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氯雷他定与糠酸莫米松联合治疗变应性鼻炎患者的疗效和安全性。

Efficacy and safety of combined loratadine and mometasone furoate therapy in allergic rhinitis patients.

作者信息

Yong Hui, Di Lingling, Wang Zhikai, Yang Jing, Yang Pei, Gao Xiaoping

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.

出版信息

Front Immunol. 2025 Jun 4;16:1560295. doi: 10.3389/fimmu.2025.1560295. eCollection 2025.

Abstract

OBJECTIVE

This study seeks to assess the effectiveness and safety of a combination treatment involving loratadine and mometasone furoate for patients suffering from allergic rhinitis (AR). Additionally, it explores the risk factors contributing to treatment failure, providing a theoretical basis for identifying safer and more effective AR treatments.

METHODS

A prospective study was carried out between January 1, 2021, and April 1, 2023, involving 116 patients with allergic rhinitis (AR) who were treated at our outpatient clinic. Participants were randomly divided into two groups: the control group (n=58), which received loratadine alone, and the study group (n=58), which received a combination of loratadine and mometasone furoate. Outcome measures included nasal symptom scores and serological markers, assessed before and after the treatment period. The effectiveness of the treatment was assessed using nasal symptom scores.

RESULTS

Post-treatment assessments showed that both nasal symptom scores and serological markers were significantly lower in the study group compared to the control group (P<0.05). Additionally, the overall response rate was markedly higher in the study group (P<0.05). There were no significant differences in the total incidence of adverse reactions between the two groups (P>0.05).

CONCLUSION

The combination of loratadine and mometasone furoate effectively alleviates clinical symptoms in patients with allergic rhinitis while demonstrating a favorable safety profile, making it a promising option for clinical use.

摘要

目的

本研究旨在评估氯雷他定和糠酸莫米松联合治疗对过敏性鼻炎(AR)患者的有效性和安全性。此外,探讨导致治疗失败的危险因素,为确定更安全、更有效的AR治疗方法提供理论依据。

方法

于2021年1月1日至2023年4月1日进行一项前瞻性研究,纳入在我院门诊接受治疗的116例过敏性鼻炎(AR)患者。参与者被随机分为两组:对照组(n=58),仅接受氯雷他定治疗;研究组(n=58),接受氯雷他定和糠酸莫米松联合治疗。观察指标包括治疗前后的鼻症状评分和血清学指标。使用鼻症状评分评估治疗效果。

结果

治疗后评估显示,研究组的鼻症状评分和血清学指标均显著低于对照组(P<0.05)。此外,研究组的总有效率明显更高(P<0.05)。两组不良反应总发生率无显著差异(P>0.05)。

结论

氯雷他定和糠酸莫米松联合使用可有效缓解过敏性鼻炎患者的临床症状,且安全性良好,是一种有前景的临床用药选择。

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