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颈部淋巴结内注射变应原特异性免疫治疗儿童变应性鼻炎的临床研究
引用本文:王凯,熊宇,秦扬,于青青,唐隽.颈部淋巴结内注射变应原特异性免疫治疗儿童变应性鼻炎的临床研究[J].中国耳鼻咽喉颅底外科杂志,2022,28(1):28-32.
作者姓名:王凯  熊宇  秦扬  于青青  唐隽
作者单位:佛山市第一人民医院 耳鼻咽喉头颈外科, 广东 佛山 528000;遵义医科大学珠海校区, 广东 珠海 519041
基金项目:国家自然科学基金(82101201);广东省科技厅科技计划(2016A020215006)。
摘    要:目的 探究颈部淋巴结内注射变应原特异性免疫治疗(ICLIT)儿童变应性鼻炎(AR)的疗效及安全性.方法 回顾性研究24例儿童AR行ICLIT治疗的临床资料,观察患儿基线水平及治疗后1年鼻部症状评分、眼部症状评分、药物评分以及治疗过程中发生不良反应情况,探讨其疗效及安全性.结果 24例AR患儿基线水平鼻部总症状评分为(6...

关 键 词:变应性鼻炎  儿童  变应原  免疫治疗  疗效
收稿时间:2021/11/12 0:00:00

Clinical study of cervical intralymphatic immunotherapy for allergic rhinitis in children
WANG Kai,XIONG Yu,QIN Yang,YU Qingqing,TANG Jun.Clinical study of cervical intralymphatic immunotherapy for allergic rhinitis in children[J].Chinese Journal of Otorhinolaryngology-skull Base Surgery,2022,28(1):28-32.
Authors:WANG Kai  XIONG Yu  QIN Yang  YU Qingqing  TANG Jun
Institution:Department of Otolaryngology Head and Neck Surgery, Foshan First People''s Hospital, Foshan 528000, China;Zhuhai Campus of Zunyi Medical University, Zhuhai 519041, China
Abstract:Objective To investigate the efficacy and safety of cervical intralymphatic immunotherapy (CILIT) in children with allergic rhinitis (AR).Methods Clinical data of 24 AR children treated with CILIT were studied retrospectively. The nasal symptom score, ocular symptom score, drug score at baseline and one year after CILIT, as well as adverse reactions during treatment were observed and recorded to explore the efficacy and safety of CILIT.Results The total nasal symptom score, ocular symptom score, and drug score at the baseline were (6.00±2.13), (3.29±2.12) and (2.67±1.17) respectively, while those at one year after CILIT were (2.96±2.48), (1.88±1.26), and (1.25±1.19) The differences between the baseline levels and those at one year after CILIT were all statistically significant (all P<0.01). The total effective rate at one year after CILIT was 75%. During the treatment and follow-up period, only 2 of the 24 children had light local adverse reactions without systemic adverse reactions.Conclusion With good effect and safety, CILIT can significantly alleviate the allergic symptoms of AR in children and greatly shorten the immunotherapy cycle.
Keywords:Allergic rhinitis  Child  Allergen  Immunotherapy  Therapeutic effect
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