Therapeutic effects investigation of physical therapy and pharmacotherapy in the treatment of persistent allergic rhinitis

Published 02-07-2024
Keywords
- Rhinitis,
- Allergic,
- Persistent,
- Physical therapy,
- Pharmacotherapy
Copyright (c) 2024 Cambridge Science Advance

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Abstract
To investigate the therapeutic effects of physical therapy and pharmacotherapy in the treatment of persistent allergic rhinitis. Methods:192 patients were randomly divided into 3groups, A group 72 cases, B group 70 cases. A and B group were treated with focused ultrasound and radiofrequency ablation respectively under the endoscope and using spraying Mometasone Furoate Nasal Spray for 1month after the operation. Patients of C group use the Mometasone Furoate Nasal Spray and Cetirizine Hydro- chloride Tablets for 1 month. Follow up for 6 months after treatment and evaluate the curative effect with soring method. Results: Total effectiveness was as fllowed:1st months: A group 97.2%, B group 97.1%C group 96.0%;6 months: A group 90.3%, B group 87.1%, C group 64.0%. The curative effect score of three group after the treatment for 1month have no significant difference (P>0.05). Comparing the efficiency of patients in three groups after treatment for 6 months, there was significant difference of stat is tactically significance. The efficiency of A and B group were higher than group C(P<0.05).A group was better than B group with the score of sneezing after the treatment ,the difference was significant(P<0.05).But B group was better than A group with the score of nasal congestion ,the difference was significant(P<0.05).Conclusion: The curative effect of treatment with two physical therapy methods combined with mometasone furoate for persistent allergic rhinitis, the former is better than the latter for sneezing ,but the improvement of nasal congestion is less than the latter. Long-erm therapeutic effect of drug with AR is less than physical therapy in combination with drug. The treatment with focused ultrasound combined with mometasone furoate for persistent AR is worth promoting, especially suitable for medium and severe persistent AR patients.
References
- Zuraimi MS, Tham KW, Chew FT, et al. Home airconditioning, traffic exposure, and asthma and allergic symptoms among preschool children[J]. Pediatrics Allergy Immunol,2011,22(1):112-118.
- Chinese Medical Association Otorhinolaryngology Branch, Editorial Board of Chinese Journal of Otorhinolaryngology. Principles and recommendations for the diagnosis and treatment of allergic rhinitis (2004, Lanzhou) [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2005, 40(3): 166-167.
- Chinese Medical Association Otorhinolaryngology Head and Neck Surgery Society Rhinology Group, Editorial Board of Chinese Journal of Otorhinolaryngology Rhinology Group. Guidelines for the diagnosis and treatment of allergic rhinitis (2009, Wuyi Mountain) [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2009, 44(12): 977-978.
- Zhao Yong, Shi Qing Yan. Observation of the short-term efficacy of montelukast sodium combined with budesonide nasal spray in the treatment of allergic rhinitis [J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2014, 14(6): 388-390.
- Lu Chuan, Qiu Qian Hui, Chen Shaohua, et al. Analysis of VAS score fluctuations in the immunotherapy of allergic rhinitis [J]. Clinical Otorhinolaryngology Head and Neck Surgery Journal, 2012, 26(2): 65-67.
- Zhang Tian, Chen Jian Qiu, Lin Jia feng, et al. Observation of the efficacy of endoscopic surgery for allergic rhinitis with deviated nasal septum [J]. Journal of Shandong University of Otorhinolaryngology Eye, 2013, 27(3): 27-29.
- Yang Hai Bo, Huang Ding Qiang, Xu Yanhong, et al. Treatment of allergic rhinitis with focused ultrasound combined with budesonide nasal spray [J]. Western Medicine, 2013, 25(4): 519-520.
- Li Quan sheng, Wei Qing Yu. Clinical practice guidelines for allergic rhinitis: Recommendations by the American Academy of Otorhinolaryngology-Head and Neck Surgery [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2015, 22(9): 482-486.
- Zhu Jin. New technology for the treatment of allergic rhinitis: Focused ultrasound treatment [J]. Chinese Medical Abstracts (Otolaryngology), 2006, 21(1): 26-30.
- Li Qiang, Yang Ying po, An Wei. Clinical anatomical study of the autonomic nervous system in the nasal cavity - Target selection for high-energy focused ultrasound treatment of allergic rhinitis under endoscopy [J]. Journal of Chongqing Medical University, 2013, 38(7): 795-780.
- Zhou Cheng Yong, Liu Da gang. Evaluation of the efficacy of low-temperature plasma radiofrequency ablation in treating nasal congestion [J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2005, 12(2): 159-161.
- Ottaviani F, Capaccio P, Cesana BM, et al. Argon plasma coagulation in the treatment of nonallergic hypertrophic inferior nasal turbinates[J]. American Journal of Otolaryngology,2003,24(5):306-310.
- Gu Zhi Yan, Gu Rui Jin. Drug treatment of allergic rhinitis [J]. Chinese Journal of Otorhinolaryngology, 2000, 35(6): 73-75.
- Pan Fang Ming, Zhou Jie, Li Ze Wen. Observation of clinical efficacy of radiofrequency ablation treatment for allergic rhinitis [J]. Chinese General Practice, 2012, 10(1): 42-43.
- Chen Hong jiang, Gao Ming Hua, Li Jin song, et al. Clinical application of endoscopic focused ultrasound treatment for allergic rhinitis [J]. Journal of the Third Military Medical University, 2012, 34(13): 1350-1352.
- Wen Bei, He Gang. Randomized controlled study on drug and focused ultrasound treatment for allergic rhinitis [J]. Practical Hospital Clinical Journal, 2012, 9(6): 70-72.
- Zhu Jing, Hong Suling, Li Dong, et al. Efficacy observation of focused ultrasound treatment in 175 cases of allergic rhinitis [J]. Laser Journal, 2013, 34(4): 88-89.
- Zhang Jing Ru, Wei Hong Quan, Xia Yan, et al. Two-year follow-up analysis of focused ultrasound treatment for patients with allergic rhinitis [J]. Journal of China Medical University, 2014, 43(3): 263-264.