Patient: Every year in early winter, tearing, runny nose, nasal congestion, inhalation pain, slight forehead swelling, dizziness, once treated as a cold, each time a little effect, want to completely eradicate
The Department of Otorhinolaryngology, PLA 304 Hospital, Feng Guofang.
Allergic rhinitis is a “small problem, big problem” with a high incidence and a “big global problem”. Theoretically, desensitization therapy can cure the disease, but it is difficult to achieve in clinical practice. First of all, patients do not have a single allergen, and even if they do, the compliance with desensitization therapy is poor, and the treatment effect is not satisfactory. Feng Guofang, Department of Otolaryngology, The First Affiliated Hospital of the Chinese People’s Liberation Army General Hospital
There are five treatment options for allergic rhinitis. Firstly, allergens can be identified and avoided (e.g. seasonal pollen allergy, relocation, dust mite allergy, mite removal, etc.); secondly, membrane stabilizers, such as sodium cromoglycate, are used to reduce the rupture of mast cells and basophil membranes, releasing inflammatory mediators; thirdly, hormone therapy is given locally and systemically if necessary, the mechanism of action is to prevent the formation of inflammatory mediators; fourthly, the administration of Fourth, give inflammatory mediator receptor antagonists, such as histamine receptor antagonist keratan, etc., leukotriene receptor antagonist cisplatin montelukast sodium, etc.; Fifth, block the connection between nerve endings and target tissue, such as plasma ablation or HIFU knife (high-energy focused ultrasound knife) treatment, etc.
If you are allergic to dust mite, you can consider sublingual desensitization treatment; if you do not find out the allergen or multiple allergens, you can first conservative systemic regular anti-allergy treatment, and at the same time, you can consider plasma ablation or HIFU knife (high-energy focused ultrasound knife) treatment, the latter has no damage to the nasal mucosa, and the treatment efficiency reaches 90.3%, which can be maintained for about 3 years.