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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 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