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花粉 - L - 酪氨酸复合物减敏治疗的新可能性(作者译)

[New possibilities of hyposensitization with pollen-l-tyrosine complexes (author's transl)].

作者信息

Horak F

出版信息

Laryngol Rhinol Otol (Stuttg). 1978 Nov;57(11):961-5.

PMID:723401
Abstract

The so far most comprehensive individual study into the clinical findings in the hyposensitization therapy with pollen-L-tyrosine complexes in 253 pollinosis patients, who were first subjected to a hyposensitization therapy, permitted a comprehensive evaluation of the indication possibilities of these preparations (Pollagen, Tyrosin-Allergoid; in other countries available as Pollinex, Polvac, Bencard-Polen). The success of this hyposensitization, which may be reduced to three injections, can be immunologically established and is only slightly smaller than in the case of a specific desensitization over a period of 5--6 months preseasonally. The therapy is indicated first and foremost in patients who either have a moderate or medium-degree sensitization to grass pollens or who come to a medical examination only briefly before the pollen season. The addition of rye pollens obviously gives the preparation Tyrosin-Allergoid an advantage over the mixture of pure grass pollens as used in Pollagen. Rye pollens are responsible for the highest pollen concentrations and thus for the most severe complaints of pollinosis patients. A considerable increase in the therapeutic success, approximately 20%, can be achieved on the basis of a therapy modification, presented here for the first time: The patient is treated preseasonally with a specific desensitization vaccine and immediately before the pollen season he is additionally vaccinated with tyrosine-adsorbed pollen allergens as a kind of booster vaccination.

摘要

迄今为止,针对253例花粉症患者使用花粉-L-酪氨酸复合物进行减敏治疗的临床结果开展了最全面的个体研究。这些患者首先接受了减敏治疗,从而能够全面评估这些制剂(Pollagen、酪氨酸变应原;在其他国家以Pollinex、Polvac、Bencard-Polen的名称上市)的适用可能性。这种减敏治疗的成功可通过免疫方法确定,其效果可简化为三次注射,仅略低于在花粉季节前5至6个月进行的特异性脱敏治疗。该疗法首先适用于对草花粉有中度或中等程度致敏的患者,或者仅在花粉季节前不久前来体检的患者。添加黑麦花粉显然使酪氨酸变应原制剂相对于Pollagen中使用的纯草花粉混合物具有优势。黑麦花粉导致花粉浓度最高,因此也是花粉症患者最严重不适的原因。首次在此介绍的一种治疗方法改进可使治疗成功率显著提高约20%:患者在花粉季节前用特异性脱敏疫苗进行治疗,在花粉季节即将开始前,再额外接种酪氨酸吸附的花粉过敏原作为一种加强疫苗接种。

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