山东大学耳鼻喉眼学报 ›› 2024, Vol. 38 ›› Issue (4): 36-42.doi: 10.6040/j.issn.1673-3770.0.2023.393

• 论著 • 上一篇    

过敏性鼻炎与儿童新冠病毒肺炎感染及症状的关联性研究

张杰1,2,陈敏1,申征征2,吴宇华2,刘原虎1,孙浩2,谭新华2,倪树仁2,杨书勋2,史雪峥2,倪鑫1   

  1. 1.国家儿童医学中心/首都医科大学附属北京儿童医院 耳鼻咽喉头颈外科, 北京 100045;
    2.北京儿童医院顺义妇儿医院 耳鼻咽喉头颈外科, 北京 101300
  • 发布日期:2024-07-09
  • 通讯作者: 倪鑫. E-mail:nixin@bch.com.cn

Study on the correlation between allergic rhinitis and coronavirus disease-2019 infection and symptoms in children

ZHANG Jie1,2, CHEN Min1, SHEN Zhengzheng2, WU Yuhua2, LIU Yuanhu1, SUN Hao2, TAN Xinhua2, NI Shuren2, YANG Shuxun2, SHI Xuezheng2, NI Xin1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Shunyi Women's & Children's Hospital of Beijing Children's Hospital, Beijing 101300, China
  • Published:2024-07-09

摘要: 目的 探究过敏性鼻炎对儿童新冠病毒肺炎(corona virus disease 2019, COVID-19)感染的影响。 方法 回顾性分析205例门诊患儿,使用问卷表收集一般情况、过敏性鼻炎、COVID-19感染的临床资料。用视觉模拟评分法对COVID-19感染后各部位症状进行评分。通过比较COVID-19感染组与非感染组在性别、年龄、过敏性鼻炎方面的差异,通过线性回归分析感染组中症状轻重的影响因素。 结果 COVID-19感染与年龄、性别、过敏性鼻炎等因素无关。152例COVID-19感染患儿中,年龄与全身症状、咽喉部症状评分呈正相关。非过敏性患儿与过敏性鼻炎患儿COVID-19感染的症状得分没有统计学差异。 结论 过敏性鼻炎对儿童人群COVID-19感染和症状轻重的影响很小,且对感染后的病程长短几乎没有影响。儿童COVID-19患者在全身症状、咽喉部症状的程度与年龄呈正相关。

关键词: 儿童COVID-19, 过敏性鼻炎, 影响因素, 年龄, 血管紧张素转化酶2

Abstract: Objective This study examined the potential impact of allergic rhinitis on children's susceptibility to and experience of coronavirus disease-2019(COVID-19)infection. Methods A retrospective analysis was conducted on 205 outpatients. Clinical data were collected through a questionnaire that assessed general information, presence of allergic rhinitis, and COVID-19 infection status. A visual analog scale was used to score the severity of COVID-19 symptoms across body areas. Chi-square and non-parametric tests were used to compare the differences in age, sex, and allergic rhinitis prevalence between the COVID-19 infection and non-infection groups. Linear regression analysis explored factors influencing symptom severity in the infection group. Results No significant association was found between COVID-19 infection and age, sex, allergic rhinitis, or other factors. Among the 152 children infected with COVID-19, age showed a positive correlation between symptom scores between children with and without allergic rhinitis. Conclusion In children, allergic rhinitis appears to have minimal impact on COVID-19 infection susceptibility, symptoms severity, or disease duration. While age demonstrated a positive correlation to the severity of throat symptoms in children with COVID-19, allergic rhinitis status was not a significant factor.

Key words: Pediatric COVID-19, Allergic rhinitis, Influencing factors, Age, Angiotensin converting enzyme 2

中图分类号: 

  • R765.21
[1] Jackson WM, Price JC, Eisler L, et al. COVID-19 in pediatric patients: a systematic review[J]. J Neurosurg Anesthesiol, 2022, 34(1): 141-147. doi:10.1097/ANA.0000000000000803
[2] 朱洁云, 庞杰龙, 钟枝梅, 等. 儿童COVID-19临床特征的Meta分析[J]. 检验医学与临床, 2021, 18(3): 312-317. doi:10.3969/j.issn.1672-9455.2021.03.007 ZHU Jieyun, PANG Jielong, ZHONG Zhimei, et al. Clinical features of children with COVID-19: a Meta-analysis[J]. Laboratory Medicine and Clinic, 2021, 18(3): 312-317. doi:10.3969/j.issn.1672-9455.2021.03.007
[3] Jackson WM, Price JC, Eisler L, et al. COVID-19 in pediatric patients: a systematic review[J]. J Neurosurg Anesthesiol, 2022, 34(1): 141-147. doi:10.1097/ANA.0000000000000803
[4] 鹿伟理, 姜涛, 李宪华. 多重致敏儿童变应性鼻炎患者sIgE特征分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(3): 260-265. doi:10.6040/j.issn.1673-3770.0.2021.438 LU Weili, JIANG Tao, LI Xianhua. Analysis of sIgE in polysensitized children with allergic rhinitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 260-265. doi:10.6040/j.issn.1673-3770.0.2021.438
[5] Ren JJ, Pang WD, Luo YX, et al. Impact of allergic rhinitis and asthma on COVID-19 infection, hospitalization, and mortality[J]. J Allergy Clin Immunol Pract, 2022, 10(1): 124-133. doi:10.1016/j.jaip.2021.10.049
[6] Marin C, Hummel T, Liu Z, et al. Chronic rhinosinusitis and COVID-19[J]. J Allergy Clin Immunol Pract, 2022, 10(6): 1423-1432. doi:10.1016/j.jaip.2022.03.003
[7] Du H, Dong X, Zhang JJ, et al. Clinical characteristics of 182 pediatric COVID-19 patients with different severities and allergic status[J]. Allergy, 2021, 76(2): 510-532. doi:10.1111/all.14452
[8] 国务院联防联控机制综合组.新型冠状病毒感染诊疗方案(试行第十版)[R/OL].https://www. gov. cn/zhengce/zhengceku/2023-01/06/content 5735343.htm
[9] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 中国变应性鼻炎诊断和治疗指南(2022年,修订版)[J]. 中华耳鼻咽喉头颈外科杂志, 2022, 57(2): 106-129. doi:10.3760/cma.j.cn115330-20211228-00828 Subspecialty group of rhinology, editorial board of chinese journal of otorhinolaryngology head and neck surgery, subspecialty group of rhinology, society of otorhinolaryngology head and neck surgery chinese medical association. Chinese guideline for diagnosis and treatment of allergic rhinitis(2022, revision)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2022, 57(2): 106-129. doi:10.3760/cma.j.cn115330-20211228-00828
[10] Verma S, Lumba R, Dapul HM, et al. Characteristics of hospitalized children with SARS-CoV-2 in the New York city metropolitan area[J]. Hosp Pediatr, 2021, 11(1): 71-78. doi:10.1542/hpeds.2020-001917
[11] LU G, Ling Y, Jiang MH, et al. Primary assessment of the diversity of Omicron sublineages and the epidemiologic features of autumn/winter 2022 COVID-19 wave in Chinese mainland[J]. Frontiers of Medicine, 2023. doi: 10.1007/s11684-022-0981-7
[12] Wang L, Berger NA, Kaelber DC, et al. Comparison of outcomes from COVID infection in pediatric and adult patients before and after the emergence of Omicron[J]. medRxiv, 2022: 2021.12.30.21268495. doi:10.1101/2021.12.30.21268495
[13] Henderson LA, Canna SW, Friedman KG, et al. American college of rheumatology clinical guidance for multisystem inflammatory syndrome in children associated with SARS-CoV-2 and hyperinflammation in pediatric COVID-19: version 3[J]. Arthritis Rheumatol, 2022, 74(4): e1-e20. doi:10.1002/art.42062
[14] World Health Organization. Update on Omicron[EB/OL].(2021-11-28). https: //www.who.int/news/item/28-11-2021- update-on-omicron
[15] 金婧, 冷辉. SARS-CoV-2感染后嗅觉功能障碍治疗的研究进展[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 162-174. doi:10.6040/j.issn.1673-3770.0.2022.306 JIN Jing, LENG Hui. Progress in treatment of olfactory dysfunction following SARS-Cov-2[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 162-174. doi:10.6040/j.issn.1673-3770.0.2022.306
[16] Whittaker E, et al. Clinical characteristics of 58 children with a pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2[J]. JAMA, 2020;324(3):259-269. doi:10.1001/jama.2020.10369
[17] Li Ka Shing Faculty of Medicine, The University of Hong Kong. HKUMed finds Omicron SARS-CoV-2 can infect faster and better than Delta in human bronchus but with less severe infection in lung[EB/OL]
[18] 张国卿, 武华红, 沙莉. 过敏性疾病儿童感染新型冠状病毒Omicron变异株的临床特征分析[J]. 中华预防医学杂志, 2023, 57(9): 1373-1379. doi:10.3760/cma.j.cn112150-20230419-00307 ZHANG Guoqing, WU Huahong, SHA Li. Clinical characteristics of COVID-19 Omicron variant infection in children with allergic diseases[J]. Chinese Journal of Preventive Medicine, 2023, 57(9): 1373-1379. doi:10.3760/cma.j.cn112150-20230419-00307
[19] Morrison CB, Edwards CE, Shaffer KM, et al. SARS-CoV-2 infection of airway cells causes intense viral and cell shedding, two spreading mechanisms affected by IL-13[J]. Proc Natl Acad Sci U S A, 2022, 119(16): 2119680119. doi:10.1073/pnas.2119680119
[20] Kimura H, Francisco D, Conway M, et al. Type 2 inflammation modulates ACE2 and TMPRSS2 in airway epithelial cells[J]. J Allergy Clin Immunol, 2020, 146(1): 80-88. doi:10.1016/j.jaci.2020.05.004
[21] Wakabayashi M, Pawankar R, Narazaki H, et al. Coronavirus disease 2019 and asthma, allergic rhinitis: molecular mechanisms and host-environmental interactions[J]. Curr Opin Allergy Clin Immunol, 2021, 21(1): 1-7. doi:10.1097/ACI.0000000000000699
[22] Patel AB, Verma A. Nasal ACE2 levels and COVID-19 in children[J]. JAMA, 2020, 323(23): 2386-2387. doi:10.1001/jama.2020.8946
[23] Bunyavanich S, Do A, Vicencio A. Nasal gene expression of angiotensin-converting enzyme 2 in children and adults[J]. JAMA, 2020, 323(23): 2427-2429. doi:10.1001/jama.2020.8707
[24] Simon AK, Hollander GA, McMichael A. Evolution of the immune system in humans from infancy to old age[J]. Proc Biol Sci, 2015, 282(1821): 20143085. doi:10.1098/rspb.2014.3085
[25] Yonker LM, Neilan AM, Bartsch Y, et al. Pediatric severe acute respiratory syndrome coronavirus 2(SARS-CoV-2): clinical presentation, infectivity, and immune responses[J]. J Pediatr, 2020, 227: 45-52.e5. doi:10.1016/j.jpeds.2020.08.037
[26] Bunyavanich S, Do A, Vicencio A. Nasal gene expression of angiotensin-converting enzyme 2 in children and adults[J]. JAMA, 2020, 323(23): 2427-2429. doi:10.1001/jama.2020.8707
[27] Ludvigsson JF. Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults[J]. Acta Paediatr, 2020, 109(6): 1088-1095. doi:10.1111/apa.15270
[28] Tsabouri S, Makis A, Kosmeri C, et al. Risk factors for severity in children with coronavirus disease 2019: a comprehensive literature review[J]. Pediatr Clin North Am, 2021, 68(1): 321-338. doi:10.1016/j.pcl.2020.07.014
[29] Zhang JJ, Dong X, Liu GH, et al. Risk and protective factors for COVID-19 morbidity, severity, and mortality[J]. Clin Rev Allergy Immunol, 2023, 64(1): 90-107. doi:10.1007/s12016-022-08921-5
[30] Götzinger F, Santiago-García B, Noguera-Julián A, et al. COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study[J]. Lancet Child Adolesc Health, 2020, 4(9): 653-661. doi:10.1016/S2352-4642(20)30177-2
[31] DeBiasi RL, Song XY, Delaney M, et al. Severe coronavirus disease-2019 in children and young adults in the Washington, DC, metropolitan region[J]. J Pediatr, 2020, 223: 199-203.e1. doi:10.1016/j.jpeds.2020.05.007
[32] Swann OV, Holden KA, Turtle L, et al. Clinical characteristics of children and young people admitted to hospital with covid-19 in United Kingdom: prospective multicentre observational cohort study[J]. BMJ, 2020, 370: m3249. doi:10.1136/bmj.m3249
[33] Kara AA, Böncüo glu E, Kıymet E, et al. Evaluation of predictors of severe-moderate COVID-19 infections at children: a review of 292 children[J]. J Med Virol, 2021, 93(12): 6634-6640. doi:10.1002/jmv.27237
[34] Graff K, Smith C, Silveira L, et al. Risk factors for severe COVID-19 in children[J]. Pediatr Infect Dis J, 2021, 40(4): e137-e145. doi:10.1097/INF.0000000000003043
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