国际儿科学杂志
國際兒科學雜誌
국제인과학잡지
INTERNATIONAL JOURNAL OF PEDIATRICS
2011年
2期
201-封3
,共1页
支气管哮喘%过敏原%儿童
支氣管哮喘%過敏原%兒童
지기관효천%과민원%인동
Bronchial asthma%Allergen%Children
目的 探讨上海嘉定地区儿童哮喘的致敏原以及哮喘患儿年龄与过敏原的相关性.方法 351例哮喘儿童按年龄分组,用15种标准化的吸入性过敏原和食物性过敏原点刺液对所有患儿进行皮肤点刺试验,观察阳性率及不同年龄组过敏原情况.结果 (1)哮喘患儿吸入性过敏原阳性率为71.2%,其排序依次为粉尘螨(49.6%)、屋尘螨(49.0%)、霉菌Ⅰ(36.8%)、霉菌Ⅱ(34.8%)、树Ⅰ(32.5%)、狗上皮(31.9%)、猫上皮(31.3%)、花粉(29.1%)、树Ⅱ(28.8%)、羽毛(27.4%);(2)哮喘患儿食物性过敏原阳性率为39.6%,其排序依次为虾(24.2%)、鸡蛋(15.7%)、牛奶(14.8%)、花生(13.7%)、咖喱食品(12.5%);(3)≤3岁、3～6岁、＞6岁患儿的吸入性过敏原阳性率均高于食物性过敏原阳性率,随年龄的变化吸入性过敏原阳性率无显著差异,而随年龄增大食物性过敏原阳性率逐渐升高.结论 儿童支气管哮喘大多与过敏原有关,且过敏原与年龄有一定的相关性.
目的 探討上海嘉定地區兒童哮喘的緻敏原以及哮喘患兒年齡與過敏原的相關性.方法 351例哮喘兒童按年齡分組,用15種標準化的吸入性過敏原和食物性過敏原點刺液對所有患兒進行皮膚點刺試驗,觀察暘性率及不同年齡組過敏原情況.結果 (1)哮喘患兒吸入性過敏原暘性率為71.2%,其排序依次為粉塵螨(49.6%)、屋塵螨(49.0%)、黴菌Ⅰ(36.8%)、黴菌Ⅱ(34.8%)、樹Ⅰ(32.5%)、狗上皮(31.9%)、貓上皮(31.3%)、花粉(29.1%)、樹Ⅱ(28.8%)、羽毛(27.4%);(2)哮喘患兒食物性過敏原暘性率為39.6%,其排序依次為蝦(24.2%)、鷄蛋(15.7%)、牛奶(14.8%)、花生(13.7%)、咖喱食品(12.5%);(3)≤3歲、3～6歲、＞6歲患兒的吸入性過敏原暘性率均高于食物性過敏原暘性率,隨年齡的變化吸入性過敏原暘性率無顯著差異,而隨年齡增大食物性過敏原暘性率逐漸升高.結論 兒童支氣管哮喘大多與過敏原有關,且過敏原與年齡有一定的相關性.
목적 탐토상해가정지구인동효천적치민원이급효천환인년령여과민원적상관성.방법 351례효천인동안년령분조,용15충표준화적흡입성과민원화식물성과민원점자액대소유환인진행피부점자시험,관찰양성솔급불동년령조과민원정황.결과 (1)효천환인흡입성과민원양성솔위71.2%,기배서의차위분진만(49.6%)、옥진만(49.0%)、매균Ⅰ(36.8%)、매균Ⅱ(34.8%)、수Ⅰ(32.5%)、구상피(31.9%)、묘상피(31.3%)、화분(29.1%)、수Ⅱ(28.8%)、우모(27.4%);(2)효천환인식물성과민원양성솔위39.6%,기배서의차위하(24.2%)、계단(15.7%)、우내(14.8%)、화생(13.7%)、가리식품(12.5%);(3)≤3세、3～6세、＞6세환인적흡입성과민원양성솔균고우식물성과민원양성솔,수년령적변화흡입성과민원양성솔무현저차이,이수년령증대식물성과민원양성솔축점승고.결론 인동지기관효천대다여과민원유관,차과민원여년령유일정적상관성.
Objective To investigate the common allergens and the relationship between the common allergens and the age of children with bronchial asthma in Jiading area of Shanghai. Methods Skin prick test (SPT) of 15 common allergens with standard prick liquid were performed in 351 asthmatic children, the children were divided into ≤3 years group, 3 ～6 years group and ＞6 years group, and we observed the positive rates and allergens in different age groups. Results (1) The positive rate of SPT for inhalant allergens in children with bronchial asthma is 71. 2%, specifically are: dust mite (49. 6%), house dust mite (49. 0%), fungi Ⅰ (36. 8%), mold Ⅱ (34. 8%), tree Ⅰ (32. 5%), dog epithelium (31.9%), cat epithelium (31.3%), pollen (29. 1%), tree Ⅱ (28. 8%), and feather (27.4%). (2)The positive rate of SPT for food allergens in children with bronchial asthma is 39. 6%, specifically are: shrimp(24.2%), eggs(15.7%), milk(14.8%), peanuts (13. 7%), and curries(12.5%). (3) The positive rate of inhalant allergens was significantly higher than food allergens. The positive rate of inhalant allergens had no significant differences among different ages, while the positive rate of food allergens was increased with age. Conclusions Most children with bronchial asthma and allergens are related, and allergens are related to age.
