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简介:AbstractBackground:Allergic rhinitis (AR) is characterized by mucosal inflammation that leads to a variety of symptoms, such as nasal congestion, rhinorrhea, and sneezing. This rhinitis is triggered by inhalation of allergens, such as pollen, and this condition has a negative impact on the quality of life. AR was shown to be associated with a number of co-morbidities, including hypothyroidism, asthma, and chronic sinusitis.Objective:This study aimed to assess AR-associated comorbidities in patients presenting symptoms and paranasal sinus computed tomography (CT) scan findings in Taif City, Saudi Arabia.Methods:This cross-sectional study evaluated medical and radiological records of AR patients retrospectively from the period of December 2018 to September 2019 in Al-Hada Armed Forces Military Hospital, Taif City, Saudi Arabia.Results:A total of 103 AR patients with a mean age of 39.0 ± 15.6 years with 55.3% males and 44.7% females. The three most common associated comorbidities in allergic rhinitis patients were chronic sinusitis (28.2%), hypothyroidism (21.4%), and asthma (8.7%). Nasal obstruction (30.1%) was the symptom most frequently presented by all patients. Mucosal thickening occurred most frequently in patients with associated chronic sinusitis, while bilateral osteomeatal complex obliteration was observed mostly in asthmatic patients, and bony boundary thinning was more prevalent among patients with associated hypothyroidism.Conclusion:The gender distribution of AR was 10% more common among males; however, the most common three comorbidites in allergic rhinitis patients were chronic sinusitis, hypothyroidism, and asthma, and most of those patients were females. Hypothyroidism can be a hidden predisposing factor for AR, while chronic sinusitis can be caused by AR due to secretion stasis or immune system activation.
简介:AbstractObjective:Our objective was to review skin prick allergy testing (SPAT) results in patients with symptomatic rhinitis in an Irish population.Methods:A fifteen-year retrospective review of our database of symptomatic patients with rhinitis was performed. All patients who had SPAT performed during this interval were included. Data was analysed in terms of demographics and dominant allergens.Results:1158 patients were included. 617 Females vs 541 Males. Age range five to eighty-five years old. Mean age thirty-four years. 49% of our patients tested positive to at least one aeroallergen. The most common allergens were dust mites (23%) and timothy grass (22%). Patients born during the Irish pollen season (April-July) were between 5 and 7 times more likely to be sensitive to timothy and ryegrass pollens compared to others tested. 241 patients had both SPAT and serum allergen specific IgE testing (SASIgET) performed; positive results were consistent between both groups.Conclusion:Results demonstrated that half of our patients with symptomatic rhinitis had allergen sensitisation. Dust mites and grass were the main allergens in our area. Our nurse led clinic has allowed efficient patient education and the development of a unique Irish SPAT database. Retesting a patient with a known allergy test result it is not indicated.
简介:PurposeThisstudywasdonetoverifytheeffectivenessofacupuncturetreatmentonnasalobstructioncausedbyallergicrhinitisorrhinosinusitis,andtoknowtheclinicaleffectofanovelacupuncturepointnamedSim-eui.MethodRhinitispatientswithatleasttwovisitstothehospitalfromSeptember,2009toNovember,2009wererandomizedintoeitherexperimentorcontrolgroup.Theexperimentgroupweretreatedwithacupunctureongenerallyusedpointsofrhinitis,thatareGV22,GV23,GV24,ST8(bothsides),BL2(bothsides),ST4(bothsides),aswellasSim-euipoint.ThecontrolgroupweretreatedwiththegeneralpointsandLI20(bothsides)insteadofSim-euipoint.Acupunctureneedleswereleftinfor15minutesforbothgroups.TheinitialandfinalsymptomscoresofSNOT-20andamodifiedVASwereusedtoevaluatetheeffectiveness.TheprogramusedforstatisticalanalysiswasSPSS15.0forwindow.WilcoxonSignedRanksTestwasdonetoanalyzetheintra-groupsymptomscorechangebeforeandaftertreatment,andMann-WhitneyTestwasusedtocompareinter-groupVASchange.Allthestatisticswereverifiedatasignificancelevelof5%.ResultTheSNOT-20scoresbeforeandafteracupuncturetreatmentshowedsignificantchangesonbothexperimentandcontrolgroups,buttherewasnosignificantdifferencebetweenthetwogroups.AllcategoriesoftheSNOT-20showedsignificantresult,exceptthe'Wakeupatnight'and'Lackofagoodnight'ssleep'entries.ThemodifiedVASshowedsignificantimprovementofsymptomintheexperimentgroupcomparedwithcontrolgroup.ConclusionAcupuncturetreatmentusingSim-euipointseemstobehelpfulinimprovingqualityoflifebyimmediatereliefofnasalobstruction.
简介:摘要目的观察通窍鼻炎胶囊治疗急性鼻炎的临床效果。方法从本院2012年5月~2013年5月收治的急性鼻炎患者中随机选择100例进行研究,随机分为两组,分别给予常规药物治疗和通窍鼻炎胶囊治疗。观察记录两组的治疗效果,并进行比较。结果观察组的不良反应发生率为2.0%,对照组的不良反应发生率为18.0%,差异有统计学意义(P=0.03,Χ2=5.11);观察组的治疗总有效率为96.0%,对照组的治疗总有效率为76.0%,差异有统计学意义(P=0.04,Χ2=6,79)。结论通窍鼻炎胶囊治疗急性鼻炎可以显著改善患者的临床症状,效果显著,且不良反应较少,值得推广。
简介:摘要目的观察通窍鼻炎胶囊治疗急性鼻炎的临床治疗效果。方法将2015年4月-2016年5月期间于我院耳鼻喉科就诊的80例急性鼻炎患者随机分为观察组与对照组,每组各40名。对照组采用复方熊胆通鼻喷雾剂治疗,观察组在对照组治疗基础上采用通窍鼻炎胶囊治疗,持续治疗两周。观察两组患者经过相应治疗后的治疗有效率以及副作用发生情况。结果观察组的治疗总有效率显著高于对照组,(P<0.05),差异有统计学意义,副作用发生情况也明显低于对照组,(P<0.05),差异有统计学意义。结论通窍鼻炎胶囊治疗急性鼻炎相较于常规喷雾治疗效果更为显著,能有效减轻患者临床症状,副作用较轻,有治疗及推广价值。
简介:摘要:目的 本研究旨在探讨鼻炎光疗仪治疗变应性鼻炎的疗效及其在临床应用的价值。通过对鼻炎光疗仪治疗变应性鼻炎的疗效进行观察和分析,旨在为临床治疗提供一种安全、有效的新方法,提高患者的生活质量,并为鼻炎光疗仪在临床应用中提供科学依据。方法 纳入100例确诊为变应性鼻炎的患者,随机分为两组:光疗组(试验组)和对照组。光疗组50例,采用常规药物加鼻炎光疗仪进行治疗;对照组50例,采用常规药物治疗。治疗结束后,比较临床疗效,比较治疗前后血清 IgE 水平,并对治疗前后及随访时 TNSS 各项评分和鼻局部体征评分进行比较。结果 对照组总有效率为86%;试验组总有效率为96%。两组总有效率比较试验组远高于对照组(P<0.05)。在治疗前两组患者血清IgE水平并不存在明显差异(P>0.05),但是在治疗之后两组患者均得到了明显的改善(P<0.05),并且试验组IgE水平要明显比对照组好(P<0.05)。治疗前两组 TNSS各项评分和鼻局部体征评分未见明显差异(P>0.05),通过治疗两组 TNSS各项评分和鼻局部体征评分都有了明显的改善(P<0.05),两组之间比较发现试验组 TNSS各项评分和鼻局部体征评分要明显优于对照组(P<0.05)。结论 鼻炎光疗仪作为一种非侵入性治疗方法,易于被患者接受,具有较高的治疗安全性。在临床应用中,我们还应根据患者的具体病情和个体差异,制定个性化的治疗方案,以期达到更好的治疗效果。总之,鼻炎光疗仪在治疗变应性鼻炎方面具有一定的疗效,值得在临床中进一步推广和探讨。
简介:摘要目的探讨对过敏性鼻炎患者行通窍鼻炎颗粒治疗的临床效果。方法将2015年2月~2016年2月我院收治的98例过敏性鼻炎患者作为研究对象,根据抛硬币法进行分组,正面为对照组,反面为实验组,各49例。对照组行单一羟甲唑啉喷剂治疗,实验组则服用通窍鼻炎颗粒治疗,观察比较两组的治疗效果以及临床症状症候积分的变化情况。结果实验组治疗有效率45例(91.84%)显著高于对照组32例(65.31%),实验组临床症状症候积分均低于对照组。且对照均存在P<0.05,有统计学上的意义。结论对过敏性鼻炎患者行通窍鼻炎颗粒治疗,不仅能够改善患者临床症状,还能够提高治愈效果。