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中国屋尘螨呼吸道过敏的舌下免疫疗法

Sublingual immunotherapy of house dust mite respiratory allergy in China.

作者信息

Cheng L, Zhou W-C

机构信息

Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China; International Centre for Allergy Research, Nanjing Medical University, Nanjing 210029, China.

Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.

出版信息

Allergol Immunopathol (Madr). 2019 Jan-Feb;47(1):85-89. doi: 10.1016/j.aller.2018.02.008. Epub 2018 Jun 18.

Abstract

Sublingual immunotherapy (SLIT) has been widely used for the treatment of allergic respiratory diseases, but many problems remain unsolved. Currently available data suggest that SLIT is very effective in children and adults with IgE-mediated respiratory diseases. Most allergists in China generally believe that SLIT is suitable for allergic rhinitis and asthma due to its safety and tolerability. SLIT for three years is suitable for patients to acquire stable therapeutic effects, and the efficacy of single-allergen SLIT for polysensitized patients has also been confirmed. Nevertheless, there are still several factors restricting its application in China, such as the uncertainty of its long-term effects and the prevention of new sensitizations onset, the risk of asthma attacks, the low public awareness of SLIT and poor compliance by patients. This is a narrative review of current evidence on SLIT coming from China.

摘要

舌下免疫疗法(SLIT)已广泛用于治疗过敏性呼吸道疾病,但仍有许多问题尚未解决。现有数据表明,SLIT对IgE介导的呼吸道疾病的儿童和成人非常有效。中国的大多数过敏症专科医生普遍认为,由于其安全性和耐受性,SLIT适用于过敏性鼻炎和哮喘。三年的SLIT治疗适合患者获得稳定的治疗效果,单一过敏原SLIT对多敏患者的疗效也已得到证实。然而,在中国仍有几个因素限制其应用,例如其长期效果的不确定性以及预防新的致敏发生、哮喘发作的风险、公众对SLIT的认识不足以及患者的依从性差。这是一篇对来自中国的关于SLIT的现有证据的叙述性综述。

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