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红光鼻光疗对变应性鼻炎患者鼻通气的影响

Effect of Red Light Rhinophototherapy on Nasal Patency in Patients with Allergic Rhinitis.

作者信息

Jiang Rong-San, Wang Jing-Jie

机构信息

Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.

Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan.

出版信息

Int J Otolaryngol. 2018 Dec 17;2018:6270614. doi: 10.1155/2018/6270614. eCollection 2018.

DOI:10.1155/2018/6270614
PMID:30647740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6311790/
Abstract

PURPOSE

The effect of red light rhinophototherapy (RLRPT) on nasal patency in patients with a clinical diagnosis of allergic rhinitis was investigated.

MATERIALS AND METHODS

Subjects were randomly divided into 2 groups, with patients in one group given one treatment session of RLRPT, followed by medical treatment. Those in the second group were treated with medical treatment only. The rhinitis symptoms were evaluated both before and 30 minutes after RLRPT and 2 days later. The nasal patency was objectively measured through the use of both active anterior rhinomanometry and acoustic rhinometry before and 30 minutes after RLRPT.

RESULTS

All rhinitis symptoms, including nasal congestion, significantly improved 30 minutes after a single RLRPT treatment, but worsened again, particularly for sneezing, 2 days later. Nasal resistance slightly decreased 30 minutes after RLRPT. The first minimal cross-sectional area did not change after RLRPT, but the second minimal cross-sectional area with the volume of the nasal cavity between 2.0 and 5.0 cm from the tip of the nosepiece significantly lessened.

CONCLUSIONS

This study showed that RLRPL did not objectively improve patient's nasal patency.

REGISTRATION NUMBER

The trial is registered with NCT03752645.

摘要

目的

研究红光鼻腔光疗(RLRPT)对临床诊断为变应性鼻炎患者鼻腔通畅度的影响。

材料与方法

将受试者随机分为两组,一组患者接受一次RLRPT治疗,随后进行药物治疗。另一组仅接受药物治疗。在RLRPT治疗前、治疗后30分钟和2天后评估鼻炎症状。在RLRPT治疗前和治疗后30分钟,通过主动前鼻测压法和鼻声反射法客观测量鼻腔通畅度。

结果

单次RLRPT治疗30分钟后,包括鼻塞在内的所有鼻炎症状均显著改善,但2天后症状再次恶化,尤其是打喷嚏症状。RLRPT治疗30分钟后鼻阻力略有下降。RLRPT治疗后第一个最小横截面积未发生变化,但在距鼻探头尖端2.0至5.0厘米处鼻腔容积对应的第二个最小横截面积显著减小。

结论

本研究表明,RLRPL并未客观改善患者的鼻腔通畅度。

注册号

该试验已在NCT03752645注册。

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本文引用的文献

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Short Time Efficiency of Rhinophototherapy in Management of Patients with Allergic Rhinitis Resistant to Medical Therapy.鼻光疗法治疗药物难治性过敏性鼻炎患者的短期疗效
Iran J Allergy Asthma Immunol. 2016 Aug;15(4):317-327.
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Efficacy of endonasal phototherapy for relieving the symptoms of allergic rhinitis: Meta-analysis.经鼻光疗缓解变应性鼻炎症状的疗效:Meta分析
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Otolaryngol Head Neck Surg. 2015 Feb;152(1 Suppl):S1-43. doi: 10.1177/0194599814561600.
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Clin Exp Otorhinolaryngol. 2013 Jun;6(2):73-7. doi: 10.3342/ceo.2013.6.2.73. Epub 2013 Jun 14.
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Comparative study in the management of allergic rhinitis in children using LED phototherapy and laser acupuncture.使用LED光疗和激光针灸治疗儿童过敏性鼻炎的对比研究。
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Low-power laser irradiation suppresses inflammatory response of human adipose-derived stem cells by modulating intracellular cyclic AMP level and NF-κB activity.低强度激光照射通过调节细胞内环腺苷酸水平和 NF-κB 活性抑制人脂肪来源干细胞的炎症反应。
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Phototherapy for chronic rhinosinusitis.
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Measuring nasal volumes with acoustic rhinometry.用鼻声反射法测量鼻腔容积。
Prilozi. 2010;31(1):339-47.