临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
11期
882-885
,共4页
变应性鼻炎%吸入性过敏原%总IgE%特异性IgE
變應性鼻炎%吸入性過敏原%總IgE%特異性IgE
변응성비염%흡입성과민원%총IgE%특이성IgE
Allergicrhinitis%Inhaledallergen%TotalIgE%Allergen-specificIgE
目的:分析深圳特区变应性鼻炎的吸入性过敏原分布特点,为该地区变应性鼻炎的预防、诊断和治疗提供依据。方法采用德国Mediwiss过敏原体外检测系统,对569例变应性鼻炎患者血清特异性IgE和总IgE检测结果进行回顾性分析。结果569例变应性鼻炎患者中,吸入性过敏原中以户尘螨阳性率最高(62.6%),其次是蟑螂、狗毛和屋尘,阳性率分别为14.4%、14.1%和10.0%;男女性别间过敏原阳性率没有显著差异( P >0.05),但儿童组吸入性过敏原阳性率为87.8%,成人组吸入性过敏原阳性率为65.4%,两者差异显著( P <0.0001);血清总IgE阳性率为81.9%,吸入性过敏原特异性IgE阳性率为74.2%,总IgE阳性率明显高于特异性IgE阳性率,差异有统计学意义( P <0.0001)。结论户尘螨是诱发深圳特区变应性鼻炎的主要过敏原;儿童AR患者过敏原阳性率高于成人AR患者,可能与其免疫系统发育尚不完善有关;联合检测血清总IgE和过敏原特异性IgE可提高变应性鼻炎诊断的准确性。
目的:分析深圳特區變應性鼻炎的吸入性過敏原分佈特點,為該地區變應性鼻炎的預防、診斷和治療提供依據。方法採用德國Mediwiss過敏原體外檢測繫統,對569例變應性鼻炎患者血清特異性IgE和總IgE檢測結果進行迴顧性分析。結果569例變應性鼻炎患者中,吸入性過敏原中以戶塵螨暘性率最高(62.6%),其次是蟑螂、狗毛和屋塵,暘性率分彆為14.4%、14.1%和10.0%;男女性彆間過敏原暘性率沒有顯著差異( P >0.05),但兒童組吸入性過敏原暘性率為87.8%,成人組吸入性過敏原暘性率為65.4%,兩者差異顯著( P <0.0001);血清總IgE暘性率為81.9%,吸入性過敏原特異性IgE暘性率為74.2%,總IgE暘性率明顯高于特異性IgE暘性率,差異有統計學意義( P <0.0001)。結論戶塵螨是誘髮深圳特區變應性鼻炎的主要過敏原;兒童AR患者過敏原暘性率高于成人AR患者,可能與其免疫繫統髮育尚不完善有關;聯閤檢測血清總IgE和過敏原特異性IgE可提高變應性鼻炎診斷的準確性。
목적:분석심수특구변응성비염적흡입성과민원분포특점,위해지구변응성비염적예방、진단화치료제공의거。방법채용덕국Mediwiss과민원체외검측계통,대569례변응성비염환자혈청특이성IgE화총IgE검측결과진행회고성분석。결과569례변응성비염환자중,흡입성과민원중이호진만양성솔최고(62.6%),기차시장랑、구모화옥진,양성솔분별위14.4%、14.1%화10.0%;남녀성별간과민원양성솔몰유현저차이( P >0.05),단인동조흡입성과민원양성솔위87.8%,성인조흡입성과민원양성솔위65.4%,량자차이현저( P <0.0001);혈청총IgE양성솔위81.9%,흡입성과민원특이성IgE양성솔위74.2%,총IgE양성솔명현고우특이성IgE양성솔,차이유통계학의의( P <0.0001)。결론호진만시유발심수특구변응성비염적주요과민원;인동AR환자과민원양성솔고우성인AR환자,가능여기면역계통발육상불완선유관;연합검측혈청총IgE화과민원특이성IgE가제고변응성비염진단적준학성。
Objective Toexplorethedistributivecharacteristicsofinhaledallergensresponsibleforallergicrhinitisinpopulationof Shenzhendistrictandtoprovidethescientificbasisforitsprevention,etiologicaldiagnosisandtreatment.Methods TheMediwissAllergen ScreeningSystemhadbeenappliedfordetectionoftotalserumIgEandallergen-specificIgEin569patientswithallergicrhinitis.Results The positive rate for Dermatophagoides farinae was the highest(62. 6%),followed by cockroach,dog dander and house dust,and their positive rates were 14. 4%,14. 1% and 10. 0% respectively. There was no significant statistical difference between males and females( P >0. 05),but there was difference between age groups. The positive rate of children group with allergic rhinitis was 87. 8%,and it was much higher than that of adult group( P <0. 005). The positive rate of total serum IgE was 81. 9%,it for allergen-specific IgE was 74. 2%,and there was significant differ-encebetweenchildrenandadultgroups(P<0.005).Conclusion Dermatophagoidesfarinaeisthemostimportantallergenresponsibleforpa-tients with allergic rhinitis in Shenzhen district. Children are more sensitive to inhaled allergens than adults. The combined detection of total serum IgE and allergen-specific IgE will raise the accuracy of diagnosis for allergic rhinitis.