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高压氧治疗常年性变应性鼻炎的临床及实验研究

Clinical and experimental study on perennial allergic rhinitis treated with hyperbaric oxygenation

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目的 探讨高压氧治疗常年性变应性鼻炎的疗效及机理。方法 大、小鼠在压力为0.25 MPa的高压氧舱内,每日2 h,连续5或10 d,进行免疫指标测定。30例常年性变应性鼻炎患者,在0.2 MPa压力下的高压氧舱内吸纯氧,每日2 h,连续20 d,进行疗效评定。结果 吸高压氧后大鼠同种被动皮肤过敏反应受抑制(P<0.01);小鼠耳异种被动皮肤过敏反应受抑制(P<0.01);酪蛋白引起脱颗粒的小鼠腹腔肥大细胞数与对照组比较明显减少(P<0.01)。30例患者治疗前后症状、体征比较,近期疗效99%,随访3年有效率达74%。结论 高压氧对实验动物I型变态反应有显著抑制作用,对常年性变应性鼻炎是一种效果好、疗效稳定、无副作用的新治疗方法。
Objective To explore the curative effect and mechanism of hyperbaric oxygenation(HBO) therapy for perennial allergic rhinitis.Methods The immune indexes of rat and mouse were measured after 5 or 10 days under pressure of 0.25 MPa in HBO chamber for 2 hrs daily.At the same time,the curative effects of 30 cases suffered from perennial allergic rhinitis were evaluated after 20 days under HBO chamber with 0.2 MPa to inhale pure oxygen for 2 hrs/per day.Results After HBO treatment,it was found that the passive skin allergic reaction in homozygous rats and heterologous mice(ears for test) all suppressed(P<0.01)compared with the control group,the number of mase cells degranulated by casein in abdominal cavity of mice was markedly decreased(P<0.01).On clinical observation,the near effects concerning symptoms and signs in 30 cases after HBO were 98.7%;follow-up 3 years,the effect was 73.7%.Conclusion The study shows that the HBO has marked suppressive effect for allergic reaction of experimental animals,so,it is an effective,new and non-side-effect therapy for perennial allergic rhinits.

贾永忠、张延志、姜允申、宋玲、余成云、殷建华、李源泉

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211900 南京医科大学第三附属医院耳鼻咽喉科

南京医科大学第三附属医院高压氧科

南京医科大学毒理教研室

南京医科大学第三附属医院耳鼻咽喉科

高压氧科

南京医科大学第三附属医院检验科

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高压氧 鼻炎,变应性,常年性 动物,实验 治疗结果

2001

中华理疗杂志
中华医学会

中华理疗杂志

ISSN:0254-1408
年,卷(期):2001.24(1)
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