Allergy:皮下类过敏原免疫治疗在屋尘螨诱导的过敏性鼻炎和哮喘中的真实世界证据

2020-03-19 AlexYang MedSci原创

最近,有研究人员分析了类过敏原过敏原免疫疗法(AIT)在治疗屋尘螨(HDM)诱导的过敏性鼻炎和/或哮喘中真实世界数据中的效果情况。结果使用哮喘患发病率来测量,并将使用的相关药物作为持续症状的指示因子。

最近,有研究人员分析了类过敏原过敏原免疫疗法(AIT)在治疗屋尘螨(HDM)诱导的过敏性鼻炎和/或哮喘中真实世界数据中的效果情况。结果使用哮喘患发病率来测量,并将使用的相关药物作为持续症状的指示因子。

研究是一个德国纵向处方数据库的回顾性群体研究,包括了在2个不同的连续季节循环中接受至少2次相关螨虫AIT处方的患者和在连续的螨虫季节中接受至少3次症状过敏性鼻炎(AR)处方的非AIT患者。研究终点包括了AR进展、哮喘进展、哮喘发生和治疗顺从性。研究人员使用了多变量回归分析评估了调整变量后AIT的影响情况。研究包括了2350名接受螨虫类过敏原的患者和64740名对照。在长达6年的随访后,螨虫类过敏原治疗的患者比对照组需要的AR和哮喘处方显著更少(59.7% vs 10.8%),并且哮喘发生的可能性显著更低。患者接受类过敏原的依从性在第二年结束时为63.8%,第三年结束时为38.6%。

最后,研究人员指出,他们的真实世界研究确定了HDM螨虫类过敏原皮下AIT治疗在过敏性鼻炎和哮喘中具有良好的效果。为期6年的随访表明了AR和哮喘用药均明显减少。

原始出处:

Jutel M, Brüggenjürgen B, Richter H et al. Real-world evidence of subcutaneous allergoid immunotherapy in house dust mite-induced allergic rhinitis and asthma. Allergy. 20 Feb 2020.

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    2020-03-21 膀胱癌
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