局部变应性鼻炎疾病特征初步分析  

Characteristics of local allergic rhinitis

作　　者：胡晓清[1] 舒畅[1] 陈建超[1] 孙常领[1] 单培[1] 

机构地区：[1]苏州大学附属第四医院耳鼻咽喉头颈外科,江苏无锡214062

出　　处：《中国耳鼻咽喉头颈外科》2013年第2期57-60,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的了解局部变应性鼻炎(local allergicrhinitis,LAR)与非变应性鼻炎(nonallergic rhinitis,NAR)的比例关系,初步分析LAR的疾病特征。方法回访并筛选NAR患者行鼻腔变应原激发试验(nasalallergen provocation testing,NAPT),对结果行描述性分析及差异比较。结果 109例NAR患者中,NAPT阳性者58例,阳性率为53.2%;其中男性43.6%(24/55),女性63.0%(34/54),阳性率差异有统计学意义(χ2=4.088,P<0.05);年龄组间阳性率差异有统计学意义(χ2=13.693,P<0.01),19～59岁年龄组最高;4年间阳性率差异无统计学意义(χ2=0.432,P>0.05),未见逐年增高趋势;季节间阳性率差异有统计学意义(χ2=0.830,P<0.05),春季最高,秋季最低。结论LAR在NAR中占有较大的比例,其阳性检出率在性别、年龄、季节分布等方面存在差异。OBJECTIVE To find out the proportion relationships between local allergic rhinitis （LAR） and nonallergic rhinitis （NAR） and summarize the characteristics of LAR. METHODS Patients with NAR were collected to undergo nasal allergen provocation testing （NAPT） . Descriptive analysis and difference comparison were used to analyze the results. RESULTS Among the 109 NAR patients, 58 patients got a positive result of NAPT, and the positive rate was 53.2%. The positive rate was 43.6% （24/55） for male and 63.3% （34/54） for female. There were significant differences with gender （X^2=4.088, P〈0.05） and different age groups （X^2=13.693, P〈0.01） . The highest positive rate was in the 19 to 59 years old group. There was a little significant difference among 4 years （X^2=0.432, P〉0.05） , with no sign of increasing by year. There was a significant difference with seasons （Z2=0.830, P〈0.05） , the highest rate was in spring and the lowest in autumn. CONCLUSION There are a large number of LAR patients among NAR patients, and there are significant different positive rate in gender, age, season, and so on.

关 键 词：鼻炎 变应性 季节性 诊断 局部变应性鼻炎 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]