感冒和过敏性鼻炎的区别
1. 临床表现
过敏性鼻炎的发病与遗传和环境的相互作用有关。
临床表现有 4 个主要症状：清水样涕、鼻痒、鼻塞、喷嚏。可伴有眼痒、结膜充血等眼部症状。
体征可有鼻粘膜苍白、肿胀、下鼻甲水肿，鼻腔内有多量水样分泌物。眼部体征可有结膜充血、水肿，有时可见乳头样反应 [1]。
儿童过敏性鼻炎也可出现特殊体征，如变应性暗影 (俗称「黑眼圈」，见图 1 )、变应性皱褶 (见图 2 )、变应性敬礼 (见图 3 ) 等。
图 1 变应性暗影
图 2 变应性皱褶
图 3 变应性敬礼
2. 诊断要点
(1) 诊断标准：
①症状：打喷嚏、清水样涕、鼻痒和鼻塞等症状出现 2 个或以上；每天症状持续或累计 1 h 以上，可伴有眼痒、流泪和眼红等眼部症状;
② 体征：常见鼻黏膜苍白、水肿，鼻腔水样分泌物；
③变应原检测：血清特异性 IgE 监测和皮肤点刺试验 2 项中的至少有 1 项阳性结果。
(2) 过敏性鼻炎根据临床持续时间分为间歇性和持续性两类：症状出现 > 4 天/周，并持续 4 周以上归为持续性变应性鼻炎，否则属于间歇性变应性鼻炎；
3. 治疗
过敏性鼻炎的治疗原则包括：环境控制、药物治疗、免疫治疗和健康教育，概括地形容为「防治结合，四位一体」。
4. 预后
过敏性鼻炎目前尚不能彻底治愈，但通过规范化的综合治疗，患者的各种症状可以得到良好控制，并显著改善生活质量。文献报道，40% 的过敏性鼻炎患者可合并支气管哮喘、咳嗽、气急和胸闷灯光肺部症状。
普通感冒
1. 临床表现
普通感冒常发生在季节交替之际和冬春季，起病较急。
(1) 早期表现以鼻、咽部卡他症状为主，可有喷嚏、鼻塞、流清水样鼻涕、咽痛等症状，始于感染后的 10～12h，2～3d 达到高峰，之后逐渐减轻，持续时间 7～10d，部分患儿症状可持续 3 周甚至更长；
(2) 年长儿可主诉咽痒、咽痛和咽部烧灼感，全身症状轻、发热不明显或仅有低热；
(3) 可因耳咽管阻塞出现听力减退，也可有流泪、味觉迟钝、呼吸不畅、咳嗽和少量咳痰等症状；
(4) 婴幼儿往往鼻、咽部卡他症状不显著而全身症状较重，可骤然起病，呈高热、食欲减退，随后出现打喷嚏、流涕、咳嗽等，可伴有腹痛、呕吐、腹泻、烦躁等，甚至热性惊厥 [2]。
2. 诊断要点
普通感冒多为病毒感染所致，是一个排他性诊断，多依据临床症状和体征，鼻腔黏膜充血、水肿、清水样分泌物，咽部轻度充血，胸部检查多无异常，但需排除其他疾病，如儿童多种传染性疾病的前驱症状等。
3. 治疗
普通感冒为自限性疾病，以对症支持治疗为主。
鉴别过敏性鼻炎和普通感冒
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[tao_title] => FlipBelt飞比特导汗裤高腰跑步裤健身裤女提臀瑜伽高弹紧身压缩裤
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