Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

被引：14

作者：

Feng, Lu ^{[1
,2
]}

Lin, Lili ^{[1
,2
]}

Wang, Shouchuan ^{[1
,2
]}

Zhao, Xia ^{[1
,2
]}

Dai, Qigang ^{[1
,2
]}

Wang, Lei ^{[1
]}

Yang, Yan ^{[3
]}

Xu, Ling ^{[4
]}

Liu, Yuling ^{[5
]}

An, Li ^{[1
,2
]}

Shen, Cunsi ^{[1
,2
]}

机构：

[1] Nanjing Univ Chinese Med, Affiliated Hosp, Inst Pediat, Jiangsu Key Lab Pediat Resp Dis, 138 Xianlin Ave, Nanjing 210023, Peoples R China

[2] Nanjing Univ Chinese Med, Med Metab Ctr, Nanjing, Peoples R China

[3] Beijing Childrens Hosp, Dept Chinese Med, Beijing, Peoples R China

[4] Yancheng Hosp Chinese Med, Dept Pediat Chinese Med, Yancheng, Peoples R China

[5] Nanjing Pukou Dist Hosp Chinese Med, Dept Pediat Chinese Med, Nanjing, Peoples R China

来源：

ANATOMICAL RECORD-ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY | 2021年 / 304卷 / 11期

基金：

中国国家自然科学基金;

关键词：

allergic rhinitis; children; clinical practice guidelines; traditional Chinese medicine; TRIALS; PREVALENCE; MANAGEMENT; DIAGNOSIS; QUALITY;

D O I：

10.1002/ar.24718

中图分类号：

R602 [外科病理学、解剖学]; R32 [人体形态学];

学科分类号：

100101 ;

摘要：

Allergic rhinitis (AR) is one of the most common allergic diseases in children and it can lead to physical and mental health problems. Traditional Chinese medicine (TCM) plays an important role in understanding the phenotypes and treatment of AR. However, there are currently no normative clinical practice guidelines (CPGs) for the treatment of AR in children. The study aimed to develop an evidence-based CPG for the treatment of AR in children with TCM. Systematic literature research, expert questionnaire, and clinical evaluation after three rounds of surveys were adopted to form recommendations for treating children with AR using the Delphi method. Depending on the clinical manifestations, we finally recommended two decoctions with two Chinese patent medicines for an acute attack of AR and two decoctions for a chronic period of AR. For the acute attack of AR in children, Xinyi Qingfei decoction, Wenfei Zhiliu decoction, Xinqin granules, and Xinyi Biyan pills were suggested, whereas for the chronic period of AR, Buzhong Yiqi and Jingui Shenqi decoctions were recommended. The four external treatment methods suggested for the prevention and care of AR were body acupuncture, moxibustion, auricular point pressing, and acupoint application. The recommended levels of the suggested TCM strategies ranged from Grade B to D, indicating the weakness of the recommendations. TCM has the potential to offer new insights into phenotypes and the management of AR worldwide; however, more high-quality clinical studies are needed to improve the quality of evidence.

引用

页码：2592 / 2604

页数：13

共 47 条

[1] Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood:: ISAAC Phases One and Three repeat multicountry cross-sectional surveys [J].

Asher, M. Innes ;

Montefort, Stephen ;

Bjorksten, Bengt ;

Lai, Christopher K. W. ;

Strachan, David P. ;

Weiland, Stephan K. ;

Williams, Hywel .

LANCET, 2006, 368 (9537) :733-743

[2] Allergic rhinitis: Direct and indirect costs [J].

Blaiss, Michael S. .

ALLERGY AND ASTHMA PROCEEDINGS, 2010, 31 (05) :375-380

[3] A Reporting Tool for Practice Guidelines in Health Care: The RIGHT Statement [J].

Chen, Yaolong ;

Yang, Kehu ;

Marusic, Ana ;

Qaseem, Amir ;

Meerpohl, Joerg J. ;

Flottorp, Signe ;

Akl, Elie A. ;

Schunemann, Holger J. ;

Chan, Edwin S. Y. ;

Falck-Ytter, Yngve ;

Ahmed, Faruque ;

Barber, Sarah ;

Chen, Chiehfeng ;

Zhang, Mingming ;

Xu, Bin ;

Tian, Jinhui ;

Song, Fujian ;

Shang, Hongcai ;

Tang, Kun ;

Wang, Qi ;

Norris, Susan L. .

ANNALS OF INTERNAL MEDICINE, 2017, 166 (02) :128-+

[4] Study on the methodology of developing evidence-based clinical practice guidelines of chinese medicine [J].

Chen Zheng-guang ;

Luo Hui ;

Xu Shan ;

Yang Yan ;

Wang Shou-chuan .

CHINESE JOURNAL OF INTEGRATIVE MEDICINE, 2015, 21 (11) :874-880

[5] Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis [J].

Cheng, Lei ;

Chen, Jianjun ;

Fu, Qingling ;

He, Shaoheng ;

Li, Huabin ;

Liu, Zheng ;

Tan, Guolin ;

Tao, Zezhang ;

Wang, Dehui ;

Wen, Weiping ;

Xu, Rui ;

Xu, Yu ;

Yang, Qintai ;

Zhang, Chonghua ;

Zhang, Gehua ;

Zhang, Ruxin ;

Zhang, Yuan ;

Zhou, Bing ;

Zhu, Dongdong ;

Chen, Luquan ;

Cui, Xinyan ;

Deng, Yuqin ;

Guo, Zhiqiang ;

Huang, Zhenxiao ;

Huang, Zizhen ;

Li, Houyong ;

Li, Jingyun ;

Li, Wenting ;

Li, Yanqing ;

Xi, Lin ;

Lou, Hongfei ;

Lu, Meiping ;

Ouyang, Yuhui ;

Shi, Wendan ;

Tao, Xiaoyao ;

Tian, Huiqin ;

Vvang, Chengshuo ;

Wang, Min ;

Wang, Nan ;

Wang, Xiangdong ;

Xie, Hui ;

Yu, Shaoqing ;

Zhao, Renwu ;

Zheng, Ming ;

Zhou, Han ;

Zhu, Luping ;

Zhang, Luo .

ALLERGY ASTHMA & IMMUNOLOGY RESEARCH, 2018, 10 (04) :300-353

[6] Epidemiology of allergic rhinitis and associated risk factors in Asia [J].

Chong, Sher Ney ;

Chew, Fook Tim .

WORLD ALLERGY ORGANIZATION JOURNAL, 2018, 11

[7] Multi-morbidities of allergic rhinitis in adults: European Academy of Allergy and Clinical Immunology Task Force Report [J].

Cingi, C. ;

Gevaert, P. ;

Moesges, R. ;

Rondon, C. ;

Hox, V. ;

Rudenko, M. ;

Muluk, N. B. ;

Scadding, G. ;

Manole, F. ;

Hupin, C. ;

Fokkens, W. J. ;

Akdis, C. ;

Bachert, C. ;

Demoly, P. ;

Mullol, J. ;

Muraro, A. ;

Papadopoulos, N. ;

Pawankar, R. ;

Rombaux, P. ;

Toskala, E. ;

Kalogjera, L. ;

Prokopakis, E. ;

Hellings, P. W. ;

Bousquet, J. .

CLINICAL AND TRANSLATIONAL ALLERGY, 2017, 7

[8] Assessing the quality of randomized trials:: Reliability of the Jadad scale [J].

Clark, HD ;

Wells, GA ;

Huët, C ;

McAlister, FA ;

Salmi, LR ;

Fergusson, D ;

Laupacis, A .

CONTROLLED CLINICAL TRIALS, 1999, 20 (05) :448-452

[9]

Dellinger RP, 2013, INTENS CARE MED, V39, P165, DOI [10.1007/s00134-012-2769-8, 10.1097/CCM.0b013e31827e83af]

[10] Treatment Outcome of a Shorter Regimen Containing Clofazimine for Multidrug-resistant Tuberculosis: A Randomized Control Trial in China [J].

Du, Yadong ;

Qiu, Chao ;

Chen, Xiaohong ;

Wang, Jing ;

Jing, Wei ;

Pan, Hongqiu ;

Chen, Wei ;

Liu, Yufeng ;

Li, Chunxiang ;

Xi, Xiu'e ;

Yin, Hongyun ;

Zeng, Jianfeng ;

Zhang, Xia ;

Xu, Tao ;

Wang, Qingfeng ;

Guo, Ru ;

Wang, Jun ;

Pang, Yu ;

Chu, Naihui .

CLINICAL INFECTIOUS DISEASES, 2020, 71 (04) :1047-1054

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