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变应性鼻炎舌下免疫治疗的疗效

Outcome of Sublingual Immunotherapy in Allergic Rhinitis.

作者信息

Das Debajyoti, Sit Santanu, Khaowas Ajoy Kumar, Das Chiranjib, Mukherjee Dwaipayan

机构信息

Department of ENT, KPC Medical College and Hospital, Kolkata, West Bengal India.

Department of ENT, Maharaja Jitendra Narayan Medical College and Hospital, Cooch Behar, West Bengal India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2021 Dec;73(4):467-473. doi: 10.1007/s12070-021-02465-4. Epub 2021 Feb 27.

Abstract

Allergic rhinitis (AR) is one of the most common types of allergy worldwide. It has significant negative impact on the quality of life (QOL). One of the available causal treatments of AR is allergen specific immunotherapy which remains effective even after the end of treatment course, unlike symptomatic drugs. AR patients aged above five years, allergic to unavoidable allergen like house dust, mite etc., and refractory to maximal pharmacotherapy were included in present study. Patients allergic to avoidable allergen, taking beta-blocker medication, having other immunological disease, and who were pregnant, breast-feeding or lost to follow up, were excluded from the study. All patients included in the study underwent sublingual immunotherapy (SLIT). The impact of treatment is measured by calculating the difference between SNOT-20 score before and after treatment (which is 6 months interval). Total 30 patients were studied. Paired-t test calculated value of cumulative score and nasal symptom score are 7.853 and 6.85 respectively. Both are greater than table value of 2.46. So paired-t test shows that SLIT is very much effective in treatment of AR. The present study re-establish the fact that SLIT not only reduces AR symptoms, it also improves the QOL. It has very good patient compliance with minimal side effects.

摘要

变应性鼻炎(AR)是全球最常见的过敏类型之一。它对生活质量(QOL)有显著负面影响。变应原特异性免疫疗法是AR现有的一种病因治疗方法,与对症药物不同,即使在治疗疗程结束后仍有效。本研究纳入了年龄在5岁以上、对屋尘、螨虫等不可避免的变应原过敏且对最大剂量药物治疗无效的AR患者。对可避免变应原过敏、正在服用β受体阻滞剂药物、患有其他免疫性疾病以及怀孕、哺乳或失访的患者被排除在研究之外。所有纳入研究的患者均接受了舌下免疫疗法(SLIT)。通过计算治疗前后SNOT-20评分(间隔6个月)的差值来衡量治疗效果。共研究了30例患者。累积评分和鼻部症状评分的配对t检验计算值分别为7.853和6.85。两者均大于表值2.46。因此,配对t检验表明SLIT对AR的治疗非常有效。本研究再次证实了SLIT不仅能减轻AR症状,还能改善生活质量。它具有很好的患者依从性,副作用极小。

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引用本文的文献

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本文引用的文献

1
Sublingual immunotherapy: World Allergy Organization position paper 2013 update.
World Allergy Organ J. 2014 Mar 28;7(1):6. doi: 10.1186/1939-4551-7-6.
2
Treating allergic rhinitis by sublingual immunotherapy: a review.
Ann Ist Super Sanita. 2012;48(2):172-6. doi: 10.4415/ANN_12_02_10.
3
Short review on sublingual immunotherapy for patients with allergic rhinitis: from bench to bedside.
Adv Otorhinolaryngol. 2011;72:103-6. doi: 10.1159/000324631. Epub 2011 Aug 18.
4
Sublingual immunotherapy for allergic rhinitis.
Cochrane Database Syst Rev. 2010 Dec 8;2010(12):CD002893. doi: 10.1002/14651858.CD002893.pub2.
5
Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision.
J Allergy Clin Immunol. 2010 Sep;126(3):466-76. doi: 10.1016/j.jaci.2010.06.047.
6
TGF-beta and IL-17 serum levels and specific immunotherapy.
Int Immunopharmacol. 2009 Sep;9(10):1247-9. doi: 10.1016/j.intimp.2009.07.004. Epub 2009 Jul 19.
7
FOXP3 and the regulation of Treg/Th17 differentiation.
Microbes Infect. 2009 Apr;11(5):594-8. doi: 10.1016/j.micinf.2009.04.002. Epub 2009 Apr 14.
8
BSACI guidelines for the management of allergic and non-allergic rhinitis.
Clin Exp Allergy. 2008 Jan;38(1):19-42. doi: 10.1111/j.1365-2222.2007.02888.x.
9
Impact of sublingual immunotherapy on specific antibody levels in asthmatic children allergic to house dust mites.
Int Arch Allergy Immunol. 2005 Mar;136(3):287-94. doi: 10.1159/000083956. Epub 2005 Feb 16.
10
Mechanisms of immunotherapy.
J Allergy Clin Immunol. 2004 Jun;113(6):1025-34; quiz 1035. doi: 10.1016/j.jaci.2004.03.024.

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