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[舌下免疫疗法对变应性鼻炎患儿生活质量的影响]

[The influence of sublingual immunotherapy on quality of life in children with allergic rhinitis].

作者信息

Yang Gui, Qiu Shu Qi, Wang Peng, Chen Dan, Li Sheng, Hu Tian Yong, Ma Li, Liu Zhi Qiang

机构信息

Longgang ENT Hospital,Institute of ENT Shenzhen,518172,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jan 20;32(2):95-98. doi: 10.13201/j.issn.1001-1781.2018.02.004.

Abstract

To analyze the impact of sublingual immunotherapy(SLIT)on the quality of life in children with allergic rhinitis.Fifty children with allergic rhinitis who have received sublingual immunotherapy were enrolled in this study.Quality of life was evaluated via measurement of VAS score and rhinoconjunctivitis quality of life questionnaire(RQLQ)before and after treatment.Twenty patients after treatment had complete remission,13 cases were partly alleviated and 17 cases had no response.The total effective rate was 66%.The Multi-VAS scores and Uni-VAS scores in each observation time point(at half a year,one year,two years after treatment)had statistically significant difference compared with that of pre-treatment with SLIT(<0.05).According to RQLQ scores,the quality of life,nasal symptoms,conjunctiva symptoms,non-nasal(ocular)symp-toms,behaviors and emotional responses were greatly improved in each time point compared with that of pretreatment(<0.05).Symptomatic treatment scores in each time point after treatment were significantly different and had a positive correlation with the scores of RQLQ(<0.05).SLIT can improve the nasal allergic symptoms,children's life quality and reduce the use of symptomatic treatment medicines.

摘要

分析舌下免疫疗法(SLIT)对过敏性鼻炎患儿生活质量的影响。本研究纳入了50例接受舌下免疫疗法的过敏性鼻炎患儿。通过治疗前后视觉模拟评分(VAS)及鼻结膜炎生活质量问卷(RQLQ)评估生活质量。治疗后20例完全缓解,13例部分缓解,17例无效,总有效率为66%。各观察时间点(治疗后半年、1年、2年)的多维度VAS评分和单维度VAS评分与舌下免疫疗法治疗前相比,差异有统计学意义(<0.05)。根据RQLQ评分,各时间点的生活质量、鼻部症状、结膜症状、非鼻部(眼部)症状、行为及情绪反应与治疗前相比均有显著改善(<0.05)。治疗后各时间点的对症治疗评分差异有统计学意义,且与RQLQ评分呈正相关(<0.05)。舌下免疫疗法可改善鼻部过敏症状、提高患儿生活质量并减少对症治疗药物的使用。

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