中文摘要：

目的 了解哮喘合并变应性鼻炎患儿经尘螨特异性免疫治疗后早期临床疗效的动态变化,并探讨疗效影响因素。方法 收集2012年2月至11月于北京儿童医院确诊的尘螨致敏的轻中度哮喘合并变应性鼻炎患儿70例,对其进行尘螨特异性免疫治疗联合哮喘和鼻炎的药物治疗,并进行病例自身对照研究。结果 54例患儿完成了1年的随访,治疗后3、6、9和12个月的治疗有效率分别为72.2%、75.9%、81.5%和87.0%;治疗后1年SMS较基线期显著降低[（5.28±2.28）vs.（2.87±1.96）,P〈0.05],VAS较基线期显著降低[（5.59±3.35）vs.（4.04±3.68）,P〈0.05],肺功能呼气流量峰值（PEF%pred）较基线期显著升高[（95.41±15.18）vs.（99.24±16.24）,P〈0.05]。结论 尘螨特异性免疫治疗联合控制药物治疗哮喘合并变应性鼻炎患儿的早期有效率随治疗时间延长而升高,哮喘病程短、基线期PEF%pred低、基线期症状用药计分高的患儿特异性免疫治疗的早期临床疗效更为显著。

英文摘要：

Objective To understand the dynamic changes of early clinical curative effect in chileren with asthuna and allergic rhinitis who received tile 〈lust mite specific immunotherapy, and to discuss the influencing factors of the efficacy. Methods A total of 70 cases with miht or moderate persistent asthma combined with allergic rhinitis who received Ihe dust mile specific immunotherapy combined with drug therapy between February 2012 and November 2012 in Belling Chihhen＇s Hospital were adopted in the ease-self-comrol study. Results Totally 54 eases completed trealment of 12 monlhs. The clinical response rates to SIT （effeclive eases） at 3,6,9 and 12 months after SIT were 72.2（5 （39） , 75.9% （41 ）, 81.5% （44） and 87.0% （47）, respectively. After one year of treatment, the average daily S MS and VAS score were all decreased （ 5.28±2.28 vs. 2.87± 1.96,5.59.＋3.35 vs. 4.04±3.68, P 〈 0.05 ）. PEF% pred was improved （ 95.41 ± 15.18 ） vs. （99.24± 16.24） , P 〈 0.0511. Conclusion The effective rate of SIT increases gradually with prolonged lreahnenl. When children with asthma and allergic rhinitis received imnmnotherapy combined with drug Iherapy, the patients with higher baseline SMS, shorter asthma history and lower PEF%pred respond more effectively to SIT.