临床问题:鼻盐水或鼻内皮质类固醇治疗儿童变应性鼻炎。

Stefani Madison, Elizabeth Aubrey Brown, Rachel Franklin, Elizabeth A Wickersham, Laine H McCarthy
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引用次数: 0

摘要

临床问题:在儿童人群中,在缓解过敏性鼻炎症状方面,鼻盐水冲洗与鼻内皮质类固醇一样有效吗?回答:没有。在减轻儿童变应性鼻炎(AR)症状方面,鼻内类固醇比单独使用鼻盐水更有效。联合治疗进一步改善症状减轻。搜索条件:过敏性鼻炎,鼻盐水,鼻皮质类固醇,年龄小于18岁的儿童。检索时间:2014年8月和9月,2015年10月。纳入标准:荟萃分析、随机对照试验、系统评价、队列研究、鼻喷雾剂、高渗盐水溶液、鼻腔灌洗、鼻炎、鼻内给药、鼻盐水、人类、英语。排除标准:抗组胺药,成人,2008年以上的文章。
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Clinical Question: Nasal saline or intranasal corticosteroids to treat allergic rhinitis in children.

Clinical question: In pediatric populations, is nasal saline irrigation as effective as intranasal corticosteroids at relieving allergic rhinitis symptoms?

Answer: No. Intranasal steroids are more effective than nasal saline alone to reduce symptoms of allergic rhinitis (AR) in children. Combination therapy further improves symptom reduction. LEVEL OF EVIDENCE FOR THE ANSWER: B SEARCH TERMS: Allergic Rhinitis, Nasal Saline, Nasal corticosteroids, children younger than age 18. DATE SEARCH WAS CONDUCTED: August and September 2014, October 2015.

Inclusion criteria: Meta-analyses, randomized controlled trials, systematic reviews, cohort studies, nasal spray, hypertonic saline solution, nasal lavage, rhinitis, intranasal administration, nasal saline, human, English language.

Exclusion criteria: Antihistamines, Adults, Articles older than 2008.

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