원저

비알레르기에서 비유발반응검사의 진단 적 의의

김경래1, 고광민1, 박철원1, 김선곤1
Kyung Rae Kim1, Kwang Min Koh1, Chul Won Park1, Sun Kon Kim1
Author Information & Copyright
1한양대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine,Hanyang University

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Various kinds of diagnostic procedures for allergic rhinitis are available, including careful history taking, physical examination, PNS x-ray, eosinophil in nasal secretion, blood eosinophil count, serum IgE level, skin test, nasal provocation test, RAST and MAST. Among these, careful history taking and skin test have important role in diagnosing the allergic rhinitis. To evaluate the diagnostic significance of nasal provocation test in allergic rhinitis, a clinical study was done in allergic rhinitis patients.

The results were as follows;

  1. In control group, provocation rate to positive skin allergen was none.

  2. House dust and mite revealed the highest provocation rate to positive skin allergen.

  3. In the group of positive nasal provocation test, eosinophil in nasal secretion and blood eosinophil count were markedly increased.

  4. The positive provocation rate was correlated with degree of positive skin reaction.

  5. The provocation reaction after hyposensitization was markedly reduced.

Keywords: Allergic rhinitis; Provocation test


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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