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长期使用羟甲唑啉和赛洛唑啉鼻喷雾剂会引起反跳性肿胀、耐受性和鼻高反应性。

Long-term use of oxy- and xylometazoline nasal sprays induces rebound swelling, tolerance, and nasal hyperreactivity.

作者信息

Graf P

机构信息

Department of Otorhinolaryngology, Södersjukhuset, Karolinska Institute, Stockholm, Sweden.

出版信息

Rhinology. 1996 Mar;34(1):9-13.

PMID:8739860
Abstract

It has been suggested but never confirmed, that the severity of the rebound swelling and rhinitis medicamentosa are directly proportional to the period during which the drug is used, to the frequency of its use, and to the amount of drug administered. However, no studies have been performed to evaluate the effects of various amounts of the vasoconstrictors on the development of rhinitis medicamentosa. Moreover, no in vivo studies have yet been performed to investigate whether benzalkonium chloride in nasal decongestant solutions affects the development of rhinitis medicamentosa. This study shows that rhinitis medicamentosa is a condition of nasal hyperreactivity, mucosal swelling and tolerance induced, or aggravated, by the overuse of topical vasoconstrictors with or without a preservative.

摘要

有人提出但从未得到证实,反跳性肿胀和药物性鼻炎的严重程度与用药时间、用药频率以及给药量直接相关。然而,尚未进行研究来评估不同剂量的血管收缩剂对药物性鼻炎发展的影响。此外,尚未进行体内研究来调查鼻减充血剂溶液中的苯扎氯铵是否会影响药物性鼻炎的发展。本研究表明,药物性鼻炎是一种鼻高反应性、黏膜肿胀以及因过度使用含或不含防腐剂的局部血管收缩剂而诱发或加重的耐受性疾病。

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1
Long-term use of oxy- and xylometazoline nasal sprays induces rebound swelling, tolerance, and nasal hyperreactivity.长期使用羟甲唑啉和赛洛唑啉鼻喷雾剂会引起反跳性肿胀、耐受性和鼻高反应性。
Rhinology. 1996 Mar;34(1):9-13.
2
Adverse effects of benzalkonium chloride on the nasal mucosa: allergic rhinitis and rhinitis medicamentosa.苯扎氯铵对鼻黏膜的不良反应:过敏性鼻炎和药物性鼻炎。
Clin Ther. 1999 Oct;21(10):1749-55. doi: 10.1016/S0149-2918(99)80053-8.
3
One-week use of oxymetazoline nasal spray in patients with rhinitis medicamentosa 1 year after treatment.药物性鼻炎患者治疗1年后使用羟甲唑啉鼻喷雾剂1周。
ORL J Otorhinolaryngol Relat Spec. 1997 Jan-Feb;59(1):39-44. doi: 10.1159/000276903.
4
Sustained use of xylometazoline nasal spray shortens the decongestive response and induces rebound swelling.持续使用赛洛唑啉鼻喷雾剂会缩短减充血反应并引发反跳性肿胀。
Rhinology. 1995 Mar;33(1):14-7.
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Effect on the nasal mucosa of long-term treatment with oxymetazoline, benzalkonium chloride, and placebo nasal sprays.羟甲唑啉、苯扎氯铵和安慰剂鼻喷雾剂长期治疗对鼻黏膜的影响。
Laryngoscope. 1996 May;106(5 Pt 1):605-9. doi: 10.1097/00005537-199605000-00016.
6
[Tolerance and effectiveness of oxymetazoline and xylometazoline in treatment of acute rhinitis].羟甲唑啉和赛洛唑啉治疗急性鼻炎的耐受性及有效性
HNO. 2003 Oct;51(10):794-9. doi: 10.1007/s00106-003-0869-z.
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[Daily administration of nose drops can cause chronic nasal congestion].每日滴鼻剂给药可导致慢性鼻充血。
Lakartidningen. 1996 Jan 24;93(4):259-62.
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[Rhinitis medicamentosa in cytological assessment of the nasal mucosa].[药物性鼻炎在鼻黏膜细胞学评估中的情况]
Pol Merkur Lekarski. 2005 Sep;19(111):288-90.
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Benzalkonium chloride in a decongestant nasal spray aggravates rhinitis medicamentosa in healthy volunteers.减充血剂鼻腔喷雾剂中的苯扎氯铵会加重健康志愿者的药物性鼻炎。
Clin Exp Allergy. 1995 May;25(5):395-400. doi: 10.1111/j.1365-2222.1995.tb01069.x.
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[Ultrastructural changes in human nasal mucosa in rhinitis medicamentosa].[药物性鼻炎患者鼻黏膜的超微结构变化]
HNO. 2006 Oct;54(10):742-8. doi: 10.1007/s00106-005-1370-7.

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