Allergic rhinitis should be treated in a graded manner A few days ago, the Beijing Institute of Otolaryngology held a celebration of its 60th anniversary. As the first otolaryngology institute in China, Beijing Tongren Hospital established the first allergic rhinitis treatment center in China in 2004. Zhang Luo, director of the Beijing Institute of Otolaryngology, reminded that allergic rhinitis should pay attention to early intervention and standardized treatment according to the grading of the condition. Some patients with less severe allergic rhinitis can be treated with anti-allergy drugs (antihistamines), which are effective in relieving runny nose, sneezing, nasal itching and eye symptoms, and are moderately effective in improving nasal congestion. Such medications are best used consistently rather than on an as-needed basis. However, Zhang Luo reminds that long-term use of the same antihistamine may produce resistance, so it is best to replace other antihistamines appropriately If allergic rhinitis is prolonged or there are still symptoms of nasal congestion, nasal glucocorticoids are the most suitable first-line treatment medications, which can provide comprehensive relief of nasal symptoms such as sneezing, nasal congestion, runny nose, nasal itching and eye symptoms; they have both therapeutic and preventive effects. Since they are used topically, systemic side effects are minimal, and they are safer for long-term use. If the effect of these treatments is not satisfactory, desensitization treatment can also be considered, which is currently the only allopathic treatment method using the allergens causing the patient’s allergic reactions made into an extract (vaccine) and desensitization injections to the patient so that no or less allergic reactions occur or to reduce the symptoms of allergic reactions. Although it cannot completely cure allergic rhinitis, it can significantly improve the symptoms of allergic rhinitis and prevent asthma, which can improve the prognosis of allergic diseases. Some patients will buy drugs from pharmacies by themselves. In this regard, Prof. Zhang Luo said that many common drugs, although they can temporarily relieve symptoms, are not suitable for long-term use. For example, excessive use of vasoconstrictors and other drugs will not only fail to provide good treatment, but also lead to drug rhinitis, and even destroy the structure and function of the nasal mucosa. Zhang Luo reminded that allergens are the “culprit” of allergic rhinitis, so allergic rhinitis patients should first avoid contact with allergens to minimize allergic rhinitis attacks, such as some people are allergic to dust mites, house dust, indoor ventilation, animal dander, feather allergy should avoid contact with animals, birds, etc., home It is better not to keep pets at home. Now it is spring, some hay fever patients try to go out less during the pollen dispersal season.