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[俄罗斯变应原制剂在花粉症特异性免疫治疗中的应用]

[The use of Russian allergoids for the specific immunotherapy of pollinosis].

作者信息

Fradkin V A, Roshal' N I, Goriachkina L A, Nikonorova M V, Astaf'eva N G, Luss L V, Raĭkis V N

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1993 Sep-Oct(5):101-5.

PMID:8067129
Abstract

For three years 128 pollinosis patients received specific immunotherapy with cereals, weed and tree pollen allergens manufactured by the Scientific and Industrial Amalgamation "Allergen" (Stavropol). For comparison, a group of 42 patients was treated with the corresponding allergens according to the commonly used treatment scheme. Patients who had earlier undergone treatment with water-saline extracts of allergens, that proved to be ineffective, formed a special group. In sensitive patients reaction to the skin test with allergoids was by half less pronounced than reaction to the skin test with allergens. In allergometric titration on the nasal mucosa, reaction to the introduction of allergoids could be registered when they were used at a 10- to 100-fold higher concentration than allergens. The course of specific immunotherapy with allergoids was found to lead to a decrease in the level of allergen-specific IgE antibodies (p > 0.05) and total IgE (p < 0.01). An increase in the level of IgG antibodies was noted (p < 0.01). Specific immunotherapy with allergoids was more effective than that with water-saline extracts of allergens. The use of allergoids made it possible to prescribe specific immunotherapy to a wider circle of patients.

摘要

三年来,128名花粉症患者接受了由斯塔夫罗波尔“变应原”科研生产联合企业生产的谷物、杂草和树木花粉过敏原进行的特异性免疫疗法。作为对照,一组42名患者按照常用治疗方案用相应的过敏原进行治疗。曾接受过过敏原水盐提取物治疗但证明无效的患者组成一个特殊组。在敏感患者中,对类变应原皮肤试验的反应比对变应原皮肤试验的反应弱一半。在鼻粘膜变应原计量滴定中,当使用类变应原的浓度比变应原高10至100倍时,可记录到对其引入的反应。发现用类变应原进行特异性免疫疗法可导致变应原特异性IgE抗体水平降低(p>0.05)和总IgE降低(p<0.01)。观察到IgG抗体水平升高(p<0.01)。用类变应原进行特异性免疫疗法比用变应原水盐提取物更有效。使用类变应原使得能够为更多患者开特异性免疫疗法的处方。

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