首页|奥马珠单抗辅助治疗难治性过敏性哮喘伴鼻炎患儿的效果

奥马珠单抗辅助治疗难治性过敏性哮喘伴鼻炎患儿的效果

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目的:探讨奥马珠单抗辅助治疗难治性过敏性哮喘伴鼻炎患儿的效果.方法:选取首都医科大学附属北京儿童医院保定医院 2021 年 6 月—2022 年 6 月收治的 96 例难治性过敏性哮喘伴鼻炎患儿作为研究对象,按照治疗方案分为对照组(予以沙美特罗替卡松+布地奈德+丙酸氟替卡松+孟鲁司特钠+地氯雷他定治疗)48 例和观察组(予以奥马珠单抗辅助治疗)48 例.观察两组炎症水平、肺功能、临床症状.结果:治疗后,观察组总免疫球蛋白(total immunoglobulin,tIgE)、嗜酸性粒细胞(eosinophile,EOS)水平均低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组用力肺活量(forced vital capacity,FVC)、第 1 秒用力呼气容积(forced expiratory volume in one second,FEV1)、肺活量(vital capacity,VC)、最大呼气流量(peak expiratory flow,PEF)实测值占预计值的百分比(PEF%pred)、FEV1 占FVC百分比(FEV1/FVC%)水平均高于对照组,差异均有统计学意义(P<0.05);治疗后,观察组哮喘症状评分均低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组鼻炎症状各维度评分均低于对照组,差异均有统计学意义(P<0.05).结论:奥马珠单抗辅助治疗难治性过敏性哮喘伴鼻炎患儿可以降低其炎症水平,改善肺功能和临床症状.
Effect of Omalizumab in the Adjuvant Treatment of Refractory Allergic Asthma with Rhinitis
Objective:To investigate the effect of Omalizumab in the adjuvant treatment of refractory allergic asthma with rhinitis.Method:A total of 96 children with refractory allergic asthma with rhinitis admitted to Beijing Children's Hospital Affiliated to Capital Medical University Baoding Hospital from June 2021 to June 2022 were selected as the study objects.According to the treatment plan,48 cases were divided into control group(treated with Salmeterol Xinafoate and Fluticasone Propionate + Budesonide + Fluticasone Propionate + Montelukast Sodium+ Desloratadine)and observation group(Omalizumab was given adjuvant therapy)48 cases.The inflammation level,lung function and clinical symptoms of the two groups were observed.Result:After treatment,the levels of tIgE and eosinophils(EOS)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the forced vital capacity(FVC),forced expiratory volume in one second(FEV1),vital capacity(VC),and peak expiratory flow(PEF)measured value as a percentage of the estimated value(PEF%pred),percentage of FEV1 to FVC(FEV1/FVC%)were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the asthma symptom scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the scores of rhinitis symptoms in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Adjuvant treatment of Omalizumab in children with refractory allergic asthma with rhinitis can reduce the level of inflammation,improve lung function and clinical symptoms.

OmalizumabRefractory allergic asthmaAllergic rhinitisAsthma symptomsRhinitis symptoms

李慧、聂雷、张佩瑶、刘煜、高士培

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首都医科大学附属北京儿童医院保定医院耳鼻喉科 河北 保定 071000

首都医科大学附属北京儿童医院保定医院口腔科 河北 保定 071000

奥马珠单抗 难治性过敏性哮喘 过敏性鼻炎 哮喘症状 鼻炎症状

保定市科技计划项目

2041ZF135

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
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