With the recent warm weather and the arrival of pollen season, many patients with allergic rhinitis came to the clinic with similar complaints of recurrent nasal congestion, sneezing and clear watery mucus, some with more severe symptoms, including itchy eyes, itchy ears and throat, and dry cough. However, there are still some patients whose symptoms are still not satisfactorily controlled. The recurrent nasal congestion makes it difficult to sleep at night, and the hypoxemia and hypoventilation caused by the long-term insufficient oxygen intake and carbon dioxide retention in the body obviously affects the mental state and work efficiency during the day, and even drowsiness. This is a very big safety hazard for passengers and themselves! 1.What is allergic rhinitis (AR)? Allergic rhinitis, also known as allergic rhinitis, is a metamorphic reaction in the mucous membrane of the nasal cavity caused by increased sensitivity of the body to certain allergens (also known as allergens), and is a common manifestation of respiratory metamorphosis, which sometimes coexists with bronchial asthma. 2.What are the main symptoms of allergic rhinitis? Itchy nose, sneezing and runny nose are the typical symptoms of allergic rhinitis, which may or may not be accompanied by nasal congestion, and can be divided into perennial and seasonal allergic rhinitis depending on the allergen and the time of onset. 3.How to diagnose allergic rhinitis? The diagnosis can be made based on the typical symptoms, signs and symptoms of the patient, nasal smear, eosinophil test, specific serum IgE test or allergen subcutaneous prick (SPT). 4.How to treat allergic rhinitis? At present, the first treatment is to prevent exposure to allergens, mainly nasal steroids (trimethoprim, budesonide, mometasone furoate, fluticasone propionate, beclomethasone propionate, etc.), oral antihistamines (keratan, cetirizine, levocetirizine, etc.), oral leukotriene receptor antagonists (montelukast sodium, etc.), nasal decongestants (ephedrine nasal drops, compound phenylephrine nasal drops, etc.), and surgery. (ephedrine drops, compound phenylephrine drops, etc.), surgical treatment (laser, microwave, low-temperature radiofrequency ablation plasma, etc.), immunotherapy (standardized specific allergen vaccine therapy (SAVT), etc.) 5. What is Coblation? Coblation is a revolutionary minimally invasive surgical technique that does not rely on thermal energy. It generates low-temperature plasma in front of the cutter head and uses the kinetic energy of the ions moving at high speed in the plasma to break the molecular bonds of the target tissue, working at 40-70°C. Therefore, not only is the surgical precision extremely high, but the depth of thermal damage is far less than that of traditional electrosurgical devices and laser devices. Because of the patented bipolar structure of the tip, the electric field does not enter the patient’s body and the vaporization of the tissue is precisely controlled within the extremely thin plasma layer at the front of the tip, so the cutting accuracy of the plasma knife can reach the order of microns. Plasma knife in the vaporization of the cut at the same time that the small blood vessels for coagulation, so the wound surface is basically bloodless. 6.What is the difference between low-temperature plasma Coblation and laser and microwave? 7.Can low-temperature plasma cure allergic rhinitis? No. The surgery can only relieve the symptoms of nasal congestion, but not treat allergies at the root. After the surgery, nasal congestion and allergic symptoms such as nasal congestion, sneezing and clear runny nose can be relieved. However, anti-allergy drugs or specific immunotherapy (SIT), i.e. desensitization treatment, are still needed after surgery, but the dosage of drugs can be reduced appropriately. 8.Why do I need plasma surgery if it cannot be cured? Allergic rhinitis leads to enlarged turbinates and edema, which can cause significant nasal congestion, reduced or abnormal nasal ventilation, chronic hypoxia and hypercapnia, long-term chronic nasal congestion can lead to circulatory system dysfunction such as hypertension, myocardial hypoxia and ischemia, cardiac arrhythmia, central nervous system dysfunction such as memory loss, decreased learning efficiency, daytime sleepiness, easy fatigue, and even cerebral infarction and brain atrophy Alzheimer’s disease. Patients with abnormal nasal anatomy, such as deviated septum, chronic sinusitis, can also cause headache, head swelling, runny nose, rhinorrhea, etc., which seriously affects the quality of life. Long-term drug treatment inevitably brings side effects such as gastrointestinal reactions, drowsiness, abnormal liver and kidney functions, and also brings serious economic burden. We believe that this is very necessary. 9.Do I need to be hospitalized for the low temperature plasma radiofrequency ablation surgery? One week before the surgery, you need to go to the rhinology outpatient clinic (Monday morning), the doctor will make a detailed assessment of the patient’s condition, before the surgery, you need to do blood routine, coagulation function and electrocardiogram, sinus CT examination, hypertrophic rhinitis or allergic rhinitis to do low temperature plasma without hospitalization, with other nasal diseases such as nasal septal deviation or nasal polyps, chronic sinusitis patients need to be hospitalized for surgery. 10.Is there a radical cure for allergic rhinitis? There is no method to completely “cure” allergic rhinitis, which is an IgE-mediated allergic reaction, and standardized specific allergen vaccine therapy (SAVT) is the only etiologic treatment for AR at present. A. Reduce the symptoms of AR and asthma, reduce the use of combined drugs, reduce the frequency of exacerbations, and increase the quality of life score B. Cluster therapy can further improve patient compliance C. Improve pulmonary ventilation and airway responsiveness D. The rate of systemic adverse reactions to SAVT abroad is 3.7-5.2%, and the frequency of adverse reactions is about 0.093-0.3% of the total number of injections, with a low incidence of serious systemic adverse reactions. is very low. E. It is safe for children over 5 years old and can prevent AR from developing into allergic asthma.