无锡地区儿童食物过敏情况分析  

Analysis of children food allergy,Wuxi

作　　者：潘剑蓉[1] 李羚[1] PAN Jian-rong;LI Ling(Wuxi Children’s Hospital,Wuxi,Jiangsu 214023,China)

机构地区：[1]无锡市儿童医院,江苏无锡214023

出　　处：《现代预防医学》2020年第17期3121-3124,共4页Modern Preventive Medicine

基　　金：无锡市卫生妇幼保健项目无锡地区儿童过敏性疾病调查(编号FYKY201508)。

摘　　要：目的了解无锡市3~14岁儿童食物过敏的发生率及临床和实验室检查特点。方法采用抽样调查的方式,2016年1月至2017年12月在无锡市各区对3858名3~14岁儿童进行食物过敏问卷调查,获取食物过敏发生率及临床特征。比较分析无锡食物过敏患儿的病史、实验室检查诊断特点。结果无锡地区3~14岁儿童食物过敏自我报告率6.53%。调查在常见食物过敏原中自我报告率以鱼虾最高,其值是2.85%;而过敏原SIgE检测阳性率以牛奶及奶制品最高,其值是1.61%。在我们调查共发现常见过敏原食物自我报告和相应的SIgE值χ2检验比较差异均具有统计学意义(χ2值分别是牛奶和奶制品452.7767、鸡蛋701.1511、鱼虾331.9857、花生390.5119、坚果497.9674、小麦126.9695、豆类或豆制品152.7221、水果154.551、蔬菜191.5006,P均<0.05)。检测到食物SIgE阳性与自我报告相符率中最高的是水果和蔬菜,其值是50%。结论无锡地区儿童食物过敏自我报告率6.53%,本地区自我报告食物过敏物质以鱼虾多见,而食物过敏原SIgE以牛奶及奶制品多见。检测到的食物SIgE阳性与自我报告相符的以水果和蔬菜多见。Objective To investigate the incidence and clinical and laboratory characteristics of food allergy among children aged 3-14 years in Wuxi City.Methods A sample survey was conducted among 3858 children aged 3-14 years in various districts of Wuxi City from January 2016 to December 2017 to investigate the incidence and clinical characteristics of food allergy.Food allergy history and laboratory examination and diagnostic detection rates of these children were compared and analyzed.Results 3858 cases received valid questionnaires.According to our data,self-reported rate of food allergy among children aged 3-14 in Wuxi area was 6.53%.The self-report of common food allergens was highest in fish and shrimp(2.85%).The highest positive rate of SIgE was found in milk and dairy products(1.61%).The difference between the self-report of common allergen food and the corresponding SIgE value was statistically significant(χ2 value was milk and dairy 452.7767,egg 701.1511,fish and shrimp 331.9857,peanut 390.5119,nut 497.9674,wheat 126.9695,beans or soy products 152.7221,fruit 154.551,vegetable 191.5006 respectively,all P<0.05).The highest food self-report compliance rate of SIgE positive case was 50%,whose data concluded fruits and vegetables.Conclusion The self-report rate of children’s food allergy in Wuxi City is 6.53%.Fish and shrimp are the most common allergens,while milk and dairy products are the most common source of allergen SIgE.The laboratory detected food SIgE positive in line with the self-reported is found to be more common in fruits and vegetables.

关 键 词：儿童 食物过敏 过敏原SIgE 

分 类 号：R155.5[医药卫生—营养与食品卫生学]