{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1659","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1659","topicTypeId":null,"topicThemeId":null,"readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"洞医网为您提供:协和耳鼻喉科最好专家_北京协和耳鼻喉科专家、北京协和医院五官科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。","keywords":"北京协和医院五官科_协和耳鼻喉科最好专家_北京协和耳鼻喉科专家_洞医","title":"北京协和医院五官科_协和耳鼻喉科最好专家_北京协和耳鼻喉科专家_洞医","channels":null},"data":{"list":[{"id":"2653","isDel":0,"createAt":1493477110753,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"突发性耳聋怎么治疗，单纯吃药可以吗","content":"<p>前天突然听力下降，在网上查下资料室或是突发性耳聋，想问下病友<strong>突发性耳聋怎么治疗</strong>，单纯吃药可以吗，治疗过的病友交流下经验</p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1243,"score":0,"partCount":0,"replayCount":1,"publishStatus":1,"publishTime":1493477110755,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1574436281188,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4992","isDel":0,"createAt":1497155378112,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"内耳眩晕的症状你知道吗，眩晕就看你符合不符合这四大症状","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　　<strong>内耳眩晕的症状你知道吗</strong>，这四大特征基本可以让你与其他疾病相区别</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">1.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">典型症状</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">听力<span style=\"font-family: 宋体; font-size: 19px; line-height: 38px;\">波动性</span>下降、眩晕反复发生较长，但每次持续时间、耳鸣和耳胀。发作前多有耳鸣、耳胀加剧，眩晕发作伴随听力下降。部分患者早期仅有反复发作的低频感音性听力下降、耳胀和耳鸣。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"内耳眩晕的症状你知道吗\" src=\"http://01luntan.com/ly_img/uimgs/1497156052981.jpg\" alt=\"内耳眩晕的症状你知道吗\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">2.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">眩晕发作时间</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">梅尼埃病患者的眩晕发作时间至少持续</span><span style=\"font-size: 19px; line-height: 200%;\">20</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">分钟，多则</span><span style=\"font-size: 19px; line-height: 200%;\">24</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">小时，部分患者发作于夜晚睡梦中或晨起。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">3.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">伴随症状</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">除眩晕外，患者还常伴有恶心、呕吐、出冷汗、怕光、怕声音等不适症状。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">4.</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">眩晕发作频率</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">梅尼埃病是一种慢性病，每位患者的发作频率各不相同，有人发作两三次后便不再复发，有人间歇多年后又突然发作，有人则频繁发作。通常，半数患者的眩晕发作会在</span><span style=\"font-size: 19px; line-height: 200%;\">5</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年后自行缓解，</span><span style=\"font-size: 19px; line-height: 200%;\">70%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">的患者眩晕发作会在</span><span style=\"font-size: 19px; line-height: 200%;\">8</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年内自行缓解。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1659","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1813,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1497155378114,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1497155378114,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4991","isDel":0,"createAt":1497154957047,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"内耳眩晕症怎么引起的，挑战眩晕先从病因总结开始","content":"<p style=\"line-height: 150%;\"><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">　　内耳眩晕症，又称为梅尼埃病等，是一种以眩晕、耳鸣、耳胀、波动性听力下降为主要症状的内耳疾病。内耳眩晕症怎么引起</span><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">的呢</span><span style=\"font-size: 19px; line-height: 150%;\">?</span></p>\n<p style=\"line-height: 150%; text-align: center;\"><span style=\"font-size: 19px; line-height: 150%;\"><img title=\"内耳眩晕症怎么引起的\" src=\"http://01luntan.com/ly_img/uimgs/1497155124254.jpg\" alt=\"内耳眩晕症怎么引起的\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 150%;\"><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">　　内耳眩晕症的真正病因目前尚不明确，医学界认为，其病理基础是内耳的内淋巴积水引起人体平衡感觉系统失调，是膜迷路积水导致的内耳疾病。</span></p>\n<p style=\"line-height: 150%; text-align: center;\"><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\"><img title=\"内耳眩晕症怎么引起的\" src=\"http://01luntan.com/ly_img/uimgs/1497155695404.jpg\" alt=\"内耳眩晕症怎么引起的\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 150%;\">　<span style=\"font-size: 19px; line-height: 150%;\">&nbsp; </span><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">据最新的研究发现，内耳眩晕症的发作与一些不良生活习惯有密切关系，如饮食过咸、抽烟、饮酒、饮浓茶等。此外，还与情绪密切相关。临床上，很多患者会因情绪波动、精神或工作压力过大而突然发病。</span></p>\n<p style=\"line-height: 150%; text-align: center;\"><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\"><img title=\"内耳眩晕症怎么引起的\" src=\"http://01luntan.com/ly_img/uimgs/1497155287042.jpg\" alt=\"内耳眩晕症怎么引起的\" width=\"400\" height=\"300\" /></span></p>\n<p style=\"line-height: 150%;\"><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">　　要预防眩晕复发，患者首先要做到低盐饮食，每人每天食盐量不能超过</span><span style=\"font-size: 19px; line-height: 150%;\">3</span><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">克。其次，应戒烟、限酒、少饮浓茶，不熬夜，学会放松自己，尽量避免过度焦虑、紧张、愤怒、激动等不良情绪。事实上，良好的生活习惯能使</span><span style=\"font-size: 19px; line-height: 150%;\">50%</span><span style=\"font-size: 19px; line-height: 150%; font-family: 宋体;\">的患者眩晕不再复发。</span></p>\n<p>&nbsp;</p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1869,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1497154957051,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1497154957051,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4990","isDel":0,"createAt":1497151851226,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":1497151936865,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"内耳眩晕症怎么治疗—看协和医院耳鼻咽喉头颈外科怎么说","content":"<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　　梅尼埃病（内耳眩晕症）是耳科常见病，其病理特征为膜迷路积水。临床表现为反复发作的眩晕、听力下降、耳鸣及耳部胀闷感。<strong>内耳眩晕症怎么治疗呢</strong>&mdash;看协和医院耳鼻咽喉头颈外科怎么说。 &nbsp;&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">&nbsp; 对于此类患者，传统的药物治疗效果不佳；迷路切除和前庭神经切断术虽然效果较肯定，但由于可引致听力丧失及颅脑并发症，且创伤大，费用高，难以取得患者的支持。我科自</span><span style=\"font-size: 19px; line-height: 200%;\">2006</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年来对</span><span style=\"font-size: 19px; line-height: 200%;\">19</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例反复发作的梅尼埃病患者采用鼓室内注射庆大霉素的治疗方法，取得明显效果，现报告如下。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">1 </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">资料与方法</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">1.1 </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">一般资料</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">自</span><span style=\"font-size: 19px; line-height: 200%;\">2006</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年</span><span style=\"font-size: 19px; line-height: 200%;\">11</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">月至</span><span style=\"font-size: 19px; line-height: 200%;\">2009</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年</span><span style=\"font-size: 19px; line-height: 200%;\">7</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">月在我科行鼓室内注射庆大霉素治疗梅尼埃病患者</span><span style=\"font-size: 19px; line-height: 200%;\">19</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例。其中男</span><span style=\"font-size: 19px; line-height: 200%;\">12</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例，女</span><span style=\"font-size: 19px; line-height: 200%;\">7</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例，年龄</span><span style=\"font-size: 19px; line-height: 200%;\">15</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">68</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">岁，平均</span><span style=\"font-size: 19px; line-height: 200%;\">46.3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">岁。病史</span><span style=\"font-size: 19px; line-height: 200%;\">1.7</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">12.3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年。所有患者的诊断均符合</span><span style=\"font-size: 19px; line-height: 200%;\">2006</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年中华医学会耳鼻咽喉头颈外科学会贵阳会议制定的梅尼埃病诊断标准。均为单侧梅尼埃病，其中右侧</span><span style=\"font-size: 19px; line-height: 200%;\">12</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，左侧</span><span style=\"font-size: 19px; line-height: 200%;\">7</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例。患者均经正规药物治疗至少</span><span style=\"font-size: 19px; line-height: 200%;\">6</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月以上，但眩晕仍频繁发作。所有患者均行纯音听力测听、耳部</span><span style=\"font-size: 19px; line-height: 200%;\">CT</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">及前庭功能检查。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">1.2 </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">方法</span> <span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">患者仰卧位，患耳朝上，耳内窥镜指引下，于鼓膜后下象限内注入浓度为</span><span style=\"font-size: 19px; line-height: 200%;\">30 mg/ml</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">的庆大霉素</span><span style=\"font-size: 19px; line-height: 200%;\">0.5 ml</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">0.8 ml</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，使药液充满中耳腔。注射后嘱患者保持此体位</span><span style=\"font-size: 19px; line-height: 200%;\">30 min</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">。同时告知患者勿做吞咽动作。每周注射一次，共</span><span style=\"font-size: 19px; line-height: 200%;\">3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">次。治疗期间监测患者听力变化及检查前庭功能。如遇以下情况则停药：①前庭功能下降（自发性眼震、摇头试验、甩头试验为阳性）。②平均听阈（</span><span style=\"font-size: 19px; line-height: 200%;\">0.5</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，</span><span style=\"font-size: 19px; line-height: 200%;\">1.2</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，</span><span style=\"font-size: 19px; line-height: 200%;\">3 kHZ</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">）提高</span><span style=\"font-size: 19px; line-height: 200%;\">10 dB</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以上。③症状加重。所有患者随访</span><span style=\"font-size: 19px; line-height: 200%;\">18</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">24</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月。治疗后</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月内每周随访一次，其后</span><span style=\"font-size: 19px; line-height: 200%;\">6</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，</span><span style=\"font-size: 19px; line-height: 200%;\">12</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，</span><span style=\"font-size: 19px; line-height: 200%;\">18</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月及</span><span style=\"font-size: 19px; line-height: 200%;\">24</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">个月时随访。每次随访均详细询问眩晕发作情况及检查前庭功能、测听纯音听阈。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">2 </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">结果</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">19</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例患者均完成治疗。</span><span style=\"font-size: 19px; line-height: 200%;\">4</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">例患者于注射后</span><span style=\"font-size: 19px; line-height: 200%;\">3</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">5 d</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">时出现前庭功能下降的表现，主要表现为走路不稳感及平衡障碍，均较轻微，后自行缓解，不影响治疗。依据</span><span style=\"font-size: 19px; line-height: 200%;\">2006</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年中华医学会耳鼻咽喉头颈外科学会制定的梅尼埃病疗效评定方法进行评定。　　</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">3 </span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">讨论</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">Schuknecht</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">（</span><span style=\"font-size: 19px; line-height: 200%;\">1956</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">年）最早采用经鼓室腔注射庆大霉素治疗梅尼埃病患者，取得良好的治疗效果。证实了庆大霉素通过鼓膜途径给药后，药物可以进入内耳产生治疗作用。研究还发现，小剂量的庆大霉素可选择性地破坏壶腹嵴和椭圆囊斑的毛细胞，消除前庭的病理性兴奋；同时对前庭暗细胞产生毒性作用，破坏其分泌能力，减少内淋巴液的分泌，减轻膜迷路积水；而小剂量的庆大霉素对蜗毒性是轻微的。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　　许多学者在临床实践中也证实鼓室内注射庆大霉素治疗梅尼埃病取得了良好的效果。</span><span style=\"font-size: 19px; line-height: 200%;\">Blakley</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">总结了</span><span style=\"font-size: 19px; line-height: 200%;\">18</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">篇鼓室内注射庆大霉素治疗梅尼埃病的文章，得出眩晕控制成功率可达</span><span style=\"font-size: 19px; line-height: 200%;\">77%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">100%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">，只约有</span><span style=\"font-size: 19px; line-height: 200%;\">30%</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">的患者出现耳毒性所致的听力损失，并且耳毒性出现的机率与庆大霉素的剂量存在正相关性。<strong>目前鼓室内注射庆大霉素治疗梅尼埃病的疗效是肯定的。</strong>但由于所用庆大霉素的剂量、给药间隔及评判标准的不同，各家报导的结果存在较大的差异，因而未能形成统一的治疗指南。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"font-size: 19px; line-height: 200%;\">Herbert</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">发现，庆大霉素从内耳清除的速率较慢，停药后对感觉细胞的损害可持续</span><span style=\"font-size: 19px; line-height: 200%;\">5 d</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">以上，并且每隔</span><span style=\"font-size: 19px; line-height: 200%;\">5 d</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">经鼓膜注入庆大霉素较单次注药或相隔</span><span style=\"font-size: 19px; line-height: 200%;\">1</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">～</span><span style=\"font-size: 19px; line-height: 200%;\">4</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">周给药效果更佳。</span></p>\n<p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><img title=\"内耳眩晕症怎么治疗\" src=\"http://01luntan.com/ly_img/uimgs/1497152004484.jpg\" alt=\"内耳眩晕症怎么治疗\" width=\"666\" height=\"500\" /></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\">　　因此，我们认为鼓室内注射小剂量庆大霉素治疗难治性梅尼埃病，在控制药物的总剂量及采取恰当的治疗间期，既能取得显著的治疗效果，又能使其对前庭和耳蜗的损害控制在较低的水平，而且操作简单，费用低，易于临床推广。</span></p>\n<p>&nbsp;</p>","barId":"1659","topicTypeId":"1","topicThemeId":"1015","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1656,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1497151851235,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1497151851235,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4839","isDel":0,"createAt":1494385799007,"createBy":"d618c1d4097a11e7a61c00163e04584d","createName":"乐哈哈哈","updateAt":0,"updateBy":null,"updateName":null,"userId":"d618c1d4097a11e7a61c00163e04584d","title":"感冒引起耳鸣怎么办，在协和医院就诊过的病友们有治好的吗","content":"<p>请教下在协和医院就诊过的病友们，有治好的吗，感冒引起耳鸣怎么办，疗效怎么样？最近感冒了，结果感冒没好，就觉得耳鸣了，而且耳朵堵得慌，</p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1396,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494385799009,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494385799009,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"d618c1d4097a11e7a61c00163e04584d","isDel":0,"createAt":1489580884064,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"乐哈哈哈","password":"888888","level":0,"nickName":"乐哈哈","realName":null,"signName":"给对方","head":"/resources/images/qq/3.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4838","isDel":0,"createAt":1494385414793,"createBy":"d618c1d4097a11e7a61c00163e04584d","createName":"乐哈哈哈","updateAt":1494385442059,"updateBy":"d618c1d4097a11e7a61c00163e04584d","updateName":"乐哈哈哈","userId":"d618c1d4097a11e7a61c00163e04584d","title":"耳鸣5年了，很痛苦，问下病友滴耳油能治耳鸣吗","content":"<p><span style=\"font-size:19px;font-family:宋体\"></span><span style=\"font-size:19px;font-family:宋体\">耳鸣</span><span style=\"font-size:19px;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\">5</span><span style=\"font-size:19px;font-family:宋体\">年了，很痛苦，前段时间去北医三院，听那边一个病友说滴耳油治好了她的耳鸣，问下病友</span><strong><span style=\"font-family:宋体\">滴耳油能治耳鸣吗</span></strong>，效果真的有那么好吗<span style=\"font-size:19px;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"></span><span style=\"font-size:19px;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"></span></p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1604,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494385414795,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494385414795,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"d618c1d4097a11e7a61c00163e04584d","isDel":0,"createAt":1489580884064,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"乐哈哈哈","password":"888888","level":0,"nickName":"乐哈哈","realName":null,"signName":"给对方","head":"/resources/images/qq/3.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4837","isDel":0,"createAt":1494385033024,"createBy":"d618c1d4097a11e7a61c00163e04584d","createName":"乐哈哈哈","updateAt":0,"updateBy":null,"updateName":null,"userId":"d618c1d4097a11e7a61c00163e04584d","title":"治耳鸣最简单的方法就是防治结合","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">&nbsp;<span style=\"background:white\">&nbsp;</span><span style=\"background:white\">现在耳鸣的发生有越来越年轻化的趋势,年轻人患耳鸣占临床患者有所增加,且对耳鸣困扰的程度和心理负担较重。而<strong>治耳鸣最简单的方法</strong>就是防治结合，多关注耳鸣发病的原因,发展规律以及耳鸣如何引起其他伴随病症。这样才能事半功倍。</span><br/> <span style=\"background:white\">　　在了解耳鸣病因之后,就可以有效的进行预防和治疗,要让患者保持充足休息,保持乐观情绪和良好的心态,在越来越激烈的社会竞争中,避免过于劳累、紧张,避免暴露于强声或噪声中,尽量让耳鸣患者避免摄入一些刺激性的物质如咖啡、茶、可乐、烟、酒;经常作一些缓慢、温和的体育运动,对促进血液循环,减轻耳鸣有很大好处。一旦出现耳鸣要及时检查、治疗,就会取得好的效果。</span></span></p><p><br/></p>","barId":"1659","topicTypeId":"3","topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1735,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494385033025,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494385033025,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"d618c1d4097a11e7a61c00163e04584d","isDel":0,"createAt":1489580884064,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"乐哈哈哈","password":"888888","level":0,"nickName":"乐哈哈","realName":null,"signName":"给对方","head":"/resources/images/qq/3.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4313","isDel":0,"createAt":1494089333507,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"健康之路过敏性鼻炎从健康的生活方式做起","content":"<p style=\"line-height:200%\">　<span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">&nbsp; </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">近年来，过敏性鼻炎在全球范围内发病率有明显增高趋势，影响全球</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">10%</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">～</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">25%</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">的人群，已成为全球性健康问题。从健康的生活方式做起，是可以预期的健康之路。在一定程度上可以避免过敏性鼻炎的发生或者减轻发作程度</span>：</p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">1</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、加强室外体育锻炼，增强体质，提高人体的抵抗力。</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">2</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、戒烟限酒，减少烟酒对鼻腔黏膜的刺激。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">3</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、避免接触过多化学物质、化妆品等。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">4</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、饮食科学，补充维生素</span><span style=\"font-size: 19px;line-height: 200%;background: white\">A</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size: 19px;line-height: 200%;background: white\">B2</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size: 19px;line-height: 200%;background: white\">C</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">，增强黏膜的抵抗力。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size: 19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">5</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、清晨洗脸时，用拇指、示指夹住鼻根，用力由上而下连拉几次，机械的刺激按摩可使鼻周围血管充血，改善血液循环，提高鼻子的御寒能力。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">6</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、每天早晚用</span><span style=\"font-size: 19px;line-height: 200%;background: white\">20</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">℃</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">左右的清水清洗鼻腔，这样既对鼻腔起到清洁作用，又提高鼻腔黏膜对冷的耐受性。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">7</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、用杯盛热水，将蒸汽吸入以使鼻腔湿润，加强鼻功能。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">8</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、注意休息，加强睡眠，多喝开水和多吃瓜果、蔬菜。</span><span style=\"font-size: 19px;line-height: 200%;background: white\">&nbsp;</span></span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;\"><br/> <span style=\"background:white\">9</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、卧室内使用无致敏作用的床单及被褥，并每周用热水清洗床单、枕巾。</span></span></p><p><br/></p>","barId":"1659","topicTypeId":"3","topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1925,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494089333512,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494089333512,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3161","isDel":0,"createAt":1494088770580,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":1494088791717,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"如何检查过敏性鼻炎的过敏原，且看专家怎么说","content":"<p><span style=\"font-size:19px;font-family:宋体\">过敏性鼻炎患者的针对性治疗，需要确认过敏原，那么<strong>如何检查过敏性鼻炎的过敏原</strong>呢，且看专家为您介绍</span><span style=\"font-family: 宋体; font-size: 19px; line-height: 200%;\">特异性诊断性检查：</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　特异性体外和体内检查方法主要是检测游离的及与细胞结合的IgE抗体，主要有以下三种检查方法。 </span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　<strong>(1)变应原皮肤试验:</strong>主要观察皮试后的速发相过敏反应,是目前变态反应学界中的主要诊断方法,它已广泛用于检测IgE介导的过敏反应。变应原皮肤试验可以在短时间内同时一次提供多种变应原的试验结果,简捷方便,是筛选可疑过敏原的主要方法,也是诊断过敏性鼻炎的主要指标之一。变应原皮试的种类可以根据当地的实际情况来决定,如常见的变应原组、花粉组、吸入组、食物组等,皮试结果可疑时,可以根据病史和皮试结果选择相应变应原进行特异性鼻黏膜激发试验或特异性IgE检测。 </span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　<strong>(2)血清过敏原特异性IgE测定:</strong>测定患者血液和鼻分泌物有无特异性IgE,可作为确诊过敏性鼻炎的依据,并辅助确定患者的变应原种类。其诊断价值与变应原皮肤试验相似。鼻分泌物检测IgE比血清检测的诊断价值高,这主要是IgE可以在鼻黏膜局部合成,在血清含量增高之前即可以增加,因此,适合于过敏性鼻炎的早期诊断。 </span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　<strong>(3)过敏原鼻激发试验:</strong>鼻腔检查可见鼻黏膜苍白、淡白、灰白或淡紫色。鼻甲水肿总鼻道及鼻腔底可见清涕或黏涕。如合并感染,则黏膜充血,双侧下鼻甲暗红,分泌物呈黏脓性或脓性。病史长、症状反复发作者,可见中鼻甲息肉样病变或下鼻甲肥厚。大约40%患者合并有过敏性哮喘,部分病人可以发现鼻息肉,季节性发病的患者在发作期可伴有结膜充血。鼻腔分泌物涂片检查,在变态反应发作期间,鼻分泌物中可见嗜酸性白细胞增多,也可查见较多嗜酸性白细胞或肥大细胞。所以鼻激发试验对临床诊断有一定价值。</span></p><p><br/></p>","barId":"1659","topicTypeId":"1","topicThemeId":"1015","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1471,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494088770582,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494088770582,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4070","isDel":0,"createAt":1494088444961,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"过敏性鼻炎过敏原怎样才能远离呢，且看病友总结的经验大全","content":"<p><br/></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　过敏性鼻炎的罪魁祸首就是过敏原，找到过敏原以后避免接触，并针对性且有效的预防，是世界卫生组织首要提倡的，也是治疗过敏性鼻炎的首要原则，且看网友总结的原理过敏原之大全。</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　远离过敏原――花粉 花粉种类中树木花粉始于3月中旬，4～6月达高峰，主要致敏花粉是榆、杨、柳等；草类花粉始于7月下旬，8～9月达高峰，主要致敏花粉是蒿属、禾本科等。明确过敏原以后，尽量在此期间减少户外活动，如不可避免时尽可能佩戴眼镜和口罩，外出回家后及时淋浴。如在室内，注意关闭窗户，使用有空气清洁过滤功能的空调。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> </span><span style=\"font-size: 19px;line-height: 200%\">　　远离过敏原――尘螨 春秋两季是出现尘螨种群的两个密度高峰，秋季密度高于春季。空调房间可全年繁殖，卧室内的卧具和地毯是尘螨最适合的孳生地。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> </span><span style=\"font-size: 19px;line-height: 200%\">　　减少尘螨孳生：首先，卧室保持整洁卫生无尘，采光良好， 经常开窗保持空气新鲜，避免潮湿；其次，应用易于清洗的地板材料，如木、石等，不用地毯。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> </span><span style=\"font-size: 19px;line-height: 200%\">　　卧具的清洗、消毒、清扫工作应由患者家属完成。被褥、枕头、衣服、窗帘等勤洗勤晒；将床铺、卧具中的尘土、皮屑和螨等暴晒、拍打出来；隔10天左右用＞55℃热水烫洗，100℃热水可使致敏蛋白变性。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> </span><span style=\"font-size: 19px;line-height: 200%\">　　远离过敏原――霉菌控制室内霉菌和霉变的发生，首先保持室内干燥、通风，避免长期阴暗潮湿，衣物发生霉变尽早扔掉，食物合理保存，防止霉变。如室内发现有霉变，立即用漂白粉消毒。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> </span><span style=\"font-size: 19px;line-height: 200%\">　　远离过敏原――宠物不接触宠物是最好的办法，不但可防止机体被致敏，也可防止过敏性疾病的发作。可喂养无皮毛的动物，如海龟、鱼类等。定期给动物清洗。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span></span></span></span></span></span></span></p><p><br/></p>","barId":"1659","topicTypeId":"3","topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1818,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494088444962,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494088444962,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4639","isDel":0,"createAt":1494088079610,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"治过敏性鼻炎的方法大全，总有一款适合您的","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　治过敏性鼻炎的方法虽然较多，在治疗时只有充分考虑了患者的自身情况及实际生活、工作情况，并结合耳鼻喉科医生指导意见，才能达到最好的效果。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">&nbsp;&nbsp;&nbsp; </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">一般的药物治疗可以对过敏性鼻炎起到较好的治疗效果，但对于严重的过敏性鼻炎，可以采用其他相关的治疗方法。明显的鼻塞的症状可以使用激光，微波或者等离子射频治疗而达到满意的效果，并通过减低鼻腔内神经的敏感性对打喷嚏和流清涕有一定的好处。</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　最近用于临床的低温等离子系统已有报道对过敏性鼻炎尤其是重度过敏性鼻炎有明显的效果，由于其对黏膜损伤小，无明显副作用，其临床意义已经开始被一些医生所重视，可以做为治疗过敏性鼻炎中替代激光和微波最佳选择，但价格较贵是其缺点。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> 1.<span style=\"font-size: 19px;line-height: 200%\">口服药物：主要是对鼻炎的原发病因进行治疗，根据不同的鼻炎，用药有所区别，过敏性鼻炎需要抗过敏治疗，如息斯敏，扑尔敏等。<br/> 2.局部药物：喷鼻药物一般主要用来缓解症状，激素类滴鼻液则有助于减轻过敏性鼻炎的打喷嚏流清水涕等症状。<span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> 3.<span style=\"font-size: 19px;line-height: 200%\">中药偏方：可以做为治疗过敏性鼻炎的参考。目前已经有很多方都制备成了中成药，请遵医生医嘱。</span><span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> 4.<span style=\"font-size: 19px;line-height: 200%\">手术：手术主要用于药物无法治疗后效果不明显的鼻炎，可以解决鼻塞。可考虑行鼻内镜下鼻甲黏膜下成形术使鼻气道恢复通畅，可以最大限度地避免黏膜损伤，符合微创的原则。</span><span style=\"font-size: 19px;line-height: 200%\">&nbsp;</span><span style=\"font-size: 19px;line-height: 200%\"><br/> 5.<span style=\"font-size: 19px;line-height: 200%\">激光或者微波治疗：适用于鼻腔阻塞，并对打喷嚏有愿一定的好处。一般不解决流鼻涕的问题。</span></span></span></span></span></span></span></p><p><br/></p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1759,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494088079611,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494088079611,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1356","isDel":0,"createAt":1494087706687,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"免疫治疗过敏性鼻炎注意事项","content":"<p><span style=\"font-size: 19px; font-family: 宋体; background: white;\">　 国内较早开展过敏性鼻炎脱敏治疗。脱敏疗法是指用已找出的变应原作脱敏剂，开始均采用小剂量作皮下注射，并逐渐增加剂量，到最大忍受量时改为维持量，直到症状消失为止。经此法治疗的病人，体内可产生大量特异性lgG封闭抗体，可阻断抗原与lgE抗体的结合，降低介质细胞的敏感性，从而起到治疗作用，但由于过敏原可能很多，往往限制了其效果。&nbsp;</span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; background: white;\">　　免疫治疗是世界卫生组织推荐的惟一可改变过敏症患者免疫体质的对因治疗方法，其机制是通过规律的免疫注射，使患者的免疫系统趋于正常，能够逐渐&ldquo;适应&rdquo;外界致敏原，从而避免过敏症状的发生。&nbsp;</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">1</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、特异性脱敏治疗要间隔、规律进行，并应定时复诊。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">2</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、每次注射后，停留观察至少半小时，避免出现迟发反应，如注射部位红肿、瘙痒，流涕、鼻痒，呼吸困难、喉痒、皮肤瘙痒、荨麻疹，虚弱、疲劳或不适，严重全身不良反应的最初信号是手掌、足底和舌痒。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">3</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、每次注射后数小时内避免体力活动。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">4</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、每次注射前后，避免喝酒、暴饮暴食和洗桑拿浴。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">5</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、在治疗期间，要按照医嘱用药，需要免疫接种要告知医生。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">6</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、治疗期间，避免或限制接触过敏原。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">7</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、每次注射前，将上次治疗的反应告诉医生。&nbsp;</span></span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体;\"><br /> <span style=\"background: white;\">8</span><span style=\"font-size: 19px; line-height: 200%; background: white;\">、治疗期间，如患者健康状况发生改变(如感染、怀孕)，要告知医生。&nbsp;</span></span></p>\n<p style=\"line-height: 200%;\"><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; background: white;\">9</span><span style=\"font-size: 19px; line-height: 200%; font-family: 宋体; background: white;\">、偶有患者在注射后出现疲劳，应在驾驶、操作机器或独立工作时特殊注意。&nbsp;</span></p>\n<p><span style=\"font-size: 19px; font-family: 宋体; background: white;\">10</span><span style=\"font-size: 19px; font-family: 宋体; background: white;\">、如因出差或旅游等导致治疗中断，应预先告知医生。&nbsp;</span><span style=\"font-size: 19px; font-family: 宋体;\"><br /> <br /> </span></p>\n<p>&nbsp;</p>","barId":"1659","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1672,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494087706691,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494087706691,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3980","isDel":0,"createAt":1494087147013,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"小孩过敏性鼻炎怎么办？用药须知先得看","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　对于小孩过敏性鼻炎患者来说，<strong>小孩过敏性鼻炎怎么办是家长最头痛的问题</strong>，其实家长大可不必过分担心，小孩随着年龄增长，免疫力会进一步提高，有可能彻底告别过敏性鼻炎，只是在当下，用药方面更需谨慎点，需要全面了解儿童用药知识</span></p><p style=\"line-height:200%\"><strong><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">1</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">抗组胺药：</span></strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">第</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">1</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">代抗组胺药如扑尔敏等，有明显的嗜睡作用，会影响儿童学习成绩，因此请慎用。第</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">2</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">代抗组胺药属非脂溶性，如西替利嗪等几乎无嗜睡作用，不影响儿童学习成绩。但应注意特非那丁等有引起尖端扭转型室性心动过速等不良反应。第</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">3</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">代抗组胺药，如非索那丁已用于临床。</span></p><p style=\"line-height:200%\"><strong><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">2</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">糖皮质激素鼻喷剂：</span></strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">目前主要以局部使用糖皮质激素为主，一般无需全身使用。常用的鼻喷剂包括布地奈德</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">(</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">雷诺考特</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">)</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、丙酸氟替卡松</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">(</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">辅舒良</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">)</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、糠酸莫米松</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">(</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">内舒拿</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">)</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、丙酸倍氯米松</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">(</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">伯克纳</span><span style=\"font-size:19px;line-height:200%;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">)</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">等。对小孩来讲，不主张局部鼻甲注射糖皮质激素。</span></p><p style=\"line-height:200%\"><strong><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">3</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">白三烯受体拮抗剂：</span></strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">白三烯受体拮抗剂有肯定的疗效，目前儿童用白三烯受体拮抗剂以咀嚼片剂型为主，婴幼儿使用的颗粒剂已上市用于临床。</span></p><p style=\"line-height:200%\"><strong><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">4</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">、</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">肥大细胞膜稳定剂：</span></strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">主要为色甘酸钠，使用方法以滴鼻或鼻喷为主。</span></p><p><strong><span style=\"font-size:19px;font-family:宋体;background:white\">5</span><span style=\"font-size:19px;font-family: 宋体;background:white\">、</span><span style=\"font-size:19px;font-family:宋体;background:white\">抗胆碱能药：</span></strong><span style=\"font-size:19px;font-family:宋体;background:white\">主要为异丙溴托铵，使用方法以滴鼻为主。</span><span style=\"font-size:19px;font-family:宋体;background:white\">⑥</span><span style=\"font-size:19px;font-family:宋体;background:white\">减充血剂：可用</span><span style=\"font-size:19px;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background: white\">0.5%</span><span style=\"font-size:19px;font-family:宋体;background:white\">麻黄素，使用方法以滴鼻为主，儿童原则上不宜使用。</span><span style=\"font-size:19px;font-family:&#39;Arial&#39;,&#39;sans-serif&#39;;background:white\">&nbsp;</span></p><p><br/></p>","barId":"1659","topicTypeId":"2","topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1098,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1494087147018,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1494087147018,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3458","isDel":0,"createAt":1494086659235,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"过敏性鼻炎手术效果怎么样","content":"<p><span style=\"color: rgb(46, 46, 46); font-family: 宋体; font-size: 19px; background-color: rgb(255, 255, 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style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体;background:white\">&nbsp; &nbsp;&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">随着工业化进程，近年过敏性鼻炎患者不断增加，那过敏性鼻炎如何治疗呢，正好小编朋友去协和医院去看病了，且看协和医院专家怎么说，整理可能稍微有偏差：</span></p><p style=\"line-height:200%\"><strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">一、特异性免疫治疗&nbsp;（以毒攻毒的感觉）</span></strong><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　特异性免疫治疗亦称脱敏治疗 ,对花粉、尘螨所诱发的过敏性鼻炎疗效较好,总有效率可达80%以上。用已找到的变应原制成脱敏浸液,以小量渐增的方法进行注射,使肌体对变应原产生适应力以达到缓解或改善过敏性鼻炎的症状,预防哮喘病的发生和改善过敏性疾病的预后的目的。&nbsp;</span><span style=\"font-size: 19px;line-height:200%;font-family:宋体\"><br/></span><strong><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">二、非特异性治疗&nbsp;</span></strong><span style=\"font-size: 19px;line-height:200%;font-family:宋体\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　(一)抗过敏药物 :扑尔敏、西替利嗪、氯雷他定、氮斯丁、酮替芬、依巴斯丁、非索非那丁(fexofenadine)、左旋西替利嗪(levocetirizine)、乙氟利嗪(Efletirizine)、地氯雷他定(desloratadine)等,其中以非索非那丁为代表的第三代抗组胺药物,既没有中枢神经抑制作用,也没有发现心脏毒副作用,可以更好地控制过敏性鼻炎的症状,并对预防哮喘有一定作用。&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　(二)糖皮质激素鼻喷剂:通常选用布地奈德、氟替卡松、糠酸莫米松等。&nbsp;</span><span style=\"font-size: 19px;line-height:200%;font-family:宋体\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　(三)肥大细胞膜稳定剂:常用色甘酸钠(SCG)。&nbsp;</span><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体;background:white\">　　(四)局部抗组胺药物的应用:主要有氮斯汀和左旋卡巴斯汀。&nbsp;</span></p><p style=\"line-height:200%\"><strong><span 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