过敏性鼻炎的辨证施治及现代研究课件

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1、過敏性鼻炎的辨證施治及現代研究香港大學中醫藥學院柯有甫博士过敏性鼻炎指南及诊疗标准http://www.whiar.org《变应性鼻炎及其对哮喘的影响》（Allergicrhinitisanditsimpactonasthma，ARIA）指南（ARIA2010版）1999年/2001年；2004；2008；2010中华医学会耳鼻咽喉头颈外科学分会1990年，1997年，2004年2009年《变应性鼻炎诊断和治疗指南》(武夷山)2010年《儿童变应性鼻炎诊断和治疗的专家共识》(重庆)中华中医药学会耳鼻喉科专业委员会《鼻鼽(变应性鼻炎)的诊断和疗效标

2、准》(1991,杭州)国家中医药管理局《鼻鼽(变应性鼻炎)的诊断和疗效标准》(1995)《中药新药治疗鼻鼽的临床研究指导原则》(1997)AllergicRhinitis视频http://www.yi20.com.cn/play/601.html?601-0-0http://allergies.emedtv.com/allergies-video/understanding-allergies-video.htmlhttp://www.youtube.com/watch?v=Dxnj5tUNl1gARIAprogramFirstphase:Dev

3、elopmentofevidence-basedguidelinesduringaworkshopheldatWHOinDecember1999(JAllergyClinImmunol,suppl,Nov2001).Documenthasbeenendorsedbyseveralallergy,respiratory,ENTandpediatricassociations.Secondphase:Toproducematerialstohelpimprovedeliveryofcaretothosewithrhinitis.Inparticula

4、rapocketguideToimplementARIAguidelinesToupdatetheworkshopreportTheARIAinitiativewasdevelopedasastate-of-the-artforthespecialist,thegeneralpractitionerandforhealthcareworkers:toupdatetheirknowledgeofallergicrhinitis,tohighlighttheimpactofallergicrhinitisonasthma,toprovideanevi

5、dence-baseddocumentedrevisiononthediagnosismethods,toprovideanevidence-basedrevisiononthetreatmentsavailable,toproposeastepwiseapproachtothemanagementofthedisease,toassessthemagnitudeoftheproblemindevelopingcountriesandtoimplementguidelinesAllergicrhinitisisamajorchronicrespi

6、ratorydiseaseAllergicrhinitisisassociatedwithsinusitisandotherco-morbiditiessuchasconjunctivitisAllergicrhinitisshouldbeconsideredasariskfactorforasthmaAnewsubdivisionofallergicrhinitishasbeenproposed:Intermittent(IAR)Persistent(PER)Theseverityofallergicrhinitishasbeenclassif

7、iedas"mild'and"moderate/severe“AstepwisetherapeuticapproachhasbeenproposedThetreatmentofallergicrhinitiscombines:Allergenavoidance(whenpossible)PharmacotherapyImmunotherapyEducationPatientswithpersistentallergicrhinitisshouldbeevaluatedforasthma(10-40%)Patientswithasthmashoul

8、dbeappropriatelyevaluatedforrhinitis.(over80%)Acombinedstrategyshoul