山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (3): 25-26.doi: 10.6040/j.issn.1673-3770.0.2013.049

• 论著 • 上一篇    下一篇

济南地区变应性鼻炎常见变应原结果分析

贺祯,陈剑秋,朱春生,林家峰,叶犇,李跟红,赵秀娟,张田   

  1. 济南军区总医院耳鼻咽喉头颈外科, 济南 250031
  • 收稿日期:2013-02-22 发布日期:2013-06-16
  • 通讯作者: 朱春生,教授。 Email: showing100@163.com
  • 作者简介:贺祯。 Email: hezhen06090986@sina.com.cn

Allergens in patients with allergic rhinitis in Jinan area

HE Zhen, CHEN Jian-qiu, ZHU Chun-sheng, LIN Jia-feng, YE Ben, LI Gen-hong, ZHAO Xiu-juan, ZHANG Tian   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Jinan General Hospital of Jinan Military Command, Jinan 250031, China
  • Received:2013-02-22 Published:2013-06-16

摘要:

目的   了解济南地区变应性鼻炎的常见变应原。方法   回顾性分析济南地区1138例确诊为变应性鼻炎患者的皮肤点刺试验结果,并根据年龄分为2~18岁未成年人组,19~70岁成人组;根据不同性别分为男性组和女性组。比较各组在变应原的阳性分布率上的差异。结果   1138例变应性鼻炎患者中,有阳性反应843例(74.08%)。其中变应原阳性率由高到低依次为螨虫组合过敏745例(88.37%),蟑螂过敏363例(43.06%),花粉301例(35.71%),淡水鱼组合207例(24.56%),狗毛过敏139例(16.49%),猫毛过敏74例(8.78%),葎草过敏39例(4.63%),艾蒿过敏18例(2.14%),蛋清15例(1.78%),羊肉12例(1.42%),牛奶4例(0.47%),豆类3例(0.36%)。不同年龄组患者间蟑螂、狗毛的阳性率差异有统计学意义(P<0.01);不同性别间各种变应原的阳性率差异无统计学意义(P>0.05)。结论   济南地区过敏性鼻炎的变应原主要是螨虫,其次为蟑螂及花粉,羊肉、牛奶、豆类等的比例极低;随着年龄的变化,部分变应原的阳性率有所改变;变应原的分布与性别无关。

关键词: 变应原, 济南, 点刺试验, 变应性鼻炎

Abstract:

Objective   To explore the allergens of allergic rhinitis(AR) patients living in Jinan area. Methods   The medical records of skin prick tests (SPT) performed in 1138 AR patients were retrospectively analyzed. The samples were divided into two groups based on age or on gender: the 2-18-year old group and the 19-70-year old group, or the male group and the female group. Sensitizing allergens were assessed and the positive rates of aeroallergens were compared between the groups. Results   There were 843 patients (74.08%) with positive prick test result. The  aeroallergens was as follows: mite in 745 cases(88.37%), cockroach in 363 cases(43.06%), farina in 301 cases(35.71%), freshwater fish in 207 cases(24.56%), dog hair in 139 cases(16.49%), cat hair in 74 cases(8.78%), scandent hop in 39 cases(4.63%), Felon herb in 18 cases(2.14%), albumen in 15 cases(1.78%), mutton in 12 cases(1.42%), milk in 4 cases(0.43%) and beans in 3 cases(0.36%). There was significant difference of distribution of cockroach and dog hair between the age groups (P<0.01). There was no significant difference between male and female patients neither in distribution of aeroallergens nor in single allergen and multiple allergens(P>0.05).  Conclusion   The most common allergen in patients with allergic rhinitis in Jinan seems to be mite, and the second is cockroach and farina. Mutton, milk and been are rate allergen of allergic rhinitis patients in Jinan. With the age growing, part allergens positive rate are changed. The distribution of aeroallergens has no correlation with gender.

Key words: Allergic rhinitis, Skin prick test, Allergens, Jinan

中图分类号: 

  • R765.21
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