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[变应性鼻炎颈淋巴结注射特异性免疫治疗的临床疗效与安全性]

[Clinical efficacy and safety of specific immunotherapy for allergic rhinitis with cervical lymph node injection].

作者信息

Wang K, Wang Yj, Xiao P, Yu Q Q, Liu M H, Bai J, Shi S S, Tang J

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, the First People's Hospital of Foshan, Foshan, 528000, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 May;33(5):432-436. doi: 10.13201/j.issn.1001-1781.2019.05.012.

Abstract

To evaluate the clinical efficacy and safety of intralymphatic immunotherapy with cervical lymph node injection for allergic rhinitis. A retrospective analysis of 81 patients with allergic rhinitis(AR) who had received specific immunotherapy with cervical lymph node injection in 2016 in the first people's Hospital of Foshan was conducted. The neck lymph node immunotherapy under the guidance of color Doppler ultrasound consisted of three sessions, and in each session 50 Tu(Arog) was delivered. The scores of nasal and ocular symptoms, drug score and adverse reactions during treatment were recorded before and after treatment, and the efficacy and safety were observed. Before treatment, the nasal symptoms score of 81 AR cases of mite allergy was 7.00±1.65. After 1,2 and 3 sessions of cervical lymph node immune therapy and 1 year after completion of treatment, the nasal symptom scores were 4.37±1.88, 4.26±1.80, 4.22±1.80, and 4.09±2.10,respectively, which were significantly lower than that before treatment(<0.01). The quality of life score was 53.68±9.28 before treatment, which decreased to 23.01±13.28 one year after treatment, and the difference was statistically significant(<0.01). The drug score was 3.27±1.17 before treatment, which decreased to 1.00±1.05 1 years after treatment, and the difference was statistically significant(<0.01). During treatment and 1-year follow-up, only 8 cases had mild local reactions, and no systemic adverse reactions occurred. Cervical lymph node injection specific immunotherapy can significantly relieve the symptoms of dust mite allergic rhinitis. The treatment is effective and safe, and greatly shortens the duration of immune treatment.

摘要

评估经颈淋巴结注射进行淋巴内免疫疗法治疗变应性鼻炎的临床疗效及安全性。对2016年在佛山市第一人民医院接受经颈淋巴结注射特异性免疫疗法的81例变应性鼻炎(AR)患者进行回顾性分析。在彩色多普勒超声引导下的颈部淋巴结免疫疗法共进行3个疗程,每个疗程注射50 Tu(阿罗格)。记录治疗前后的鼻和眼部症状评分、用药评分及治疗期间的不良反应,观察疗效及安全性。治疗前,81例尘螨过敏AR患者的鼻部症状评分为7.00±1.65。经1、2、3个疗程的颈部淋巴结免疫疗法后及治疗完成1年后,鼻部症状评分分别为4.37±1.88、4.26±1.80、4.22±1.80及4.09±2.10,均显著低于治疗前(<0.01)。治疗前生活质量评分为53.68±9.28,治疗1年后降至23.01±13.28,差异有统计学意义(<0.01)。治疗前用药评分为3.27±1.17,治疗1年后降至1.00±1.05,差异有统计学意义(<0.01)。治疗期间及1年随访中,仅8例出现轻度局部反应,未发生全身不良反应。经颈淋巴结注射特异性免疫疗法可显著缓解尘螨变应性鼻炎的症状。该治疗有效且安全,大大缩短了免疫治疗疗程。

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