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OBSERVATION OF REMOTE AND RECENT THERAPEUTIC EFFECTS OF ACUPOINT-THREAD EMBEDDING, WESTERN MEDICINE OR ALLIED THERAPY ON PERENNIAL ALLERGIC RHINITIS
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作者 张世平 陈丽仪 +2 位作者 罗瑞莲 郭元琦 吴文毅 《World Journal of Acupuncture-Moxibustion》 2006年第3期13-18,共6页
Objective: The comparison of the remote and recent therapeutic effects on perennial allergic rhinitis was carried on among single application of acupoint-thread embedding, western medicine (certirizine+flixonase) and ... Objective: The comparison of the remote and recent therapeutic effects on perennial allergic rhinitis was carried on among single application of acupoint-thread embedding, western medicine (certirizine+flixonase) and allied therapy. Method: Ninety cases were randomized into thread-embedding group, western medicine group and embedding+western medicine group (allied-therapy group), 30 cases in each one. In thread embedding group, Yingxiang (迎香 LI 20) and Feishu (肺俞 BL 13) were selected for thread embedding, once a week, totally 4 treatments were required. In western medicine group, certirizine tablet 10 mg in combination with flixonase sprayer was applied once per day, continuously for 30 days in treatment. In allied-therapy group, both of the above methods were adopted continuously for 30 days in treatment. The therapeutic effects were in statistics at the end of treatment and 1 year later. Results: At the end of treatment, in thread-embedding group, 21 cases were remarkably effective, 3 cases effective and 6 cases no effect. In western medicine group, 20 cases were remarkably effective, 3 cases effective and 7 cases no effect. In allied-therapy group, 23 cases were remarkably effective, 2 cases effective and 5 cases no effect. It was shown in statistics that there was no significant difference in therapeutic effects among three groups ( P>0.05 ). But one year after the end of treatment, it was indicated that in thread-embedding group, 3 cases were remarkably effective, 10 cases effective and 17 cases no effect; in western medicine group, 2 cases were remarkably effective, 9 cases effective and 19 cases no effect; in allied-therapy group, 7 cases were remarkably effective, 11 cases effective and 12 cases no effect. The significant difference in the therapeutic effects had not been presented in the comparison between thread-embedding group and western medicine group (P>0.05), but that had been presented between allied-therapy group with either of the groups with single therapy applied (P<0.05). Conclusion: Quite good recent therapeutic effect of either acupoint-thread embedding or western medicine (certirizine+flixonase) was achieved on perennial allergic rhinitis. The remote therapeutic effect of allied therapy was more advantageous than that of single application of either thread embedding or western medicine. 展开更多
关键词 rhinitis ALLERGIC perennial THREAD EMBEDDING Randomize
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Observation of Ultrastructure in Nasal Mucosa on Allergic Perennial Rhinitis Cases before and after the Operations
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作者 Weinian Lin Jun Liao +3 位作者 Jinchao Lin Zhongzhu Nian Xiaodong Zhang Xiaoming Ye 《International Journal of Otolaryngology and Head & Neck Surgery》 2016年第5期181-188,共8页
Objective: The partial inferior turbinectomy and septoplasty was applied to treat the allergic perennial rhinitis (APR), and to observe the ultrastructure changes of the nasal mucosa before and after the operations. M... Objective: The partial inferior turbinectomy and septoplasty was applied to treat the allergic perennial rhinitis (APR), and to observe the ultrastructure changes of the nasal mucosa before and after the operations. Methods: For 36 cases of research objects diagnosed with APR, the partial inferior turbinectomy and septoplasty was administered. For 6 APR cases among them, the pre- and postoperative observation of anterior nasal mucosa of the inferior turbinate on the same side under the electron microscope was conducted for one year respectively. In addition, their pathological alterations of tissues were also conducted. Results: In the pre-operative observation under the electron microscope, it was found that the nasal mucosae epithelium cells were nude without cilia. The lamina propria had edema, and mesenchyme presented the infiltration of substantial eosinophilic granulocytes, basophilic granulocytes, plasmacytes and mast cells. Additionally, abundant degranulation and vacuolation of cytoplasts were observed. The plentiful glands, duct ectasia, edema and structural changes were also found. Some gland cells had degenerated. After the operation, it was found that the epithelium nudity still existed and the deficiency of cilia was not improved. Only a very small amount of microvilli existed. The edema of lamina propria was improved and eosinophilic granulocytes were rarely observed in mesenchyme. However, the infiltration of basophilic granulocytes, plasmocytes and mast cells was still observed. The particle structure was generally stable and the central crystal was clear without degranulation. Meanwhile, the amount of glands was reduced and the tissue structure tended to be recovered. Overall, the nasal mucosa showed changes as chronic inflammation. Conclusions: For the treatment of APR with the methods presented by our research institution, in one year before and after the operation, ultrastructural changes of inferior turbinate mucosa tissues were observed from the preoperatively pathological changes of typical APR to the chronic inflammation with the primary infiltration of neutrophilic granulocyte and mast cells. 展开更多
关键词 rhinitis ALLERGIC perennial Nasal Mucosa MICROSCOPE Electronic HISTOPATHOLOGY
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Study on the mechanism of Fuzi in the treatment of allergic rhinitis based on network pharmacology and experimental validation
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作者 LI Lin DING Shun +3 位作者 XU Zheng-yang YAN Jing-ren ZHANG Qi-meng MU Zhong-lin 《Journal of Hainan Medical University》 CAS 2023年第15期36-46,共11页
Objective:To study the key target genes and signaling pathways in the treatment of Allergic Rhinitis(AR)with Radix Aconiti Lateralis Preparata(aka Fuzi).Methods:The TCMPS and PubChem databases were used to screen the ... Objective:To study the key target genes and signaling pathways in the treatment of Allergic Rhinitis(AR)with Radix Aconiti Lateralis Preparata(aka Fuzi).Methods:The TCMPS and PubChem databases were used to screen the active ingredients and target genes of Fuzi using oral bioavailability and drug similarity as screening conditions,and the GeneCards database was used to screen the target genes of AR.The online tool Venny2.1 was used to screen the target genes of Fuzi for the treatment of Allergic Rhinitis;the STRING database was used to obtain the protein-protein interaction(PPI)network of drug-disease targets,and the key target genes were identified by the MCC algorithm.The potential biological processes and signaling pathways were identified by GO enrichment and KEGG enrichment analysis.Finally,animal experiments were conducted to demonstrate the therapeutic effect ofFuzi on Allergic Rhinitis.Results:The TCMSP,PubChem and GeneCards databases were used to screen the 21 active compound components of Fuzi and 68 potential therapeutic target genes of Fuzi for Allergic Rhinitis.PPI network analysis identified the top ten key target genes,namely:PTGS2,TNF,IL6,AKT1,ALB,STAT3,CCL2,CXCL8,VEGFA and JUN,GO functional and KEGG pathway enrichment analysis showed that the significantly enriched functions and pathways of Fuzi on Allergic Rhinitis were closely related to Allergic Rhinitis.Finally,animal experiments were conducted to verify that Fuzi is effective in the treatment of Allergic rhinitis.Conclusion:Increased expression of IL-6 and TNF-αin nasal mucosal tissues of patients with Allergic Rhinitis was positively correlated with indicators related to the disease activity of AllergicRhinitis.Fuzi ameliorated the inflammatory changes in mice with Allergic Rhinitis by inhibiting the activation of Toll-like signaling pathway in the nasal mucosa and decreasing the expression activity of IL-6 and TNF-α. 展开更多
关键词 Network pharmacology FUZI Allergy rhinitis Toll-like receptor signaling pathway IL-6 TNF-α
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Vesiculation Therapy of Cantharides Extract for Perennial Allergic Rhinitis and Its Effect on Serum Tolal I
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作者 汤之明 陈家祥 谭敬书 《Chinese Journal of Integrative Medicine》 SCIE CAS 1996年第1期45-48,共4页
The therapy of 10% Cantharides extract in treating 50 cases of perennial allergic rhinitis(PAR) was studied. The extract was plastered and blistered on Dazhui and Neiguan points. It was observedby nasal mucosa provoca... The therapy of 10% Cantharides extract in treating 50 cases of perennial allergic rhinitis(PAR) was studied. The extract was plastered and blistered on Dazhui and Neiguan points. It was observedby nasal mucosa provocative test, cells in nasal secretion test and serum total IgE test. The results showedthat ite effective rate was 88% . After treatment the allergic nasal mucosa provocative test of the treatedgroup was alleviated obviously ( P < 0 . 01 ) and the number ot eosinopnil affd basophil in nasal secretion de-creased significantly ( P < 0 . 01 , P < 0 . 05 ) . The serum total lgE also reduced significantly I P < 0 . 01 ) . 展开更多
关键词 cantharides extract BLISTERING perennial allergic rhinitis serum total IgE
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Allergies in Children: What’s New?—A Cross-Sectional Descriptive Study
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作者 Daniela Simoncini Anna Peirolo +3 位作者 Alberto Macchi Stefania Porcu Daniela Graziani Luigi Nespoli 《Open Journal of Pediatrics》 2015年第4期296-303,共8页
Background: The prevalence of respiratory allergies is increasing worldwide, with important consequences especially for little children. Objective: The aim of this study was to assess the prevalence of respiratory all... Background: The prevalence of respiratory allergies is increasing worldwide, with important consequences especially for little children. Objective: The aim of this study was to assess the prevalence of respiratory allergies, such as rhinitis and asthma, and to point out the risk factors and their relationship with allergic diseases in a specific area of Northern Italy. Methods: 110 children, male and female, from our outpatient service for allergic children, between 3 and 17 years old, were examined. After a skin prick test and a nasal cytology, the written questionnaire of the International Study of Asthma and Allergies in Childhood was filled by parents together with their children. Results: 110 children were examined. 74% of children had rhinitis and 71% asthma. 88 patients were allergic, grass pollen and house dust mite was the most frequent allergens. A family history of atopy, family background, geographic area, active and passive smoking and home pets were associated to allergies. Older children (6 - 15 years old) had more often rhinitis associated with asthma and conjunctivitis as compared to younger. 21 Children were also affected by non allergic rhinitis. Conclusions: Respiratory allergies are widespread and associated to a low quality of life among little children. Sensitization to Ragweed is increasing with important consequences. Rhinitis precedes the onset of asthmatic symptoms. Moreover non allergic rhinitis is increasing and frequently underdiagnosed. 展开更多
关键词 allergies ENVIRONMENT ASTHMA rhinitis
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Sublingual immunotherapy for pediatric allergic rhinitis: The clinical evidence 被引量:7
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作者 Dimitri Poddighe Amelia Licari +1 位作者 Silvia Caimmi Gian Luigi Marseglia 《World Journal of Clinical Pediatrics》 2016年第1期47-56,共10页
Allergic rhinitis affect 10%-20% of pediatric population and it is caused by the Ig E-sensitization to environmental allergens, most importantly grass pollens and house dust mites. Allergic rhinitis can influence pati... Allergic rhinitis affect 10%-20% of pediatric population and it is caused by the Ig E-sensitization to environmental allergens, most importantly grass pollens and house dust mites. Allergic rhinitis can influence patient's daily activity severely and may precede the development of asthma, especially if it is not diagnosed and treated correctly. In addition to subcutaneous immunotherapy, sublingual immunotherapy(SLIT) represents the only treatment being potentially able to cure allergic respiratory diseases, by modulating the immune system activity. This review clearly summarizes and analyzes the available randomized, double-blinded, placebo-controlled trials, which aimed at evaluating the effectiveness and the safety of grass pollen and house dust mite SLIT for the specific treatment of pediatric allergic rhinitis. Our analysis demonstrates the good evidence supporting the efficacy of SLIT for allergic rhinitis to grass pollens in children, whereas trials regarding pediatric allergic rhinitis to house dust mites present lower quality, although several studies supported its usefulness. 展开更多
关键词 ALLERGIC rhinitis Grass pollen ALLERGY House dust MITE ALLERGY SUBLINGUAL immunotherapy
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Pediatric allergic conjunctivitis and allergic rhinitis 被引量:2
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作者 Tong Qiao Yizhen Hu Zhinan Wang 《Journal of Nanjing Medical University》 2008年第3期183-187,共5页
Objective: To assess the relationship between allergic conjunctivitis(AC) and allergic rhinitis(AR) in pediatric ophthalmology and E.N.T outpatient clinic. Methods:Eight hundred and ninety two patients were enro... Objective: To assess the relationship between allergic conjunctivitis(AC) and allergic rhinitis(AR) in pediatric ophthalmology and E.N.T outpatient clinic. Methods:Eight hundred and ninety two patients were enrolled in survey during Mar. 2005-Jan. 2007, 407 allergic conjunctivitis cases were placed in the ophthalmology clinic group and 485 allergic rhinitis cases were from the E.N.T clinic. The comorbid disorders, histories, symptoms, signs of patients were recorded. Type 1 allergy was tested in 479 cases by a specific IgE antibody blood test. Eosinophils were detected in superficial conjunctival scrapings of the superior tarsal conjunctiva and mucosa surface scrapings of middle nasal meatus in 88 cases with both diseases. Results:302(74%), 374(92%), 116(29%) in 407 cases with allergic conjunctivitis had concomitant eczema, rhinitis and asthma, respectively; 334(69%), 430(89%), 145(30%) in 485 cases with allergic rhinitis had concomitant eczema, allergic conjunctivitis and asthma, respectively. The prevalence of allergic conjunctivitis concomitant allergic rhinitis and allergic rhinitis concomitant allergic conjunctivitis had no significant difference(x2=2,6, P 〉 0.05). The prevalence of allergic conjunctivitis and allergic rhinitis concomitant eczema and asthma also had no significant difference (x2=3.08; x2=0.21, P 〉 0.05). The degree of severity of two kinds of disease symptoms is not parallel, in the patients with seasonal allergic conjuctivitis(SAC) and perennial allergic conjunctivitis(PAC), the clinical signs of AR were always severer(x2=258.2, P 〈 0.05) than those of AC. However, the results coincided with the cases with vernal keratoconjuctivitis(VKC)(x2=66.5, P 〈 0.05); Eosinophils were revealed in 50(57%) conjunctival scrapings and nasal mucosa scrapings(x2=1.5, P〉 0.05), 47(53%) cases had positive results in both scrapings. The main aeroallergens were house dust mites, house dust and fungi, and the main food-allergens were fish, crab and shrimp. Conclusion:The two disorders were shown to share more similarities than differences, as suggested that allergic conjunctivitis should be considered in future guidelines on preventing the development of rhinitis and asthma in children. 展开更多
关键词 ALLERGY CONJUNCTIVITIS rhinitis
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Nasal airflow of patient with septal deviation and allergy rhinitis 被引量:1
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作者 Zi Fen Lim Parvathy Rajendran +1 位作者 Muhamad Yusri Musa Chih Fang Lee 《Visual Computing for Industry,Biomedicine,and Art》 EI 2021年第1期120-130,共11页
A numerical simulation of a patient’s nasal airflow was developed via computational fluid dynamics.Accordingly,computerized tomography scans of a patient with septal deviation and allergic rhinitis were obtained.The ... A numerical simulation of a patient’s nasal airflow was developed via computational fluid dynamics.Accordingly,computerized tomography scans of a patient with septal deviation and allergic rhinitis were obtained.The three-dimensional(3D)nasal model was designed using InVesalius 3.0,which was then imported to(computer aided 3D interactive application)CATIA V5 for modification,and finally to analysis system(ANSYS)flow oriented logistics upgrade for enterprise networks(FLUENT)to obtain the numerical solution.The velocity contours of the cross-sectional area were analyzed on four main surfaces:the vestibule,nasal valve,middle turbinate,and nasopharynx.The pressure and velocity characteristics were assessed at both laminar and turbulent mass flow rates for both the standardized and the patient’s model nasal cavity.The developed model of the patient is approximately half the size of the standardized model;hence,its velocity was approximately two times more than that of the standardized model. 展开更多
关键词 Three-dimensional nasal airflow model Septal deviation Allergy rhinitis Computational fluid dynamics
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Treatment of 48 Cases of Perennial Allergic Rhinitis with Thunder-fire Moxibustion 被引量:4
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作者 蒋洁明 《Journal of Acupuncture and Tuina Science》 2010年第2期89-90,共2页
关键词艾灸治疗 - 艾绒棍子艾灸 - 鼻炎,过敏、长期的鍏抽敭璇?鐏告硶 - 鑹炬潯鐏 ?- 榧荤値,鍙樺簲鎬?甯稿勾鎬?CLC 数字 R246.8 作者:江杰明(1954 鈥 ? ,女性。
关键词 灸法 艾条灸 鼻炎 变应性 常年性
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Effects of Acupuncture-moxibustion on Monocyte Th1/Th2 Cytokine in Peripheral Blood of Patients with Perennial Allergic Rhinitis 被引量:2
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作者 郑美凤 林诚 +1 位作者 郑良朴 何芙蓉 《Journal of Acupuncture and Tuina Science》 2010年第2期85-88,共4页
目的:观察针灸对常年性变应性鼻炎患者临床症状、体征、Th1/Th2细胞因子的影响,以及对Th1/Th2的调控作用,以期为针灸治疗本病提供客观依据,进而探讨其作用机制。方法:选择30例常年性变应性鼻炎患者为治疗组,30例健康人为对照组... 目的:观察针灸对常年性变应性鼻炎患者临床症状、体征、Th1/Th2细胞因子的影响,以及对Th1/Th2的调控作用,以期为针灸治疗本病提供客观依据,进而探讨其作用机制。方法:选择30例常年性变应性鼻炎患者为治疗组,30例健康人为对照组。治疗前、第1疗程后、第2疗程后观察临床症状和体征的评分,观察鼻黏膜,采用酶联免疫吸附试验(ELISA)测定外周血单个核细胞(PBMC)经PHA诱导培养后上清液中的白细胞介素-4(m-4)、干扰素-γ(IFN-γ)以及粒细胞-巨噬细胞集落刺激因子(GM—CSF)的含量。结果:治疗组治疗前的IL-4、GM—CSF水平均显著高于对照组(P〈0.01),而IFN—γ水平显著低于对照组(P〈0.01)。治疗组的GM—CSF水平与IL-4呈正相关(P〈0.01),与IFN—γ呈负相关(P〈0.01)。治疗组经治疗后IL-4和GM—CSF水平较治疗前均有显著性下降(P〈0.01),IFN—γ水平升高(P〈0.05),且治疗后IL-4、GM—CSF、IFN—γ水平均与对照组无显著性差异。结论:针灸对常年性变应性鼻炎患者症状及体征有明显的改善作用,并且能够加强机体免疫力。调节患者体内Th1和Th2细胞因子的表达,纠正失衡的Th1/Th2细胞因子网络可能是产生疗效的机制。 展开更多
关键词 鼻炎 变应性 常年性 针灸疗法 免疫调节
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Study on Cytokines IL-2,IL-6,IL-10 in Patients of Chronic Allergic Rhinitis Treated with Acupuncture 被引量:12
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作者 FILOMENA BANGRAZI PETTI M.Sc.Ph.D. ALDO LIGUORI M.D. FLORA IPPOLITI M.D.Ph.D. 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第2期104-111,共8页
Objectives: To observe the plasmatic concentration of IL-6, IL-10 and IL-2 in the patient of chronic allergic rhinitis before and after acupuncture therapy. Methods: Cytokine levels were determined before and after tr... Objectives: To observe the plasmatic concentration of IL-6, IL-10 and IL-2 in the patient of chronic allergic rhinitis before and after acupuncture therapy. Methods: Cytokine levels were determined before and after treatment in 30 healthy volunteers (Group A) and 90 patients of chronic allergic rhinitis (Group B) with an increased plasma IL-10 level. Group B was then divided into 3 subgroups: 30 patients treated with real acupuncture (Group B1); 30 patients treated with sham acupuncture (Group B2); 30 non-treated patients (Group B3). Results: The allergic subjects of group B1, compared with controls, showed a significant reduction of IL-10 after a specific treatment with acupuncture (P<0.05). On the other hand, in those patients treated with sham acupuncture (B2) as well as in non-treated patients (B3), the IL-10 values remained high and unchanged. There was a statistically significant change in IL-2 values at 24 hours (P<0.05) after real acupuncture (Groups A, B1), however the values remained within normal ranges. The IL-6 do not change after therapy. Conclusion: The acupuncture treatment can reduce plasmatic level of IL-10 in chronic allergic rhinitis. 展开更多
关键词 针灸治疗 成年人 CD4 积极的 T 淋巴细胞 女性 INTERLEUKIN-10 INTERLEUKIN-2 INTERLEUKIN-6 男性 中年 鼻炎 过敏 长期
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Clinical Research into Ke Min Yin for Treatment of Persistent Allergic Rhinitis in Patients with Qi Deficiency and Blood Stasis 被引量:2
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作者 刘巧平 刘建华 +1 位作者 刘大新 王薇 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第2期106-108,共3页
Persistent allergic rhinitis (PAR) is one of the common diseases at ear-nose-throat department. From August 1998 to May 2001, we randomly selected 60 cases of PAR with qi deficiency and blood stasis for a clinical obs... Persistent allergic rhinitis (PAR) is one of the common diseases at ear-nose-throat department. From August 1998 to May 2001, we randomly selected 60 cases of PAR with qi deficiency and blood stasis for a clinical observation. 30 patients in the treatment group were treated with Ke Min Yin (克敏饮), a herbal medicine, to supplement qi, expel wind, nourish blood and promote blood circulation; and the other 30 cases in the control group were treated with cetrine. Through systematic observation and statistical processing, the clinical research is summarized and reported in the following. 展开更多
关键词 过敏性鼻炎 气虚血滞型 克敏饮 中药制剂 临床疗效
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A CLINICAL OBSERVATION ON THERAPEUTIC EFFECTS OF ACUPUNCTURE FOR ALLERGIC RHINITIS
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作者 谭玲玲 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1999年第2期129-131,共3页
The author applied acupuncture to treat52 cases of allergic rhinitis with certaintherapeutic effectiveness confirmed by afollowing-up for one year and more.The resultis reported as follows.
关键词 针灸点 针灸治疗 青少年 成年人 孩子 女性 后续学习 男性 中年 鼻炎 过敏 长期
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基于倾向评分回归调整探讨艾灸治疗常年变应性鼻炎灸感与灸效的前瞻性队列研究
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作者 熊俊 汤根华 +6 位作者 张政 廖凯 周小红 徐玲玲 李军 周海平 项洁 《中医康复》 2024年第1期6-9,共4页
目的:采用倾向评分回归调整(PSRA)均衡基线资料,比较艾灸同一穴位(上印堂)不同灸感(热敏灸态vs静息态)治疗常年变应性鼻炎(PAR)灸效差异。方法:采用前瞻性队列研究设计,纳入106例合格受试者,用艾条悬灸上印堂激发灸感,根据热敏灸感的有... 目的:采用倾向评分回归调整(PSRA)均衡基线资料,比较艾灸同一穴位(上印堂)不同灸感(热敏灸态vs静息态)治疗常年变应性鼻炎(PAR)灸效差异。方法:采用前瞻性队列研究设计,纳入106例合格受试者,用艾条悬灸上印堂激发灸感,根据热敏灸感的有无,自然分组为热敏灸组(n=69)和传统灸组(n=37)。两组均在上印堂施灸,每次时间为30min,每天1次,连续四周,共计24次。结局指标为变异性鼻炎症状量表(TNSS)、伴随症状量表(TNNSS)以及生存质量调查问卷(RQLQ)。结果:使用PSM进行1:1配对,匹配容差0.02,成功匹配25对,共50例患者。两组患者基线资料均无统计学差异(P>0.05)。匹配后,治疗后热敏态组TNSS评分为4.01±1.52,低于静态组的5.42±1.10,有统计学意义(P<0.01);热敏态组TNNSS评分为1.26±0.43,低于静态组的1.52±0.50,有统计学意义(P<0.01);热敏态组RQLQ评分为37.62±6.01,低于静态组的47.22±7.76,有统计学意义(P<0.01);说明热敏灸组在改善PAR患者症状、体征和生活质量方面均有疗效优势。将倾向性评分匹配前单因素分析具有差异的结果纳入进行多因素logistic回归分析,结果显示,是否用药、病程为艾灸疗效的独立危险因素(P<0.05)。结论:艾灸热敏态穴位治疗PAR的临床疗效优于静息态组。 展开更多
关键词 艾灸 常年变应性鼻炎 灸感与灸效 前瞻性队列研究 倾向评分回归调整(PSRA)
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45例尘螨过敏患者冲击免疫治疗的临床安全性分析
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作者 李晓 关里 +2 位作者 徐静月 张雁林 徐松江 《中华临床免疫和变态反应杂志》 CAS 2024年第1期27-33,共7页
目的对45例尘螨过敏患者进行冲击免疫治疗的临床安全性分析,为冲击免疫治疗的临床应用积累临床经验。方法共纳入2021年1月到2022年8月在变态反应门诊采用4日剂量递增方案行冲击免疫治疗的尘螨过敏患者45例,统计分析其人群特征及不良反... 目的对45例尘螨过敏患者进行冲击免疫治疗的临床安全性分析,为冲击免疫治疗的临床应用积累临床经验。方法共纳入2021年1月到2022年8月在变态反应门诊采用4日剂量递增方案行冲击免疫治疗的尘螨过敏患者45例,统计分析其人群特征及不良反应发生情况,并比较不同特征人群间(分别根据性别、年龄、总IgE、是否单一尘螨过敏及是否单一呼吸系统过敏进行分组)不良反应发生情况的差异。结果45例患者中男女比例约为1∶1,年龄中位数为9(7.0,17.5)岁,97.8%的患者为过敏性鼻炎,其中75%合并支气管哮喘,绝大多数(86.7%)患者有过敏家族史。95.1%存在血清总IgE的升高(>60 KU/L),其中大部分患者尘螨sIgE均在3级以上(户尘螨80.5%,粉尘螨85.4%),88.9%的患者尘螨皮内试验均为4+。不良反应发生方面,35.6%(16/45)患者出现局部反应,剂量递增阶段次均局部不良反应发生率为7.5%(27/360);其中大部分(12例,占75%)在4天剂量递增过程中仅出现1次局部反应。出现速发型局部反应(主要表现为注射部位风团)发生率为20%(9/45),迟发型局部反应(主要表现为注射部位红肿、硬结)发生率为26.7%(12/45)。8例(17.8%)出现全身不良反应,剂量递增阶段次均全身不良反应发生率为3.3%(12/360);全身反应均为轻中度,其中绝大部分为Ⅰ级(轻度)不良反应(7例,占87.5%),仅1例为Ⅱ级(中度)不良反应,占12.5%,未发生Ⅲ级~Ⅳ级严重全身不良反应。绝大部分全身反应为迟发型(7例,占87.5%),仅出现1例速发型全身反应,考虑不除外与过敏原注入小血管相关。大部分(6例,占75%)在4天剂量递增过程中仅出现1次全身反应。组间不良反应比较结果提示,各组间局部不良反应及全身不良反应的发生率未见明显差异,≥18岁组比18岁以下组发生局部不良反应的风险接近有统计学差异(χ^(2)=3.519,P=0.061)。结论本研究纳入45例接受尘螨变应原冲击免疫治疗的患者,部分发生轻中度全身不良反应,但未发生严重全身过敏反应。该结果将为冲击免疫治疗的临床应用和推广提供临床数据和实践经验。 展开更多
关键词 冲击免疫治疗 尘螨过敏 过敏性鼻炎 哮喘 安全性
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三伏贴治疗儿童常年性变应性鼻炎长期随访研究思路探讨
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作者 周海平 廖凯 +5 位作者 李军 周小红 张政 项洁 徐玲玲 熊俊 《光明中医》 2024年第1期19-22,共4页
目的严谨科学地设计三伏贴治疗儿童常年性变应性鼻炎(PAR)为长期随访临床研究方案。方法结合儿童PAR疾病特点,在循证医学视野下,从样本含量、随机分配方法、对照研究、干预措施、结局指标及疗效评价等方面综合阐述三伏贴疗法治疗儿童PA... 目的严谨科学地设计三伏贴治疗儿童常年性变应性鼻炎(PAR)为长期随访临床研究方案。方法结合儿童PAR疾病特点,在循证医学视野下,从样本含量、随机分配方法、对照研究、干预措施、结局指标及疗效评价等方面综合阐述三伏贴疗法治疗儿童PAR的临床试验设计思路与实施方案。结果延长三伏贴治疗儿童PAR的随访时间,有助于评估三伏贴疗法的远期疗效。结论通过平行随机对照研究方法,设计试验方案,是评价三伏贴干预儿童PAR远期疗效的重要基础。 展开更多
关键词 鼻鼽 变应性鼻炎 三伏贴疗法 儿科学 研究思路
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不同年龄段患者经舌下含服粉尘螨滴剂治疗变应性鼻炎的疗效评估
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作者 刘保序 关兵 +1 位作者 陈晨 孙海勇 《中国中西医结合耳鼻咽喉科杂志》 2024年第4期245-248,共4页
目的评价不同年龄段患者舌下含服标准化粉尘螨滴剂免疫治疗(sublingual immunotherapy,SLIT)尘螨引起的变应性鼻炎(allergic rhinitis,AR)的疗效。方法回顾性分析了199例接受舌下含服粉尘螨滴剂治疗(sublingual immunotherapy,SLIT)的... 目的评价不同年龄段患者舌下含服标准化粉尘螨滴剂免疫治疗(sublingual immunotherapy,SLIT)尘螨引起的变应性鼻炎(allergic rhinitis,AR)的疗效。方法回顾性分析了199例接受舌下含服粉尘螨滴剂治疗(sublingual immunotherapy,SLIT)的变应性鼻炎患者的病例资料。其中有163例,年龄4~65岁,平均年龄(19.4±14.6)岁的患者接受了完整3年的治疗。将上述163例患者按照年龄段分为4~13岁年龄组(低龄组,107例,平均年龄为9.1±2.5)和14~65岁年龄组(高龄组,56例,平均年龄为30.7±14.1)。采用组间以及组内前后自身对照的方法,分别在治疗前和治疗后1年、3年评估患者的鼻部症状总评分(total nasal symptom score,TNSS)、药物评分(total medication score,TMS)、视觉模拟量表(visual analogue scale,VAS)评分以及体征评分的变化。采用SPSS 26.0软件对数据进行统计学分析。结果两组患者在经过3年的治疗后TNSS、TMS、VAS评分以及体征评分均无显著性差异。与基线相比,两组患者的TNSS、TMS、VAS评分以及体征评分在治疗1年和3年后均显著降低,差异具有统计学意义(低龄组:治疗1年时Z值分别为-4.750、-3.000、-5.188、-4.125,治疗3年时Z值分别为-6.688、-3.562、-6.812、-4.312;高龄组:治疗1年时Z值分别为-4.990、-4.267、-5.187、-3.414;治疗3年时Z值分别为-6.040、-4.793、-6.237、-4.464,P值均<0.05)。163例患者中有6例发生了轻微不良反应,都出现在免疫治疗的第一个月,且未经治疗自行好转。结论无论对于低龄组还是高龄组,在经过1年或3年舌下含服标准化粉尘螨滴剂治疗尘螨引起的AR均安全有效、耐受性良好。 展开更多
关键词 粉尘螨 变应性鼻炎 常年性 舌下免疫治疗 治疗结果
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常年型变应性鼻炎伴鼻中隔偏曲应用鼻内镜手术治疗的效果分析
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作者 王金丽 张燕松 李伟 《中外医疗》 2024年第7期36-39,共4页
目的分析常年型变应性鼻炎(Allergic Rhinitis,AR)伴鼻中隔偏曲应用鼻内镜手术治疗的效果。方法方便选取2021年1月-2023年10月三明市第一医院收治的108例伴鼻中隔偏曲的AR患者为研究对象,按随机数表法分组,对照组54例行鼻中隔矫正术治疗... 目的分析常年型变应性鼻炎(Allergic Rhinitis,AR)伴鼻中隔偏曲应用鼻内镜手术治疗的效果。方法方便选取2021年1月-2023年10月三明市第一医院收治的108例伴鼻中隔偏曲的AR患者为研究对象,按随机数表法分组,对照组54例行鼻中隔矫正术治疗,研究组54例联合鼻内镜下鼻中隔黏膜下切除术治疗,对比两组鼻部症状评分、气道反应性、并发症情况及生活质量。结果研究组各项鼻部症状评分、气道反应性指标均低于对照组,差异有统计学意义(P均<0.05)。研究组行为问题、鼻部症状、睡眠障碍、眼部症状及其他症状评分较对照组更低,差异有统计学意义(P均<0.05)。研究组和对照组的并发症总发生率分别为9.26%和5.56%,两组比较,差异无统计学意义(χ^(2)=0.540,P>0.05)。结论常年型AR伴鼻中隔偏曲应用鼻内镜手术治疗,有利于改善鼻部症状,提高患者生活质量,改善气道反应性,且并发症少。 展开更多
关键词 常年型变应性鼻炎 鼻内镜手术 鼻中隔偏曲 气道反应性 生活质量
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壬寅年季节性变应性鼻炎五运六气禀赋相关分析
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作者 王昭倩 马湘婷 +3 位作者 高畅 蔡婷婷 陈铚晗 刘静 《广州中医药大学学报》 CAS 2024年第5期1116-1122,共7页
【目的】分析壬寅年季节性变应性鼻炎(seasonal allergic rhinitis,SAR)患者先天运气禀赋情况。【方法】采用回顾性研究方法,收集中国中医科学院西苑医院耳鼻喉科2022年(壬寅年)在春、秋两个花粉季(即3月5日~5月21日、8月7日~9月23日)... 【目的】分析壬寅年季节性变应性鼻炎(seasonal allergic rhinitis,SAR)患者先天运气禀赋情况。【方法】采用回顾性研究方法,收集中国中医科学院西苑医院耳鼻喉科2022年(壬寅年)在春、秋两个花粉季(即3月5日~5月21日、8月7日~9月23日)就诊的SAR患者共8918例,对患者的出生日期进行运气分析。【结果】壬寅年SAR患者发病与岁运、司天、主气、运气相合,以及双因素中的岁运—司天、主气—客气关系密切。出生于天干为壬,地支为戌,五运为木运,岁运为岁木太过,阳明燥金司天-少阴君火在泉,主气为阳明燥金,运气相合为不和之年,患者的发病率增高;双因素中,岁运—司天为岁木太过-太阳寒水,主客相合为阳明燥金—太阳寒水,患者的发病率增高。【结论】先天运气因素中,岁运、司天、主气及运气相合等对疾病的发生有影响,出生时运气与发病时的运气因素相互作用可能是导致疾病发生的重要机制之一。 展开更多
关键词 壬寅年 季节性变应性鼻炎(SAR) 先天运气禀赋 五运六气 发病机制
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变应性鼻炎的中西医治疗进展
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作者 梁译文 程岩岩 《智慧健康》 2024年第17期46-48,52,共4页
变应性鼻炎是一种IgE介导的I型变态反应,表现为鼻痒、喷嚏、流涕和鼻塞,具有反复发作的特点。西医学认为变应性鼻炎是免疫系统疾病,与遗传和环境相关,可通过口服药物或手术治疗。中医学认为该病主要与肺、脾、肾三脏相关,可通过针灸、... 变应性鼻炎是一种IgE介导的I型变态反应,表现为鼻痒、喷嚏、流涕和鼻塞,具有反复发作的特点。西医学认为变应性鼻炎是免疫系统疾病,与遗传和环境相关,可通过口服药物或手术治疗。中医学认为该病主要与肺、脾、肾三脏相关,可通过针灸、中药、推拿等方式进行治疗。本文通过对变应性鼻炎相关文献进行整理,从中医理论与西医学两个角度对变应性鼻炎的治疗进展进行分析,以期为变应性鼻炎的防治提供参考。 展开更多
关键词 变应性鼻炎 鼻鼽 中医药治疗
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