影响药物性鼻炎的相关因素分析

ANALYSIS OF CORRELATION FACTORS AFFECTING RHINITIS MEDICAMENTOSA

目的探讨相关因素在药物性鼻炎发病原因中的意义。方法通过询问病史、专科检查及填写"可能影响药物性鼻炎的相关因素调查表"的方式,分析62例药物性鼻炎患者临床资料。结果患者的文化程度较低,对常见引起鼻塞的疾病的正确治疗方法和疗效缺乏了解;对鼻用减充血剂的作用机理和药物性鼻炎的危害性欠缺认识,从而造成鼻用减充血剂使用不当是产生药物性鼻炎的主要因素。结论通过各种渠道向患者宣传引起鼻塞的原发病的正确治疗方法和疗效、鼻用减充血剂的作用机理和药物性鼻炎危害性,应引起相关部门及医务人员的高度重视。

Objective To investigate the contribution of the factors which induced rhinitis medicamentosa. Methods 62 patients with rhinitis medicamentosa were included in the present study. The correlation factors affect- ing the onset of rhinitis medicamentosa were evaluated by questionnaire. Data of natural history, specific examination and questionnaires were analyzed. Results The patients＇ degree of education is low and lack of awareness of the eti- ology and standardized treatment of nasal obstruction as well as the side effects of nasal decongestant and the hazard- ness of rhinitis medicamentosa, which might lead to misuse of nasal decongestant, were the main factors that induced rhinitis medicamentosa. Conclusion Both medical staff and members of relevant departments must pay attention to explain the correct therapy and effect of the primary disease which induce nasal obstruction, and give publicity and popularity of the knowledge of the mechanism of nasal decongestant and the risk of rhinitis medicamentosa.