湖北宜昌地区变应性鼻炎患者吸入性变应原皮试结果分析  

Skin prick test ofinhalative allergens for patients with allergic rhinitis in Yichang

作　　者：张茏[1,2] 韩蓓[1,2] 张志茂[1,2] 刘爱荣[1,2] 刘国斌[1,2] 杜枝梅[1,2] 姚宜[1,2] 漆琦[1,2] 

机构地区：[1]三峡大学第一临床医学院,湖北宜昌443003 [2]宜昌市中心人民医院耳鼻咽喉一头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第2期98-101,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:通过对湖北宜昌地区变应性鼻炎患者进行常见吸入性变应原检测及结果分析,为宜昌地区合理防治变应性鼻炎提供临床参考。方法:对1979例疑似变应性鼻炎患者进行皮肤点刺试验,测定致敏变应原,并对结果进行统计学分析,比较吸入变应原阳性率分布在不同性别和年龄上的差异。结果:1 979例疑似变应性鼻炎患者中1 545例(78.1%)呈阳性反应,男性变应原阳性率明显高于女性,未成年组变应原阳性率高于成年组,1 545例阳性患者中吸入性变应原阳性率依次为粉尘螨1 242例(80.4%)、屋尘螨1 003例(64.9%)、蟑螂205例(13.3%)和蒿属花粉127例(8.2%)。结论:在宜昌地区,导致变应性鼻炎的吸入性变应原中,粉尘螨、屋尘螨占据绝对的主导地位,应作为宜昌地区的重点变应原开展防治工作,尤其重视未成年人变应性鼻炎的治疗。Objective：To investigate the allergens in patients with allergic rhinitis in Yichang, so that to find common allergens of Yiehang and to provide statistic basis for a reasonable prevention and treatment to allergic rhi- nitis. Method： 1 979 patients with allergic rhinitis in Yichang were detected for allergens by skin prick test and the distribution of positive rates to inhaled allergens was compared between different genders and ages. Result： 1 545 （78.1 ~/00 ）of 1979 suspected allergic rhinitis patients presented positive reaction. The positive rate in male was sig- nificantly higher than in female, and that in juvenile group was significantly higher than in adults. Among positive cases in inhalation group, the most common allergen was flour mite（80. 4%）, followed by house dust mite （64.9 % ）, cockroach（ 13.3 % ） and artemisia pollen （8.2 % ）. Conclusion ： The study shows that the flour mite and house dust mite are the most common inhaled allergens causing allergic rhinitis in Yichang. We should pay more attention to the prevention and treatment for the juvenile patients.

关 键 词：鼻炎 变应性 变应原 皮肤点刺试验 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]