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用花粉储存提取物进行花粉症的季节性前治疗(作者译)

[Pre-seasonal treatment of hayfever with a pollen depot extract (author's transl)].

作者信息

Düngemann H, von Mayenburg J, Rakoski J

出版信息

Med Klin. 1977 Jun 17;72(24):1071-9.

PMID:882040
Abstract

90 patients with "hayfever" - that means pollenallergic diseases of the respiration tract and the eyes - were treated in spring 1974 and 1975 with a tyrosinabsorbed grass and rye depot extract with three injections before the pollen-season. Only 16 patients had an isolated grass-rye-pollen-allergy in skin test, all the other patients had additional extrinsic allergies. These results were proved by RAST. One third of the patients had bad side-effects (27 out of 90) during the treatment. 17 patients showed general reactions and ten patients very strong local reactions. We think that these side-effects were caused by contact with antigens (hairs of animals, foods, flowers of trees) during therapy and acute or chronic infections. The results of therapy were asked by a questionnaire one year after the series of injections, there were 37 improved, 32 unchanged and/or worsened in pollen-season after treatment. Nevertheless the results encouraged to continue this treatment with the grass-rye-pollen-extract. It could be used as an "initial treatment" in pollinosis patients with a wide spread allergy just before the beginning of the pollen-season. It is necessary to fullfill all procedures of precaution which are in use in hyposensitizationtherapy to prevent stronger side-effects.

摘要

1974年春季和1975年春季,对90例“花粉热”患者(即呼吸道和眼部的花粉过敏性疾病患者)使用酪氨酸吸附的禾本科和黑麦长效提取物进行治疗,在花粉季节前注射三次。皮肤试验中只有16例患者对禾本科和黑麦花粉有单一过敏,其他所有患者还存在其他外源性过敏。这些结果通过放射变应原吸附试验得到证实。三分之一的患者(90例中有27例)在治疗期间出现了严重的副作用。17例患者出现全身反应,10例患者出现非常强烈的局部反应。我们认为这些副作用是由治疗期间接触抗原(动物毛发、食物、树木花朵)以及急性或慢性感染引起的。在注射疗程结束一年后,通过问卷调查了解治疗效果,治疗后花粉季节中有37例病情改善,32例病情未改变和/或恶化。尽管如此,这些结果仍鼓励继续使用禾本科和黑麦花粉提取物进行治疗。它可在花粉季节开始前,作为广泛过敏的花粉症患者的“初始治疗”方法。必须遵循减敏疗法中使用的所有预防措施,以防止出现更严重的副作用。

相似文献

1
[Pre-seasonal treatment of hayfever with a pollen depot extract (author's transl)].用花粉储存提取物进行花粉症的季节性前治疗(作者译)
Med Klin. 1977 Jun 17;72(24):1071-9.
2
[A modified therapy of hayfever with a depot-preparation (author's transl)].[用长效制剂治疗花粉热的改良疗法(作者译)]
Wien Klin Wochenschr Suppl. 1980;117:24-6.
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The effects of grass pollen allergoid immunotherapy on clinical and immunological parameters in children with allergic rhinitis.草花粉变应原免疫疗法对变应性鼻炎儿童临床和免疫学参数的影响。
Pediatr Allergy Immunol. 2006 Sep;17(6):396-407. doi: 10.1111/j.1399-3038.2006.00442.x.
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[Reduced allergen immunotherapy of grass pollinosis (author's transl)].
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Laryngol Rhinol Otol (Stuttg). 1978 Nov;57(11):961-5.
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[Hyposensitization in pollinosis. Results of a 3-year controlled study with 2 depot-allergoid grass pollen extracts: aluminum hydroxide-adsorbed allergoid and tyrosine-adsorbed allergoid].[花粉症的减敏疗法。使用两种长效变应原草花粉提取物进行的为期3年对照研究的结果:氢氧化铝吸附变应原和酪氨酸吸附变应原]
Schweiz Rundsch Med Prax. 1990 Apr 3;79(14):430-6.
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Efficacy and safety of specific immunotherapy with SQ allergen extract in treatment-resistant seasonal allergic rhinoconjunctivitis.使用标准化变应原提取物进行特异性免疫疗法治疗难治性季节性变应性鼻结膜炎的疗效和安全性。
J Allergy Clin Immunol. 2006 Feb;117(2):319-25. doi: 10.1016/j.jaci.2005.11.014.
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[Hyposensitization with cross-reacting pollen allergens].[使用交叉反应花粉过敏原进行减敏治疗]
Z Hautkr. 1988;63 Suppl 4:55-7.
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Sublingual immunotherapy with a standardised grass pollen extract; a double-blind placebo-controlled study.标准化草花粉提取物舌下免疫疗法:一项双盲安慰剂对照研究。
Allergol Immunopathol (Madr). 1998 Sep-Oct;26(5):234-40.
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[Glutarladehyde-pollen-tyrosine hyposensitization. Course control of therapy using RIST and RAST].[戊二醛-花粉-酪氨酸减敏疗法。使用RIST和RAST对治疗过程进行控制]
Hautarzt. 1977 Apr;28(4):185-7.

引用本文的文献

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A meta-analysis on allergen-specific immunotherapy using MCT (MicroCrystalline Tyrosine)-adsorbed allergoids in pollen allergic patients suffering from allergic rhinoconjunctivitis.一项关于在患有变应性鼻结膜炎的花粉过敏患者中使用微晶酪氨酸(MCT)吸附变应原疫苗进行变应原特异性免疫治疗的荟萃分析。
Clin Transl Allergy. 2021 Jun;11(4):e12037. doi: 10.1002/clt2.12037.