變應(yīng)性鼻炎(課件)

1、 Allergic rhinitisBy 余杰 林明慧 Allergic rhini（ALLERGIC RHINITIS） 1.Concept 2.Pathogenesis 3.Manifestation 4.Diagnosis 5.Treatment（ALLERGIC RHINITIS） Concept of allergic rhinitis Allergic inflammation in nasal mucosa induced by IgE Concept of allergic rhinitis Allergic rhinitis pathogenesis Allergic rhi

2、nitis p Clinical manifestationRhinocnesmusSneezeWatery rhinorrheaNasal obstruction Clinical mIncidental symptomItchyconjunctival congestion Incidental symptomcomplicationBronchitical asthmaIrritability sore throatSecretory otitis mediaSleeping respiratory disordersyndrom complicationBronchitical ast

3、hmClassificationPersistent： Symptom4d/W，or Course of disease 4W。intermittent： Symptom4d/W， or Course of disease 4W；Duration of symptomsClassificationPersistent：interIndexing中-重度： 癥狀明顯或嚴(yán)重，對(duì)生活質(zhì)量產(chǎn)生影響。 mild moderate to advancedIndexing中-重度： mild moderaDiagnosis (2009)1.rhinocnesmus2.sneeze3.watery rhino

4、rrhea4.nasal obstructionContinue 0.5-1h/d, 4d/W。2Allergen specific IgE test PostiveOrSPT PostIve1 Diagnosis (2009)1.rhinocnesmus Immunization therapyMildIntermittentMildPersistentModerate to severePersistent Disodium cromoglicateAvoid contact with allergen Glucocorticoid(In) H1-antihistamines(Po or In)and(or)Decongestant drug;LTRAGlucocorticoid(In)H1-antihistaminesLTRATreatment （2008 update）Moderate t