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中华医学会变态反应学分会变应性鼻炎诊断和治疗指南

Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis.

作者信息

Cheng Lei, Chen Jianjun, Fu Qingling, He Shaoheng, Li Huabin, Liu Zheng, Tan Guolin, Tao Zezhang, Wang Dehui, Wen Weiping, Xu Rui, Xu Yu, Yang Qintai, Zhang Chonghua, Zhang Gehua, Zhang Ruxin, Zhang Yuan, Zhou Bing, Zhu Dongdong, Chen Luquan, Cui Xinyan, Deng Yuqin, Guo Zhiqiang, Huang Zhenxiao, Huang Zizhen, Li Houyong, Li Jingyun, Li Wenting, Li Yanqing, Xi Lin, Lou Hongfei, Lu Meiping, Ouyang Yuhui, Shi Wendan, Tao Xiaoyao, Tian Huiqin, Wang Chengshuo, Wang Min, Wang Nan, Wang Xiangdong, Xie Hui, Yu Shaoqing, Zhao Renwu, Zheng Ming, Zhou Han, Zhu Luping, Zhang Luo

机构信息

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

International Centre for Allergy Research, Nanjing Medical University, Nanjing, China.

出版信息

Allergy Asthma Immunol Res. 2018 Jul;10(4):300-353. doi: 10.4168/aair.2018.10.4.300.

Abstract

Allergic rhinitis (AR) is a global health problem that causes major illnesses and disabilities worldwide. Epidemiologic studies have demonstrated that the prevalence of AR has increased progressively over the last few decades in more developed countries and currently affects up to 40% of the population worldwide. Likewise, a rising trend of AR has also been observed over the last 2-3 decades in developing countries including China, with the prevalence of AR varying widely in these countries. A survey of self-reported AR over a 6-year period in the general Chinese adult population reported that the standardized prevalence of adult AR increased from 11.1% in 2005 to 17.6% in 2011. An increasing number of Journal Articles and imporclinical trials on the epidemiology, pathophysiologic mechanisms, diagnosis, management and comorbidities of AR in Chinese subjects have been published in international peer-reviewed journals over the past 2 decades, and substantially added to our understanding of this disease as a global problem. Although guidelines for the diagnosis and treatment of AR in Chinese subjects have also been published, they have not been translated into English and therefore not generally accessible for reference to non-Chinese speaking international medical communities. Moreover, methods for the diagnosis and treatment of AR in China have not been standardized entirely and some patients are still treated according to regional preferences. Thus, the present guidelines have been developed by the Chinese Society of Allergy to be accessible to both national and international medical communities involved in the management of AR patients. These guidelines have been prepared in line with existing international guidelines to provide evidence-based recommendations for the diagnosis and management of AR in China.

摘要

变应性鼻炎(AR)是一个全球性的健康问题,在全球范围内导致了重大疾病和残疾。流行病学研究表明,在过去几十年中,在更发达的国家,AR的患病率呈逐渐上升趋势,目前全球高达40%的人口受到影响。同样,在包括中国在内的发展中国家,过去2至3十年中也观察到AR呈上升趋势,这些国家AR的患病率差异很大。一项针对中国普通成年人群6年期间自我报告的AR的调查显示,成人AR的标准化患病率从2005年的11.1%上升到2011年的17.6%。在过去20年中,越来越多关于中国受试者AR的流行病学、病理生理机制、诊断、管理和合并症的期刊文章和重要临床试验发表在国际同行评审期刊上,极大地增进了我们对这一全球问题疾病的理解。尽管也已经发表了中国受试者AR的诊断和治疗指南,但它们尚未被翻译成英文,因此非华语国际医学界一般无法获取以供参考。此外,中国AR的诊断和治疗方法尚未完全标准化,一些患者仍根据地区偏好进行治疗。因此,中国变态反应学会制定了本指南,以供参与AR患者管理的国内和国际医学界使用。这些指南是根据现有国际指南编写的,为中国AR的诊断和管理提供循证建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac6/6021586/b692d602cc8b/aair-10-300-g001.jpg

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