2025版ARIA变应性鼻炎指南更新之鼻内用药

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关键词: 变应性鼻炎 糖皮质激素 抗组胺药

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在EAACI的支持下,ARIA变应性鼻炎指南已更新到2025版,组织者已发表第1部分(关于鼻内用药)。

本版指南特别强调鼻用激素/鼻用抗组胺药复方制剂,因为它兼具速效、强效,两者联合的协同效应优于各自的单药。对于儿童和成年患者,均推荐首先考虑鼻用激素/鼻用抗组胺药复方制剂。
在具体组合方面,专家组发现成年患者使用复方氮䓬斯汀氟替卡松可能优于复方奥洛他定莫米松,而儿童患者证据不足,两种配方都可以考虑。

在鼻用激素单药治疗方面,新版指南指出成年患者使用糠酸氟替卡松、丙酸氟替卡松可能优于其他品种;但儿童患者则因证据不足,无法做出推荐。

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