Chen B, Liu Y H, Li X H, Ma Y, Wu J, Li Y F, Zhang L, Yang Q, Yao C Y
Allergy Branch,Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei,230022,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Sep 5;30(17):1397-1401. doi: 10.13201/j.issn.1001-1781.2016.17.014.
To survey clinical efficacy of vitamin D calcium chewable tablets in the treatment of adults with refractory allergic rhinitis and investigate the level of 1,25-dihydroxyvitamin D3 in the patients' serum.Sixty cases who were dignosed with adult refractory moderate to severe allergic in our hospital outpatient were admitted in our study from May 2014 to November 2015.Sixty cases of healthy people in our hospital medical center were selected as the control group,serum 1,25-dihydroxyvitamin D3 were detected in all patients and normal controls before the treatment.The control group were treated using fluticasone propionate nasal spray and left cetirizine while the experimental group were added with vitamin D calcium chewable tablets on the basis of the control group. Before treatment and after 2 or 4 weeks of treatment,a visual analog scale of the overall classification of nasal symptoms were used of and clinical symptoms evaluation.Compared with healthy controls,the incidence of serum 1,25-dihydroxy vitamin D3 content is:(17.46±4.94)μg/L and the difference was statistically significant(<0.0).The symptom scores of the treatment group and control group were significantly decreased before treatment and the difference had statistical significance(<0.05).After four weeks of treatment,the experimental group of the symptom scores were lower than that of control group.The differences were statistically significant(<0.05).Serum 1,25 dihydroxyvitamin D3 deficiency is a widespread phenonmenon in refractory allergic rhinitis.Vitamin D calcium chewable tables adjuvant treatment of allergic rhinitis is one of methods with safe,effective,and simple treatment.
观察维生素D钙咀嚼片治疗成人难治性变应性鼻炎的临床疗效,并检测患者血清中1,25 - 二羟基维生素D3的水平。2014年5月至2015年11月,选取我院门诊确诊的60例成人难治性中重度变应性鼻炎患者纳入研究。选取我院体检中心60例健康人作为对照组,所有患者及正常对照在治疗前检测血清1,25 - 二羟基维生素D3。对照组采用丙酸氟替卡松鼻喷雾剂和左西替利嗪治疗,试验组在对照组基础上加用维生素D钙咀嚼片。治疗前及治疗2周、4周后,采用视觉模拟量表对鼻症状总体分级及临床症状进行评估。与健康对照组比较,血清1,25 - 二羟基维生素D3含量为:(17.46±4.94)μg/L,差异有统计学意义(<0.0)。治疗组和对照组治疗前症状评分均显著降低,差异有统计学意义(<0.05)。治疗4周后,试验组症状评分低于对照组,差异有统计学意义(<0.05)。血清1,25 - 二羟基维生素D3缺乏在难治性变应性鼻炎中是一种普遍现象。维生素D钙咀嚼片辅助治疗变应性鼻炎是安全、有效、简便的治疗方法之一。