前臂不同部位变应原皮肤点刺试验的差异性研究  

Study of allergen skin prick tests on different region of forearm

作　　者：陈建军[1] 章许晶[1] 王彦君[1] 张全明[1] 蒋亚林[1] 孔维佳[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第20期1122-1124,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金青年基金项目(No:30901659);科技部十一五支撑计划(No:2007BAI18B15)

摘　　要：目的:探讨前臂不同部位变应原皮肤点刺试验结果的差异性。方法:对临床上具有鼻部高反应性症状的41例患者,在左前臂远心端,右前臂近心、中间及远心端分别以屋尘螨点刺液及组胺进行点刺试验,计算风团直径大小及阳性级别,并进行统计学分析。结果:左右双臂相同水平位置皮肤点刺反应结果未见明显差异(P>0.05)。同侧前臂由近心端至远心端皮肤阳性反应程度逐渐减弱,差异具有统计学意义(P<0.05)。结论:前臂不同部位变应原点刺试验的风团直径大小具有一定差异,在进行实际操作及临床判断时应予以考虑。Objective：To investigate the variation on different regions of the forearm when taking the allergen skin prick tests（SPTs）. Method： Forty-one patients with hyper-reactive nasal symptoms were included. SPTs were done on the proximal, telecentric, middle region of right forearm and telecentric region of left forearm with houst dust mite and histamine. The average diameter of wheal and the reactive grade were calculated and analyzed. Result：The diameters of the wheal on equal position of two forearms were similar （P〉0.05）. The intension of SPTs reaction decreased from proximal to telectntric region of the same forearm（P〈0.05）. Conclusion： The intension of SPTs reaction on different region of forearm are quite different, which should be noticed in clinical practice.

关 键 词：鼻炎 变应性 变应原 点刺试验 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]