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目的采用迎香穴注入复方倍他米松注射液及少许利多卡因注射液+第二代抗过敏药氯雷他定口服+抗生素、糖皮质激素生理盐水冲洗鼻腔的三联疗法治疗季节性过敏性鼻炎。方法季节性过敏性鼻炎患者20例,男3例女17例,年龄15~74岁平均34岁,病程2~15年平均4.6年。患者接受双侧迎香穴皮下注入复方倍他米松注射液1ml+少许1%利多卡因注射液,氯雷他定10mg日一次睡前口服,250ml生理盐水内加入庆大霉素注射液4万U;地塞米松注射液5mg;行鼻腔冲洗,每日3次,共6日。采用1997年海口制定的变应性鼻炎诊断标准及疗效评定标准评分方法[1],对治疗前后鼻腔情况评分。同时记录患者主诉鼻部症状改善情况。结果显效率80%有效率20%无效为0。结论三联疗法可有效治疗季节性过敏性鼻炎,无明显副作用。
Objective To introduce YingXiang acupoint injection of compound betamethasone injection and a little lidocaine injection + second generation anti-allergy drug loratadine oral + antibiotics, glucocorticoid nasal irrigation nasal triple therapy for seasonal allergic rhinitis . Methods 20 patients with seasonal allergic rhinitis, 3 males and 17 females, aged 15 to 74 years old average 34 years old, 2 to 15 years duration average 4.6 years. Patients received bilateral Ying Xiang points subcutaneous injection of compound betamethasone injection 1ml + a little 1% lidocaine injection, loratadine 10mg day before going to bed orally, 250ml saline added gentamicin injection 40,000 U ; Dexamethasone injection 5mg; nasal irrigation, 3 times a day, a total of 6 days. Using 1997 Haikou developed diagnostic criteria for allergic rhinitis and curative effect evaluation standard score [1], before and after treatment of nasal conditions score. At the same time, patients complained of improvement of nasal symptoms. The results were 80% effective rate of 20% invalid for 0. Conclusions Triple therapy is effective in treating seasonal allergic rhinitis with no obvious side effects.