世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
68期
17-18
,共2页
程星%靳蓉%陈敏%尹文艳
程星%靳蓉%陳敏%尹文豔
정성%근용%진민%윤문염
过敏原筛查%肺功能%咳嗽变异性哮喘
過敏原篩查%肺功能%咳嗽變異性哮喘
과민원사사%폐공능%해수변이성효천
Allergen screening%Pulmonary function%Cough variant asthma
目的：研究分析不同年龄咳嗽变异性哮喘患儿过敏原筛查及肺功能现状[1]。方法从2013年4月到2014年1月，选取我院的96例不同年龄咳嗽变异性哮喘患儿进行回顾性分析，将其分为两组，3岁以下婴幼儿组52例患儿，3岁以上儿童组44例患儿，对两组作过敏原筛查和肺功能检测的病例进行分析收集[2]。结果过敏原筛查结果阳性有55例。婴幼儿阳性13例(34.38％)；儿童过敏原阳性42例(65.63％)。吸人性变应原单项检测结果排列顺序为尘螨、花草花粉、蟑螂和蚊子、动物皮毛、霉菌等，而食物变应原排列顺序为鸡蛋、牛奶、猪肉、牛肉、羊肉、蟹、虾、花生和大豆等。婴幼儿组检查出吸入性过敏原明显低于儿童组，婴幼儿组检查出食物性过敏原明显高于儿童组，具有一定的差异性（均P＜0.05）。儿童过敏原为吸人性以及混合性，而婴幼儿过敏原为食物和混合性；肺功能检查情况为正常29例(30.21%)，异常67例(69.79%)。CVA婴幼儿组肺功能检查异常大于儿童组，差异具有统计学意义(P<O.05)。结论临床上采用过敏原筛查和肺功能检查方法是诊断CVA的主要方法，对于早期明确病因和了解气道炎症变化和阻塞情况有一定的作用，为早期诊断和规范化治疗提供理论依据，防止其发展为支气管哮喘，值得临床进一步推广。
目的：研究分析不同年齡咳嗽變異性哮喘患兒過敏原篩查及肺功能現狀[1]。方法從2013年4月到2014年1月，選取我院的96例不同年齡咳嗽變異性哮喘患兒進行迴顧性分析，將其分為兩組，3歲以下嬰幼兒組52例患兒，3歲以上兒童組44例患兒，對兩組作過敏原篩查和肺功能檢測的病例進行分析收集[2]。結果過敏原篩查結果暘性有55例。嬰幼兒暘性13例(34.38％)；兒童過敏原暘性42例(65.63％)。吸人性變應原單項檢測結果排列順序為塵螨、花草花粉、蟑螂和蚊子、動物皮毛、黴菌等，而食物變應原排列順序為鷄蛋、牛奶、豬肉、牛肉、羊肉、蟹、蝦、花生和大豆等。嬰幼兒組檢查齣吸入性過敏原明顯低于兒童組，嬰幼兒組檢查齣食物性過敏原明顯高于兒童組，具有一定的差異性（均P＜0.05）。兒童過敏原為吸人性以及混閤性，而嬰幼兒過敏原為食物和混閤性；肺功能檢查情況為正常29例(30.21%)，異常67例(69.79%)。CVA嬰幼兒組肺功能檢查異常大于兒童組，差異具有統計學意義(P<O.05)。結論臨床上採用過敏原篩查和肺功能檢查方法是診斷CVA的主要方法，對于早期明確病因和瞭解氣道炎癥變化和阻塞情況有一定的作用，為早期診斷和規範化治療提供理論依據，防止其髮展為支氣管哮喘，值得臨床進一步推廣。
목적：연구분석불동년령해수변이성효천환인과민원사사급폐공능현상[1]。방법종2013년4월도2014년1월，선취아원적96례불동년령해수변이성효천환인진행회고성분석，장기분위량조，3세이하영유인조52례환인，3세이상인동조44례환인，대량조작과민원사사화폐공능검측적병례진행분석수집[2]。결과과민원사사결과양성유55례。영유인양성13례(34.38％)；인동과민원양성42례(65.63％)。흡인성변응원단항검측결과배렬순서위진만、화초화분、장랑화문자、동물피모、매균등，이식물변응원배렬순서위계단、우내、저육、우육、양육、해、하、화생화대두등。영유인조검사출흡입성과민원명현저우인동조，영유인조검사출식물성과민원명현고우인동조，구유일정적차이성（균P＜0.05）。인동과민원위흡인성이급혼합성，이영유인과민원위식물화혼합성；폐공능검사정황위정상29례(30.21%)，이상67례(69.79%)。CVA영유인조폐공능검사이상대우인동조，차이구유통계학의의(P<O.05)。결론림상상채용과민원사사화폐공능검사방법시진단CVA적주요방법，대우조기명학병인화료해기도염증변화화조새정황유일정적작용，위조기진단화규범화치료제공이론의거，방지기발전위지기관효천，치득림상진일보추엄。
Objective to study allergen screening of cough variant asthma children at different ages and their pulmonary function status[1]. Methods choose 96 cases cough variant asthma children at different ages received in our hospital from April 2013 to April 2014,by review analysis divide them into two groups, 52 cases under 3 years were included in infant group, 44 cases over 3 years were included in children group. Carry on analysis and collection of cases in two groups with allergen screening and pulmonary function test. Results 55 cases were positive by allergen screening, 13 case were positive in infant group(34.38%);42 cases were allergen positive in children group(65.63%).test of only inhalant allergen shows order of dust mites, pollen, cockroaches and mosquitoes, animal fur, mold and others, and food allergen has sequence of egg, milk, pork, beef, mutton, crab, shrimp, peanuts and soybeans and etc. Inhalant allergen of infant group is significantly lower than children group, and food allergen significantly higher than children group with certin difference(all P<0.05). Children’s allergen is inhalant and compound, and Infant’s allergen is food and compound. 29 cases showed normal pulmonary function status by test(30.21%), 67 cases abnormal(69.79%). And abnormal status of pulmonary function test in CVA infant group is more serious than children’s group, and difference shows statistics difference(P<0.05). Conclusion allergen screening and pulmonary function test clinically is the main method to diagnose CVA, and has some certain functions for early diagnosis and understanding of airway inlfammation and obstruction status, and provide theoretical evidence for early diagnosis and standardized treatment and prevent development for bronchial asthma, which is worthy of being further spreaded clinically.
