中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
13期
8-9,10
,共3页
过敏性鼻炎%皮肤点刺试验%吸入物过敏原
過敏性鼻炎%皮膚點刺試驗%吸入物過敏原
과민성비염%피부점자시험%흡입물과민원
Allergic rhintis%Skin prick test%Inhaled allergens
目的：探讨过敏性鼻炎即变应性鼻炎即变应性鼻炎(AR)常见吸入物过敏原，为AR的特异性诊断、治疗和预防提供重要依据。方法应用北京新华联协和药业生产的过敏原点刺液，对156例AR患者实施18种吸入物过敏原皮肤点刺试验。结果单项吸入物过敏原阳性检出量共计504项次，其中，皮试阳性率最高的前8位过敏原依次是户尘螨、粉尘螨、室内尘土、葎草、大籽蒿、英国梧桐、蟑螂、豚草，其单项阳性检出量之和占吸入组过敏原总阳性检出量的90.2%。户尘螨阳性例数最多，阳性率80.8%；粉尘螨次之，阳性率78.2%；荞麦壳阳性率最低，仅占1.3%。产黄青霉和圆柏花粉在本组患者中未检出阳性病例。尘螨过敏原皮试阳性率明显高于其它过敏原(χ2检验， P<0.01)。结论尘螨是AR最常见的过敏原，皮肤点刺试验(SPT)明确过敏原为AR特异性诊断、治疗和预防提供了有力证据。
目的：探討過敏性鼻炎即變應性鼻炎即變應性鼻炎(AR)常見吸入物過敏原，為AR的特異性診斷、治療和預防提供重要依據。方法應用北京新華聯協和藥業生產的過敏原點刺液，對156例AR患者實施18種吸入物過敏原皮膚點刺試驗。結果單項吸入物過敏原暘性檢齣量共計504項次，其中，皮試暘性率最高的前8位過敏原依次是戶塵螨、粉塵螨、室內塵土、葎草、大籽蒿、英國梧桐、蟑螂、豚草，其單項暘性檢齣量之和佔吸入組過敏原總暘性檢齣量的90.2%。戶塵螨暘性例數最多，暘性率80.8%；粉塵螨次之，暘性率78.2%；蕎麥殼暘性率最低，僅佔1.3%。產黃青黴和圓柏花粉在本組患者中未檢齣暘性病例。塵螨過敏原皮試暘性率明顯高于其它過敏原(χ2檢驗， P<0.01)。結論塵螨是AR最常見的過敏原，皮膚點刺試驗(SPT)明確過敏原為AR特異性診斷、治療和預防提供瞭有力證據。
목적：탐토과민성비염즉변응성비염즉변응성비염(AR)상견흡입물과민원，위AR적특이성진단、치료화예방제공중요의거。방법응용북경신화련협화약업생산적과민원점자액，대156례AR환자실시18충흡입물과민원피부점자시험。결과단항흡입물과민원양성검출량공계504항차，기중，피시양성솔최고적전8위과민원의차시호진만、분진만、실내진토、률초、대자호、영국오동、장랑、돈초，기단항양성검출량지화점흡입조과민원총양성검출량적90.2%。호진만양성례수최다，양성솔80.8%；분진만차지，양성솔78.2%；교맥각양성솔최저，부점1.3%。산황청매화원백화분재본조환자중미검출양성병례。진만과민원피시양성솔명현고우기타과민원(χ2검험， P<0.01)。결론진만시AR최상견적과민원，피부점자시험(SPT)명학과민원위AR특이성진단、치료화예방제공료유력증거。
Objective To evaluate the common inhaled allergens of allergic rhinitis (AR)and provide reference for clinical diagnosis, treatment and prevention.Methods Skin prick test (SPT) with prick liquid produced by Beijing Xinhualian Xiehe Pharmaceutical Company were performed on 156 patients with allergic rhinitis. Each of them was examined with 18 kinds of prick liquid.Results It showed 504 positive results totally. The top 8 was house dust mite, dust mite, house dust, humulus scandens, artemisia sieversiana, platanus acerifolia, cockroach and ambrosia artemisiifolia, which took a percentage of 90.2%. Among them the house dust mites hold the top one with the positive rate of 80.8%. And the dust mite stand second with the positive rate of 78.2%. The buckwheat rank last with the positive rate of 1.3%. Produces penicillium chrysogenum and the sabina chinensis pollens were not detected. The positive rate of the dust mite is much higher than that of other allergens(P<0.01). Conclusion The mite is the most common allergen. Skin prick test which can definite the allergen provides strong evidence for the clinical diagnosis, treatment and prevention of AR.
