社区及区县妇幼保健院过敏性疾病防治重庆共识  

Chongqing consensus on the prevention and treatment of allergic diseases in community and county maternal and child health centers

作　　者：黎军 李芳[2] 刘书楠 周维康 杨军 杨鑫怡 谭知遇 黄敏 黄浩然 张天燕 余进 胡兵 刘婷婷 舒群 黄陈 单葵 淦梦丽 王念蓉[2] 何春燕[2,21] 刘晓蓉 罗晓燕[13,21] 张萱 蔡涛[14,21] 王茜 宋志强[16,23] 王儒鹏 雷霞[18,23] 罗佳美 刘月阳[20,21] 曾丹 曾小丽 李双 周薇 田静 黄云霞 朱叶庆 LI Jun;LI Fang;LIU Shunan;ZHOU Weikang;YANG Jun;YANG Xinyi;TAN Zhiyu;HUANG Min;HUANG Haoran;ZHANG Tianyan;YU Jin;HU Bing;LIU Tingting;SHU Qun;HUANG Chen;SHAN Kui;GAN Mengli;WANG Nianrong;HE Chunyan;LIU Xiaorong;LUO Xiaoyan;ZHANG Xuan;CAITao;WANG Qian;SONG Zhiqiang;WANG Rupeng;LEI Xia;LUO Jiamei;LIU Yueyang;ZENG Dan;ZENG Xiaoli;LI Shuang;ZHOU Wei;TIAN Jing;HUANG Yunxia;ZHU Yeqing(Shapingba District Health Committee,Chongqing 400038,China;Chongqing Municipal Maternal and Child Health Care Hospital,Chongqing 400010,China;Chongqing Municipal People’s Hospital,Chongqing 400014,China;Shapingba District Maternal and Child Health Care Hospital,Chongqing 400030,China;Chongqing Guoke Mindun Outpatient Department,Chongqing 400050,China;Geleshan Community Health Service Center,Shapingba District,Chongqing 400036,China;Tuwan Community Health Service Center,Shapingba District,Chongqing 400030,China;Xiaolongkan Community Health Service Center,Shapingba District,Chongqing 400030,China;Chenjiaqiao Community Health Service Center,Shapingba District,Chongqing 401331,China;Daxigou Community Health Service Center,Yuzhong District,Chongqing 400015,China;Qixinggang Community Health Service Center,Yuzhong District,Chongqing 400013,China;Chongqing Traditional Chinese Medicine Hospital,Chongqing 400011,China;Children’s Hospital of Chongqing Medical University,Chongqing 400015,China;The First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China;The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;The First Affiliated Hospital of Army Medical University,Chongqing 400037,China;Second Affiliated to the Army Medical University Hospital,Chongqing 400037,China;Army Characteristic Medical Center,Chongqing 400042,China;Chongqing University Three Gorges Hospital,Chongqing 400030,China;Fuling Hospital Affiliated to Chongqing University,Chongqing 408000,China)

机构地区：[1]重庆市沙坪坝区卫生健康委员会,400038 [2]重庆市妇幼保健院,400010 [3]重庆市人民医院,400014 [4]重庆市沙坪坝区妇幼保健院,400030 [5]重庆国科敏盾门诊部,400050 [6]重庆市沙坪坝区歌乐山社区卫生服务中心,400036 [7]重庆市沙坪坝区土湾社区卫生服务中心,400030 [8]重庆市沙坪坝区小龙坎社区卫生服务中心,400030 [9]重庆市沙坪坝区陈家桥社区卫生服务中心,401331 [10]重庆市渝中区大溪沟社区卫生服务中心,400015 [11]重庆市渝中区七星岗社区卫生服务中心,400013 [12]重庆市中医院,400011 [13]重庆医科大学附属儿童医院,400015 [14]重庆医科大学附属第一医院,400042 [15]重庆医科大学附属第二医院,400010 [16]陆军军医大学第一附属医院,重庆400037 [17]陆军军医大学第二附属医院,重庆400037 [18]陆军特色医学中心,重庆400042 [19]重庆大学附属三峡医院,400030 [20]重庆大学附属涪陵医院,408000 [21]重庆市预防医学会过敏病预防与控制专委会 [22]重庆市预防医学会过敏病防治基层网点建设单位 [23]重庆市过敏性疾病防治技术创新战略联盟

出　　处：《重庆医学》2022年第24期4141-4148,4154,共9页Chongqing medicine

基　　金：重庆市卫生健康委员会过敏性疾病防治体系建设项目(2022-37)。

摘　　要：过敏性疾病是由于机体对外界有益或无害的物质(过敏原)免疫失耐受造成的免疫损伤性疾病。常见的过敏性疾病包括由食物过敏和吸入物(如尘螨等)过敏等引起的特应性皮炎、过敏性鼻炎、过敏性哮喘和严重过敏反应等。其发病机制极为复杂,主要包括遗传和环境因素两方面,过敏原暴露是过敏性疾病发生的始动因素,过敏症状的发生、发展及其严重程度均可能受机体暴露于过敏原的时间及剂量的影响。过敏性疾病可发生在机体各系统,覆盖全生命周期,从儿童至成人再到老人,可终身发病,严重者可致死。儿童是过敏性疾病最大的患病人群,儿童过敏从无至有,从轻至重,从少至多,从单一表现至多系统及全身表现,所以,对儿童过敏性疾病的防治是关键环节,既可防治过敏高风险状况发展为过敏性疾病,还可进一步阻断过敏进程。过敏性疾病是一种现代病,日本在过敏性疾病防治工作中以国家层面颁布了过敏性疾病对策基本法,包括规定社会各界的责任,使过敏性疾病管理和防治有法可依,国家重视,社会各界共同参与,以应对、预防过敏性疾病的发生及其严重化,值得学习和借鉴。中国一定会在不久的将来制定出适合国情的过敏性疾病防治相关法律法规,在此之前还有很多工作需要做,对儿童过敏性疾病的防治是其中十分重要的一步。为此组织了重庆市区卫生健康委员会及多个医疗系统及社区卫生服务中心等多学科专家共同讨论、撰写了“社区及区县妇幼保健院过敏性疾病防治重庆共识”,以期为社区及区县妇幼保健院长期综合管理过敏患儿提供帮助,为过敏患儿防治体系的建立提供依据。Allergic diseases are a group of immune damage diseases caused by the body’s immune intolerance to beneficial or harmless substances(allergens)in outside world.Common allergic diseases mainly include atopic dermatitis,allergic rhinitis,allergic asthma and severe allergic reactions caused by food allergy and inhalation(such as dust mites)allergy.Its pathogenesis is extremely complex,mainly including the two aspects of genetic and environmental factors.Allergen exposure is the initiating factor for the occurrence of allergic diseases.The occurrence,development and severity of allergic symptoms may be affected by the time and dose of body exposure to allergens.Allergic diseases can occur in all systems of the body,covering the whole life cycle.From children to adults to old age,they can become life-long diseases,and even cause death in serious cases.Children are the largest population suffering from allergic diseases.Allergies in children range from nothing to something,from light to severe,from less to more and from single manifestations to systemic and systemic manifestations.Therefore,the prevention and treatment of children’s allergic diseases is a key link,which can not only prevent high-risk allergic conditions from developing into allergic diseases,but also further block the allergic process.Allergic disease is a modern disease.In the prevention and treatment of allergic diseases in Japan,the basic law on countermeasures against allergic diseases has been issued at the national level,which includes the responsibility of all sectors of society,so that the management and prevention of allergic diseases can be based on laws.The state attaches importance to it,and all sectors of society participate in it,so as to cope with and prevent the occurrence and severity of allergic diseases.It is worth learning and using for reference.Our country will certainly formulate laws and regulations on the prevention and treatment of allergic diseases that are suitable for our national conditions in the near future.Before th

关 键 词：过敏性疾病防治 儿童过敏 社区及区县妇幼保健院过敏防治 食物过敏 环境因素 

分 类 号：R781.67[医药卫生—口腔医学]