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1、暨南大学硕士学位论文TheeffectevaluationofsubcutaneousimmunotherapyonallergicrhinitisandserumsIgG4AbstractPurpose:1.Thestudyistoevaluatedthelong-termeffectofsubcutaneousimmunotherapyonallergicrhinitisinpatients,andobservesafetyandcompliance,providethescientificbasisforARpatientsSITint
2、reatment.2.ThespecificIgG4levelofallergicrhinitispatientsatpre-therapyandpost-therapywerediscussed,andexplorewhethersIgG4ofdiseasediagnosis,treatment,therapeuticevaluation,prognosisofguidingsignificance.Method:1.SelectatJinanUniversityAffiliatedHospitalofZhuhaiENTclinicAR51
3、patientsenrolledinthisstudy,betweenJune2013toDecember2014toacceptuptoayearoffsafetystandardizationofhousedustmiteallergen-specificoriginalformulationimmunotherapy.Beforetreatment,the51patientshadtodetectserumsIgEantibodiesanddotheskinpricktest.2.Recordedandcomparedpatients’
4、signsandsymptomsscore,visualanaloguescale(VAS)scorebeforeSIT,aftertheinitialtreatmentandoneyeartreatment.3.Curativeeffectevaluation:Signsandsymptomsofpre-treatmenttotalscoreminusthetotalscoreaftertreatment,anddividetheresultbythetotalscorebeforetreatment.4.Patientswerefollo
5、wedup,recordingtheiradversereactions,analysisofpatientcompliance,recordthereasonsforinterruptionoftreatment.5.IgG4-ElisatestwasusedtodetectserumsIgG4beforeSIT,afterfinishedtheinitialtreatmentandoneyeartreatmentofARpatient.AnalyzethecorrelationofsIgG4levelswithpatients’signs
6、andsymptomsscore,VASscoreatdifferenttimeIII万方数据暨南大学硕士学位论文points.Results:1.51casesofpatientscompletedtheinitialtreatmentofSIT,thetotaleffectiveratewas70.6%(36/51).Among51patients,themarkedlyeffectiveratewas2.0%(1/51);theeffectiveratewas68.6%(35/51);theineffectiveratewas29.4%
7、(15/51).34casesofpatientscompletedtheoneyearofSIT,thetotaleffectiveratewas94.1%(32/34).Among34patients,themarkedlyeffectiveratewas17.6%(6/34);theeffectiveratewas76.5%(26/34);theineffectiveratewas5.9%(2/34).2.Aftercompletinginitialtreatment,thesignsandsymptomsscore,VASscorew
8、erereducedcomparedwithbefore(P<0.05);Thesignsandsymptomsscore,VASscoreofpatientswh