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舌下含服粉尘螨滴剂对不同年龄段过敏性鼻炎患者的临床疗效评估

Clinical efficacy of sublingual dust-mite drops on allergic rhinitis patients of different ages

  • 摘要:
    目的 比较不同年龄段过敏性鼻炎患者使用粉尘螨滴剂舌下含服的临床疗效。
    方法 选取南京医科大学附属南京医院(南京市第一医院)耳鼻喉科2017年6月至2019年3月收治的264例过敏性鼻炎患者作为研究对象,依照就诊年龄,将患者分为5组:A组(5~7岁,24例)、B组(8~13岁,79例)、C组(14~17岁,40例)、D组(18~39岁,84例)、E组(≥ 40岁,37例),均给予舌下含服粉尘螨滴剂,分别比较治疗前后各组的症状评分、药物评分、视觉模拟评分(visual analogue scale,VAS)及疗效评价。同时,将所有患者分为疗程少于1年组(T1)及疗程超过1年组(T2),对2组患者治疗前后症状评分、药物评分、VAS评分及疗效评价进行对比。
    结果 不同年龄段患者治疗后的症状评分、VAS评分及药物评分均较治疗前有改善,差异具有统计学意义(P < 0.05),但各组间症状改善程度的差异无统计学意义;T2组症状改善程度的症状评分差值,VAS评分差值及显效率(66.1%vs 37.9%,P < 0.001)均较T1组高。
    结论 舌下含服粉尘螨滴剂对各年龄段过敏性鼻炎患者均有疗效,且疗效相近;舌下含服粉尘螨滴剂治疗过敏性鼻炎,疗程超过1年的患者疗效较疗程少于1年的患者疗效更好。

     

    Abstract:
    Objective To compare the clinical efficacy of sublingual dust-mite drops on allergic rhinitis patients of different ages.
    Methods A total of 264 patients with allergic rhinitis who were given sublingual dust-mite drops were selected in Nanjing First Hospital from June 2017 to March 2019.The patients were divided into 5 groups according to age:group A (5 to 7 years old, 24 cases), group B (8 to 13 years old, 79 cases), group C (14 to 17 years old, 40 cases), group D (18 to 39 years old, 84 cases) and group E (≥ 40 years old, 37 cases). The symptom scores, drug scores, visual analogue scale (VAS) scores and efficacy evaluation of each group before treatment were compared with those after treatment. Simultaneously, all the patients were divided into two groups according to treatment course:less than one year group(T1) and more than one year group(T2). The symptom scores, drug scores, VAS scores and efficacy evaluation between two groups were compared.
    Results The symptom scores, VAS scores and drug scores of different age groups after treatment were significantly improved compared with those before treatment (P < 0.05), but there was no significant difference in symptom improvement degree between the groups.Improvement degree of symptoms in T2 group (symptom scores difference:vs, P=0.002;VAS scores difference:vs, P < 0.001) and efficiency rate (66.1% vs 37.9%, P < 0.001) were higher than those in T1 group.
    Conclusions Sublingual dust-mite drops therapy shows a similar curative effect on allergic rhinitis patients of all ages. Patients with a course of treatment longer than 1 year have better curative effect than those with less than 1 year.

     

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