The Effect of Mometasone Furoate Nasal Spray on Blood Oxygenation in Allergic Rhinitis Patients

Mohamad Azizul Fitri Khalid, Ramiza Ramza Ramli, Rosdan Salim, Norasnieda Md Shukri, Sakinah Mohamad, Amirozi Ahmad
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Abstract

Allergic rhinitis (AR) is a disease that presents with symptoms like nasal discharge, blockage, and itchiness, which impair the quality of life of most patients depending on its severity. The most common symptom in AR patients is a persistent bilateral nasal blockage, which may indirectly and potentially affect the airflow into the lung. However, the symptoms can be controlled using intranasal steroid spray (INS). This study investigated the role of nasal obstruction in lowering blood oxygenation and how INS improved blood oxygenation. This study included 33 patients with AR. Subjects with moderate-to-severe nasal obstruction were recruited based on the Visual Analogue Scale (VAS), and mometasone furoate nasal spray (MFNS) – two puffs twice a day for two weeks was given. Pre- and post-medication parameters compared included nasal obstruction VAS, partial oxygen arterial pressure (PaO2), partial arterial carbon dioxide pressure (PaCO2), and oxygen saturation (O2 saturation). All parameters were substantially different between pre- and post-medication. VAS, PaO2, PaCO2, and O2 saturation were significantly different before and after medicine (p<0.01). A comprehensive treatment of nasal obstruction using MFNS helps improve blood oxygenation and nasal obstruction in AR patients.
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糠酸莫米松鼻喷雾剂对变应性鼻炎患者血氧的影响
变应性鼻炎(AR)是一种表现为鼻溢液、堵塞和瘙痒等症状的疾病,根据其严重程度,大多数患者的生活质量都会受到影响。AR患者最常见的症状是持续的双侧鼻阻塞,这可能间接和潜在地影响进入肺部的气流。然而,使用鼻内类固醇喷雾剂(INS)可以控制症状。本研究探讨鼻塞在降低血氧合中的作用以及INS如何改善血氧合。本研究纳入33例AR患者,根据视觉模拟量表(VAS)招募中重度鼻塞患者,并给予糠酸莫米松鼻喷雾剂(MFNS),每天两次,连续两周。用药前后参数比较包括鼻塞VAS、动脉血分氧压(PaO2)、动脉血分氧压(PaCO2)、血氧饱和度(O2饱和度)。所有参数在用药前和用药后均有显著差异。VAS、PaO2、PaCO2、血氧饱和度用药前后差异有统计学意义(p<0.01)。应用MFNS综合治疗鼻塞有助于改善AR患者的血氧合和鼻塞。
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