Alerjik rinit semptomları ve şiddet dereceleri ile spesifik alerjenler ve alerjik rinitin süresi arasındaki ilişki

Fatma Öcalan, Müge Özcan, Ramazan Öçalan, Yavuz Yilmaz, A. Ünal
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引用次数: 2

Abstract

Objective: To determine whether specific allergens induce specific symptoms or not, and whether symptoms and the severity of the symptoms change in the parallel with the increase in the duration of allergic rhinitis or not. Methods: This trial was conducted through retrospective screening of the data forms of patients who had presented to our ENT-Allergy Unit with allergic symptoms, and diagnosed as allergic rhinitis based on the history, examination and prick test or serum specific IgE results. Results: A total of 235 patients were enrolled in the trial. Nasal discharge and postnasal drip were significantly less common in tree allergies, itching and watering of the eyes were more common in grass allergies. Redness in the eyes was significantly less common in weed allergies. Nasal discharge was significantly less common in allergy against animal epithelium and hair. Sneezing and itching/watering of the eyes were significantly less, while hyposmia was more frequently seen in house dust-mite allergies. Comparison of the duration of allergic rhinitis with the frequency of symptoms revealed a statistically significant increase in hyposmia and redness in the eyes in seasonal allergic rhinitis, parallel to the increase in the duration of allergic rhinitis. Conclusion: We suggest that specific symptomatic treatments directed against the allergen(s) which also shorten duration of allergic rhinitis may be an option in the management of allergic rhinitis and will yield positive outcomes in terms of improved control of the symptoms and hence quality of life of the patients.
目的:确定特异性过敏原是否诱发特异性症状,以及症状和症状严重程度是否随变应性鼻炎病程的延长而平行变化。方法:本试验通过回顾性筛选到我的ENT-Allergy Unit就诊并根据病史、检查和点刺试验或血清特异性IgE结果诊断为变应性鼻炎的患者的资料表。结果:共有235名患者入组试验。在树木过敏中,鼻分泌物和鼻后滴涕明显较少,而在草过敏中,眼睛瘙痒和流泪更为常见。眼睛发红在杂草过敏中明显不常见。对动物上皮和毛发过敏的鼻分泌物明显较少。打喷嚏和眼睛瘙痒/流泪明显减少,而在室内尘螨过敏中更常见的是低呼吸。变应性鼻炎持续时间与症状发生频率的比较显示,季节性变应性鼻炎患者眼睛充血和发红的发生率有统计学意义的增加,与变应性鼻炎持续时间的增加平行。结论:我们建议针对过敏原的特异性对症治疗也可以缩短变应性鼻炎的持续时间,这可能是变应性鼻炎治疗的一种选择,并且在改善症状控制方面将产生积极的结果,从而提高患者的生活质量。
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