarsar M

机构信息

Pulmonology Department, Farhat Hached University Hospital, Sousse, 4000, Tunisia.

Medical Intensive Care Unit, Farhat Hached University Hospital, Sousse, Tunisia.

出版信息

Contemp Clin Trials Commun. 2016 Jun 18;4:1-8. doi: 10.1016/j.conctc.2016.06.002. eCollection 2016 Dec 15.

DOI:10.1016/j.conctc.2016.06.002
PMID:29736465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5935903/
Abstract

Since it was introduced by Noon in 1911, allergen-specific immunotherapy or desensitization has been widely prescribed in the management of allergic diseases. Aimed at the etiology, it represents the only effective treatment for allergy. The basic mechanisms of immunotherapy are becoming better understood and allow us to improve this technique in the future. The sublingual immunotherapy as an alternative to subcutaneous route has been widely studied. Several clinical trials confirmed that sublingual immunotherapy is efficient in reducing allergic respiratory symptoms. The sublingual immunotherapy reduces the risk of developing serious side effects due to desensitization. We performed a literature review in order to remind the mechanisms of action and to demonstrate efficacy and tolerability of the sublingual immunotherapy in the treatment of allergic rhinoconjunctivitis and asthma and its impact on the quality of life.

摘要

自1911年由努恩引入以来,变应原特异性免疫疗法或脱敏疗法已被广泛用于过敏性疾病的治疗。针对病因,它是唯一有效的过敏治疗方法。免疫疗法的基本机制正被更好地理解,这使我们能够在未来改进这项技术。舌下免疫疗法作为皮下途径的替代方法已得到广泛研究。多项临床试验证实,舌下免疫疗法在减轻过敏性呼吸道症状方面有效。舌下免疫疗法降低了脱敏引起严重副作用的风险。我们进行了一项文献综述,以回顾其作用机制,并证明舌下免疫疗法在治疗过敏性鼻结膜炎和哮喘中的疗效、耐受性及其对生活质量的影响。

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Critical appraisal of the clinical utility of sublingual immunotherapy in allergy.舌下免疫疗法在过敏治疗中的临床效用的批判性评估。
Contemp Clin Trials Commun. 2016 Jun 18;4:1-8. doi: 10.1016/j.conctc.2016.06.002. eCollection 2016 Dec 15.
2
Specific immunotherapy in grass pollen allergy.特异性免疫治疗在花粉过敏中的应用。
Hum Vaccin Immunother. 2012 Oct;8(10):1544-7. doi: 10.4161/hv.22357. Epub 2012 Oct 1.
3
4
[Allergen-specific immunotherapy in the treatment of pollen allergy].
Rev Mal Respir. 2013 Feb;30(2):142-51. doi: 10.1016/j.rmr.2012.07.005. Epub 2012 Nov 13.
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Otolaryngol Clin North Am. 2017 Dec;50(6):1111-1119. doi: 10.1016/j.otc.2017.08.011. Epub 2017 Sep 28.
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Sublingual immunotherapy with once-daily grass allergen tablets: a randomized controlled trial in seasonal allergic rhinoconjunctivitis.每日一次舌下含服草花粉变应原片剂免疫疗法:季节性变应性鼻结膜炎的一项随机对照试验
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Current issues on sublingual allergen-specific immunotherapy in children with asthma and allergic rhinitis.哮喘和过敏性鼻炎儿童舌下特异性变应原免疫治疗的当前问题
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引用本文的文献

1
Clinical and experimental treatment of allergic asthma with an emphasis on allergen immunotherapy and its mechanisms.过敏性哮喘的临床与实验治疗,侧重于过敏原免疫治疗及其机制。
Clin Exp Immunol. 2023 Apr 7;212(1):14-28. doi: 10.1093/cei/uxad031.

本文引用的文献

1
Adherence to Sublingual Immunotherapy.舌下免疫治疗的依从性
Curr Allergy Asthma Rep. 2016 Feb;16(2):12. doi: 10.1007/s11882-015-0586-1.
2
Sublingual immunotherapy for asthma.哮喘的舌下免疫疗法。
Cochrane Database Syst Rev. 2015 Aug 28;2015(8):CD011293. doi: 10.1002/14651858.CD011293.pub2.
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Subcutaneous immunotherapy versus sublingual immunotherapy: which is more effective?皮下免疫治疗与舌下免疫治疗:哪种更有效?
J Allergy Clin Immunol Pract. 2014 Mar-Apr;2(2):144-9; quiz 150-1. doi: 10.1016/j.jaip.2013.11.018.
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Effectiveness of subcutaneous versus sublingual immunotherapy for the treatment of allergic rhinoconjunctivitis and asthma: a systematic review.皮下注射与舌下免疫治疗变应性鼻结膜炎和哮喘的疗效:系统评价。
J Allergy Clin Immunol Pract. 2013 Jul-Aug;1(4):361-9. doi: 10.1016/j.jaip.2013.04.005. Epub 2013 Jun 4.
5
[A Meta-analysis of efficacy and safety of sublingual immunotherapy on allergic asthma].[舌下免疫疗法治疗过敏性哮喘的疗效与安全性的荟萃分析]
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Efficacy of sublingual immunotherapy for allergic asthma: retrospective meta-analysis of randomized, double-blind and placebo-controlled trials.舌下免疫疗法治疗过敏性哮喘的疗效:随机、双盲、安慰剂对照试验的回顾性荟萃分析。
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Subcutaneous and sublingual immunotherapy for seasonal allergic rhinitis: a systematic review and indirect comparison.皮下和舌下免疫疗法治疗季节性变应性鼻炎:系统评价和间接比较。
J Allergy Clin Immunol. 2013 May;131(5):1361-6. doi: 10.1016/j.jaci.2013.02.013. Epub 2013 Apr 1.
8
Sublingual immunotherapy for the treatment of allergic rhinoconjunctivitis and asthma: a systematic review.舌下免疫疗法治疗变应性鼻结膜炎和哮喘的系统评价。
JAMA. 2013 Mar 27;309(12):1278-88. doi: 10.1001/jama.2013.2049.
9
Quality of life improvement with sublingual immunotherapy: a prospective study of efficacy.舌下免疫治疗改善生活质量:一项疗效的前瞻性研究。
J Allergy (Cairo). 2012;2012:253879. doi: 10.1155/2012/253879. Epub 2012 Jan 30.
10
A comparison of attrition rates in patients undergoing sublingual immunotherapy vs subcutaneous immunotherapy.舌下免疫治疗与皮下免疫治疗患者的脱落率比较。
Int Forum Allergy Rhinol. 2012 Jul-Aug;2(4):280-4. doi: 10.1002/alr.21037. Epub 2012 Mar 20.