药物超敏检测方法的研究进展
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国家自然科学基金(82271814),江苏省科技计划专项基金(重点研发计划社会发展)(BE2023782)


The research progress of detection methods for drug hypersensitivity
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    摘要:

    过敏性疾病的发病率逐年增高,不仅会使患者的生活质量下降,也给国家带来了巨大的社会和经济 压力。药物作为主要的致敏物质来源之一,是引起致死性超敏反应的重要原因。药物超敏反应(DHRs)的正确诊断 对患者和医疗保健都是非常重要的,决定能否维持原有一线治疗方案不变。现有DHRs的诊断主要基于详细的临床 病史,并且结合体内试验和(或)体外实验的结果进行综合判断。然而,现有DHRs的诊断存在程序复杂、耗时,需要 训练有素的人员,缺乏标准化药物、标准化体内试验和体外实验的操作流程等诸多限制,这都阻碍了DHRs的确切诊 断。该文概述了目前临床上可获得的DHRs诊断方法以及它们存在的局限,并就现有问题指出后续的研究方向。

    Abstract:

    The incidence of allergic diseases is increasing year by year, which not only results in a decrease in the quality of life for allergic patients but also causes enormous social and economic burdens on the country. Drugs, being one of the main sources of allergens, are an important cause of life-threatening hypersensi‐ tivity reactions. Correct diagnosis of drug hypersensitivity reactions (DHRs) is crucial for both allergic patients and healthcare providers, as it determines whether to maintain the existing first-line treatment. The current diag‐ nosis for DHRs relies on the detailed clinical history, combined with the results of in vivo and/or in vitro tests. However, the currently available diagnositic methods for DHRs have many limitations, such as complex and time-consuming procedures, the need for well-trained professionals, a lack of standardized drugs, and stan‐ dardized operating procedures for in vivo and in vitro tests, all of which hinder the accurate diagnosis of DHRs. The review will provide an overview of the currently available diagnostic methods for DHRs in clinical practice and their existing problems, subsequently point out future research directions based on these issues.

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凌晓静,魏继福.药物超敏检测方法的研究进展[J].广东医科大学学报,2025,43(2):121-130.

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  • 在线发布日期: 2025-04-27
  • 出版日期: 2025-04-30

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