检验医学
檢驗醫學
검험의학
LABORATORY MEDICINE
2014年
11期
1120-1123
,共4页
蔡德丰%陆元善%袁艳%杨晓林%吴跃平%马东礼
蔡德豐%陸元善%袁豔%楊曉林%吳躍平%馬東禮
채덕봉%륙원선%원염%양효림%오약평%마동례
免疫球蛋白%嗜酸性粒细胞%荨麻疹%儿童
免疫毬蛋白%嗜痠性粒細胞%蕁痳疹%兒童
면역구단백%기산성립세포%담마진%인동
Immunoglobulin%Eosinophil%Urticaria%Child
目的:探讨儿童急、慢性荨麻疹 IgE 水平和嗜酸性粒细胞变化及其临床意义。方法分别用化学发光法、酶免荧光法和 VCS(体积、电导性和散射)原理检测77例急性和46例慢性荨麻疹患儿血清总 IgE 水平,食物、螨虫及植物类特异性 IgE 和嗜酸性粒细胞比例,比较急、慢性荨麻疹患儿间上述指标的差异。结果伴有其它过敏性疾病的急、慢性荨麻疹患儿间血清总 IgE 水平,食物、螨虫及植物类特异性 IgE 阳性率差异无统计学意义(P >0.05),但不伴有其它过敏性疾病的慢性荨麻疹患儿总 IgE 水平显著高于急性荨麻疹患儿(P <0.05);男性血清 IgE 水平显著高于女性;随着年龄增长,总 IgE 水平呈一定的增长趋势;螨虫类 IgE 阳性率显著高于食物及植物类(P <0.05)。急、慢性荨麻疹患儿嗜酸性粒细胞升高率差异无统计学意义(P >0.05)。结论嗜酸性粒细胞比例不能作为儿童急、慢性荨麻疹鉴别诊断的指标。IgE 在无其它过敏性疾病的儿童急、慢性荨麻疹的鉴别诊断中具有一定的价值,但在其它情况,血清总 IgE 水平不能作为儿童急、慢性荨麻疹鉴别诊断的指标,必须结合患儿病史、病程及临床症状方能作出正确的诊断。
目的:探討兒童急、慢性蕁痳疹 IgE 水平和嗜痠性粒細胞變化及其臨床意義。方法分彆用化學髮光法、酶免熒光法和 VCS(體積、電導性和散射)原理檢測77例急性和46例慢性蕁痳疹患兒血清總 IgE 水平,食物、螨蟲及植物類特異性 IgE 和嗜痠性粒細胞比例,比較急、慢性蕁痳疹患兒間上述指標的差異。結果伴有其它過敏性疾病的急、慢性蕁痳疹患兒間血清總 IgE 水平,食物、螨蟲及植物類特異性 IgE 暘性率差異無統計學意義(P >0.05),但不伴有其它過敏性疾病的慢性蕁痳疹患兒總 IgE 水平顯著高于急性蕁痳疹患兒(P <0.05);男性血清 IgE 水平顯著高于女性;隨著年齡增長,總 IgE 水平呈一定的增長趨勢;螨蟲類 IgE 暘性率顯著高于食物及植物類(P <0.05)。急、慢性蕁痳疹患兒嗜痠性粒細胞升高率差異無統計學意義(P >0.05)。結論嗜痠性粒細胞比例不能作為兒童急、慢性蕁痳疹鑒彆診斷的指標。IgE 在無其它過敏性疾病的兒童急、慢性蕁痳疹的鑒彆診斷中具有一定的價值,但在其它情況,血清總 IgE 水平不能作為兒童急、慢性蕁痳疹鑒彆診斷的指標,必鬚結閤患兒病史、病程及臨床癥狀方能作齣正確的診斷。
목적:탐토인동급、만성담마진 IgE 수평화기산성립세포변화급기림상의의。방법분별용화학발광법、매면형광법화 VCS(체적、전도성화산사)원리검측77례급성화46례만성담마진환인혈청총 IgE 수평,식물、만충급식물류특이성 IgE 화기산성립세포비례,비교급、만성담마진환인간상술지표적차이。결과반유기타과민성질병적급、만성담마진환인간혈청총 IgE 수평,식물、만충급식물류특이성 IgE 양성솔차이무통계학의의(P >0.05),단불반유기타과민성질병적만성담마진환인총 IgE 수평현저고우급성담마진환인(P <0.05);남성혈청 IgE 수평현저고우녀성;수착년령증장,총 IgE 수평정일정적증장추세;만충류 IgE 양성솔현저고우식물급식물류(P <0.05)。급、만성담마진환인기산성립세포승고솔차이무통계학의의(P >0.05)。결론기산성립세포비례불능작위인동급、만성담마진감별진단적지표。IgE 재무기타과민성질병적인동급、만성담마진적감별진단중구유일정적개치,단재기타정황,혈청총 IgE 수평불능작위인동급、만성담마진감별진단적지표,필수결합환인병사、병정급림상증상방능작출정학적진단。
Objective To investigate IgE levels,eosinophil change and their clinical significance in acute and chronic urticaria children.Methods Respectively by chemiluminescence,enzyme-linked immunofluorescence and volume,conductivity and scattering (VCS)principle,serum total IgE levels,food,mites and plant-specific IgE levels and eosinophil percentages were determined,and the samples were collected from 77 acute and 46 chronic urticaria children.The differences between acute and chronic urticaria children were analyzed comparatively.Results There was no statistical significance in total IgE levels and positive rates to food,mites and plant-specific IgE levels between acute and chronic urticaria children with other allergic diseases(P >0.05),but there was a significantly higher total IgE level in chronic group than that in acute group in acute and chronic urticaria children without other allergic diseases (P <0.05).Boys had significantly higher serum total IgE levels than girls.The total IgE levels had a trend of increasing with age.There was a higher positive rate to mites-specific IgE than food and plant-specific IgE(P <0.05).The eosinophil percentages of acute and chronic urticaria children had no statistical significance (P >0.05).Conclusions Eosinophil percentage is not a good index for differential diagnosis in acute and chronic urticaria children.IgE has a certain significance for diagnosing acute and chronic urticaria without other allergic diseases.However,in other cases,serum level of total IgE is not a good index for differential diagnosis in acute and chronic urticaria children.Integrating case history,course of disease and clinical symptom can help with making a correct diagnosis.