Diagnostic criteria of allergic rhinitis in the Chinese Academy of Medical Sciences

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Diagnostic criteria of allergic rhinitis in the Chinese Academy of Medical Sciences(revised 1997, Haikou)Perennial allergic rhinitis1 score


Diagnostic criteria of allergic rhinitis in the Chinese Academy of Medical Sciences

(revised 1997, Haikou)

Perennial allergic rhinitis

1 score condition: perennial disease, with a sneeze (every 3 or more consecutive), rhinorrhea and nasal mucosa swelling three main clinical manifestations, within one year of onset days a total of more than 6 months, the onset time in a day a total of more than 0.5 hours; the duration of at least one year.

2 scoring criteria: there is a clear inhalation allergen clues, there are individuals and / or family history of allergic diseases, seizures have typical symptoms and signs, each recorded 1 points, a total of 3 points. Positive allergen skin test, at least for a (+ +) or (+ +) above; the specific IgE antibody positive or allergen nasal provocation test was positive, and accord with skin test and history, each 2 points, a total of 4 points. The results showed that the positive rate of eosinophils and / or nasal mucosa mast cells (basophils) was 1. 6 to 8 of the patients were diagnosed as perennial allergic rhinitis, and from 3 to 5 were classified as suspected allergic rhinitis, and from 0 to 2 may be non allergic rhinitis.

Two, hay fever

1 seasonal onset, the onset of the season is basically the same, and with the sensitive pollen pollination period in line with at least two years in the same season. 2 episodes have typical clinical symptoms and signs.

3 episodes of nasal secretions (and / or conjunctival smears) were positive for eosinophils, or nasal mucosal mast cells (basophils) were positive.

4 pollen allergen skin test was positive, at least for a (+ +) or (+ +), or allergen nasal provocation test positive, conjunctival test positive.

Schedule symptom score standard

Grade score

(the number of times a continuous sneezing runny nose) (daily times to blow your nose) blocked nose nasal itching

1 points to 3 ~ 9

Less than 4 occasionally interrupted

2 points to 10 ~ 14

Between 5 and 9, the difference is between the two, but it can endure

3 = 16

More than 10 almost all day long mouth breathing creepss, unbearable

Criteria for the evaluation of therapeutic effects of allergic rhinitis in the Chinese Academy of Medical Sciences

1 in order to accurately and objectively assess the efficacy, should be carried out: symptom classification (schedule) and physical classification. Classification of signs:

Inferior turbinate and nasal septum, close to the bottom, do not see the middle turbinate, middle turbinate or polypoid mucosa and polyp formation, for a record 3 points;

Inferior turbinate and nasal septum (or nose) to the bottom (or inferior turbinate and nasal septum) are small gap between, for a record 2 points; inferior turbinate swelling, nasal septum, middle turbinate is still visible, recorded 1 points.

2 the control group should be set up in clinical research and summary data.

3 according to the total score of symptoms and signs before and after treatment, improve the percentage according to the following formula to evaluate the curative effect of perennial allergic rhinitis: before treatment, after treatment the total score of total score before treatment / X 100%

Aged 51% to 50% to 21% markedly effective, effective, less than 2% are invalid.

4 prospective study of signs and symptoms score before and after treatment of pollinosis should be compared with the number and variety of local, when air flows of pollen. Efficacy evaluation was divided into short-term (except for desensitization treatment) and long-term efficacy, the short-term efficacy at the end of treatment, the long-term efficacy of the treatment at least one year after the end of the evaluation. The effect of desensitization therapy was evaluated after two years of continuous therapy (excluding rapid desensitization therapy).



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