临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (9): 716-.doi: 10.3969/j.issn.1000-3606.2020.09.018

• 继续医学教育 • 上一篇    

儿童牛奶蛋白过敏的口服免疫治疗

冯燕,黄瑛   

  1. 复旦大学附属儿科医院(上海  201100)
  • 发布日期:2020-09-17

Oral immunotherapy for cow’s milk protein allergy in children

FENG Yan, HUANG Ying   

  1. Pediatric Hospital Affiliated to Fudan University, Shanghai 201100, China
  • Published:2020-09-17

摘要: 牛奶蛋白过敏是儿童食物过敏的一种常见类型, 90%的牛奶蛋白过敏患儿可在3岁内获得自发耐受,预后良 好,但少部分患儿牛奶蛋白过敏持续存在,常可因意外接触牛奶或奶制品而反复发生过敏反应,甚至危及生命,影响儿童 的成长及心理健康。除牛奶蛋白回避及替代配方奶喂养之外,口服免疫治疗经临床实验证实可以有效帮助脱敏,但目前还 没有规范的治疗方案,其安全性及长期有效性也限制其临床应用。文章就牛奶蛋白口服免疫治疗的过程、机制、优化方案 及其相关内容进行综述。

关键词: 牛奶蛋白过敏; 食物过敏; 口服免疫治疗; 奥马珠单抗; 低聚糖

Abstract: Cow’s milk protein allergy is a common type of food allergy in children. 90% of children with milk protein allergy can achieve spontaneous tolerance within 3 years of age, with a good prognosis. But milk protein allergy persists in a small number of children. As a result of accidental exposure to milk or dairy products, the children have repeated allergic reactions and even life-threatening situations, affecting the growth of children and mental health. In addition to milk protein avoidance and alternative formula feeding, oral immunotherapy has been clinically proven to be effective in helping desensitization. However, there is no standard treatment regimen, and its safety and long-term efficacy limit its clinical application. This article reviews the process, mechanism, optimization scheme and related contents of oral immunotherapy of milk protein

Key words: cow’s milk protein allergy; food allergy; oral immunotherapy; omalizumab; oligosaccharide