山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (4): 101-104.doi: 10.6040/j.issn.1673-3770.0.2020.243

• 论著 • 上一篇    下一篇

儿童鼻腔异物与过敏性鼻炎关系的初步研究

林兴,沈翎,林宗通,杨中婕   

  1. 林兴, 沈翎, 林宗通, 杨中婕福建省福州儿童医院/福建医科大学附属福州儿童医院 耳鼻咽喉科, 福建 福州 350005
  • 收稿日期:2020-05-27 出版日期:2020-07-20 发布日期:2020-08-28

Relationship between nasal foreign body and allergic rhinitis in children: a preliminary studyLIN Xing, SHEN Ling, LIN Zongtong, YANG Zhongjie Department of Otorhinolaryngology, Fuzhou Children's Hospital of Fujian Province/Fuzhou Children's Hospital of Fujian Medical University, Fuzhou 350005, Fujian, ChinaAbstract: Objective〓

To investigate the relationship between nasal foreign bodies and allergic rhinitis in children. MethodsThis single-center study retrospectively evaluated the clinical data, treatment methods used, and complications reported for 161 pediatric patients with nasal foreign bodies who were treated between January 2017 and June 2018. ResultsA total of 161 patients were reviewed(91 boys and 70 girls). Among them, the age of high hair was 3-5 years old, and accounted for 81.4% of all the patients. Of these, 137(85.1%)children had nasal itching, rubbing nose, nose-picking, sneezing, epistaxis, nasal congestion, nasal hemorrhage, and other symptoms; 112 cases(69.6%)tested positive for sIgE(specific Immunoglobulin E)and were diagnosed with allergic rhinitis. The prevalence of allergic rhinitis in children with nasal foreign bodies was 69.6%, significantly higher than that reported for the general population(7.83%-20.42%; P<0.001). ConclusionIn children, nasal foreign bodies are closely associated with allergic rhinitis. Children with nasal foreign bodies should be particularly monitored for the development of allergic rhinitis. When allergic rhinitis is suspected, it should be promptly diagnosed and optimal treatment should be administered.   

  1. Key words: Nasal foreign bodies;
    SIgE;
    Allergic rhinitis;
    Children儿童鼻腔异物是耳鼻咽喉科门急诊中的常见病之一, 多因儿童玩耍时自己将豆类、玩具等塞入鼻腔又难以自行取出或事后忘记造成的［1］。既往多认为此类患儿因好奇心所致［2］。然而, 在诊疗中大部分鼻腔异物患儿伴有鼻痒、鼻不适感等鼻部症状, 推测鼻腔异物患儿可能将异物塞入鼻腔以缓解鼻部不适。而鼻腔异物与过敏性鼻炎的关系目前国内外均无相关研究, 为探讨儿童鼻腔异物与过敏性鼻炎的关系, 我们收集并分析了2017年1月~2018年6月在我科诊治、资料完整的鼻腔异物161例患儿的临床资料, 现总结报道如下。
  • Received:2020-05-27 Online:2020-07-20 Published:2020-08-28

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摘要： 目的 探讨儿童鼻腔异物与过敏性鼻炎的关系。 方法 选择资料完整的161例鼻腔异物患儿的临床资料进行回顾性分析。 结果 161例鼻腔异物患儿中,3~5岁为高发人群,占81.4%。137例(85.1%)患儿平时有鼻痒、打喷嚏、流清涕等鼻部症状,其中112例(69.6%)特异性IgE检测阳性,并确诊为过敏性鼻炎。鼻腔异物患儿中过敏性鼻炎的患病率为69.6%,明显高于普通人群的7.83%和20.42%,差异有统计学意义(P<0.001)。 结论 鼻腔异物与过敏性鼻炎关系密切。对鼻腔异物的患儿,应关注是否有过敏性鼻炎,并予以规范化诊疗。

关键词: 鼻腔异物, 特异性IgE, 过敏性鼻炎, 儿童

Abstract: Objective To investigate the relationship between nasal foreign bodies and allergic rhinitis in children. Methods This single-center study retrospectively evaluated the clinical data, treatment methods used, and complications reported for 161 pediatric patients with nasal foreign bodies who were treated between January 2017 and June 2018. Results A total of 161 patients were reviewed(91 boys and 70 girls). Among them, the age of high hair was 3-5 years old, and accounted for 81.4% of all the patients. Of these, 137(85.1%)children had nasal itching, rubbing nose, nose-picking, sneezing, epistaxis, nasal congestion, nasal hemorrhage, and other symptoms; 112 cases(69.6%)tested positive for sIgE(specific Immunoglobulin E)and were diagnosed with allergic rhinitis. The prevalence of allergic rhinitis in children with nasal foreign bodies was 69.6%, significantly higher than that reported for the general population(7.83%-20.42%; P<0.001). Conclusion In children, nasal foreign bodies are closely associated with allergic rhinitis. Children with nasal foreign bodies should be particularly monitored for the development of allergic rhinitis. When allergic rhinitis is suspected, it should be promptly diagnosed and optimal treatment should be administered.

Key words: Nasal foreign bodies, SIgE, Allergic rhinitis, Children

中图分类号: 

  • R765.2
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