哮喘 , 过敏原 , 儿童," /> 哮喘 , 过敏原 , 儿童,"/> Asthma , Allergens , Children,"/> <span style="line-height:2;font-size:14px;">哮喘患儿吸入性过敏原检测及其</span><span style="line-height:2;font-size:14px;">临床特征分析</span>
Please wait a minute...
欢迎访问发育医学电子杂志,今天是
发育医学电子杂志  2014, Vol. 2 Issue (3): 155-160    
  生长发育   论著 |
哮喘患儿吸入性过敏原检测及其临床特征分析
成胜权 强欢 罗建峰 丁翠玲 丁亚楠
西安第四军医大学西京医院 儿科,西安 710032
The detection of inhalant allergens for children with asthma and the analysis of clinical features
CHENG Sheng-quan,QIANG Huan, LUO Jian-feng, et al
Department of Pediatrics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China
下载:  PDF (1113KB) 
输出:  BibTeX | EndNote (RIS)      
摘要 【摘要】 目的  探讨哮喘患儿吸入性过敏原种类、过敏原分布特点, 以及与患儿年龄、性别的关系,为哮喘儿童的临床诊治及预防提供理论依据。方法 采用丹麦ALK-ABELL 公司提供的13 种 标准化变应原皮肤点刺液,对2008 年7 月至2013 年7 月在儿科门诊就诊的653 例(男455 例,女198 例)哮喘患儿进行吸入性过敏原皮肤点刺试验(skin prick test,SPT);按照年龄< 4 岁、4 ~ 7岁、~ 14 岁分3 组,比较不同年龄组及性别哮喘患儿SPT 阳性率、过敏原种类变化。结果 ( 1)653 例SPT 的总阳性率为62.6%。常见吸入性过敏原依次为粉尘螨266 例(40.7%)、屋尘螨265 例(40.6%)、热带螨162 例(24.8%)、猫毛发皮屑91 例(13.9%)、艾蒿89 例(13.6%)等。(2)男性SPT 阳性299 例,阳性率65.7% ;女性SPT 阳性110 例,阳性率55.5%,男性较女性SPT 阳性率高(P<0.05)。男性过敏原前5 位依次为屋尘螨、粉尘螨、热带螨、艾蒿、狗毛发皮屑,女性前5 位依次
为粉尘螨、屋尘螨、热带螨、艾蒿、猫毛发皮屑。(3)< 4 岁组女性SPT 阳性率较男性高(P<0.05),4 ~ 7 岁组、~ 14 岁组男性SPT 阳性率较女性高(P<0.05)。(4) 3 种及3 种以上吸入性过敏原SPT,男性阳性率62.6%,女性阳性率50.9%,性别比较差异有显著性(P<0.05)。结论 哮喘患儿吸入性过敏原在常见种类上存在性别及年龄差异,表现为屋尘螨、粉尘螨、热带螨、艾蒿均为男女患儿前4 位常见过敏原,第5 位过敏原男女患儿分别为狗毛发皮屑和猫毛发皮屑;< 4 岁组女性哮喘患儿SPT 阳性率较男性高,4 ~ 7 岁组、~ 14 岁组男性SPT 阳性率较女性高;男性较女性患儿更容易同时存在3 种及3 种以上过敏原阳性。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词:  哮喘 ')" href="#">哮喘   过敏原   儿童    
Abstract: 【Abstract】 Objective This study is aimed to investigate the type and distribution features of allergens inhaled by asthma children as well as their relationship with the age and gender of patients, to provide theoretical basis for the clinical diagnosis, treatment, and prevention of asthma in children. Method 13 types of standardized allergen skin prick liquid, provided by the Danish ALK-ABELL company, were used for inhaled allergen skin prick test (SPT) in 653 cases of children with asthma, treated in the pediatric clinic from July 2008 to July 2013. The patients were divided into three groups by age, <4 years old, 4-7 years old, and 7 -14years old. The SPT-positive rate and changes of allergens species were compared among these three groups
of patients. Result (1)Of the 653 patients,409(62.6%)cases were SPT-positive. The most prevalent inhalant allergens were: Dermatophagns farina in 266 cases(40.7%) , Dermatophagoides pteronyss inus in 265 cases (40.6%), tropical mite in 162 cases (24.8%), cat dander in 91 cases (13.9%), mugwort in 89 cases (13.6%);(2)The SPT-positive rate in males(299 in 455 cases; 65.7%) was greater than that in females (110 in 198 cases; 55.6%; P<0.05)The top 5 allergens were different between males and females. For males, they are house dust mites, dust mites, tropical mites, mugwort, and dog hair allergens, respectively. And for females, the top five allergens were dust mites, house dust mites, tropical mites, mugwort,
and cat hair, respectively. (3)For <4 years old patients, the female's SPT-positive rate was higher thanmale's whereas male's SPT-positive rate was higher than females in groups of 4-7 years old and 7-14 years old.(4) SPT-positive male children is easier than SPT-positive female children with asthma to inhale three or more kinds of allergens(62.6% in male vs. 50.9% in female; P<0.05). Conclusion There are differences of gender and age in common inhalant allergens for children with asthma The top four common allergens were Dermatophagns farinae, Dermatophagoides pteronyss inus, tropical mites, and mugwort for
both Female and male children, but the fifth common allergens were dog dander and cat dander for male and female, respectively. In <4-year-old group, the SPT-positive rate of male children with asthma is higher than female children while the SPT-positive rate of female children is higher than males in 4-7 years old groupand 7- 14-years old group. Male children with asthma were more likely to inhale three or more allergens.
Key words:  Asthma ')" href="#">Asthma    Allergens    Children
收稿日期:  2014-06-09                出版日期:  2014-07-30      发布日期:  2019-09-05      期的出版日期:  2014-07-30
引用本文:    
成胜权 强欢 罗建峰 丁翠玲 丁亚楠. 哮喘患儿吸入性过敏原检测及其临床特征分析[J]. 发育医学电子杂志, 2014, 2(3): 155-160.
CHENG Sheng-quan, QIANG Huan, LUO Jian-feng, et al. The detection of inhalant allergens for children with asthma and the analysis of clinical features. Journal of Developmental Medicine(Electronic Version), 2014, 2(3): 155-160.
链接本文:  
http://www.fyyxzz.com/CN/  或          http://www.fyyxzz.com/CN/Y2014/V2/I3/155
[1] 罗红凤 邝彩云 刘喜红. 住院患儿营养风险筛查工具研究进展[J]. 发育医学电子杂志, 2020, 8(1): 86-91.
[2] 阿尔新·哈布丁 阿布都赛米·阿布都热衣木 颜景灏 李凯 李水学 和军. 经脐单部位腹腔镜在儿童梅克尔憩室诊断及治疗中的应用[J]. 发育医学电子杂志, 2019, 7(1): 47-50.
[3] 容丽萍 姜梦婕 莫樱 陈丽植 许园园 阮静维 蒋小云. Katafuchi半定量评分系统和IgA肾病牛津病理分型在儿童IgA肾病的临床应用[J]. 发育医学电子杂志, 2015, 3(3): 145-151.
[4] 高春林 高远赋 夏正坤 等. X连锁的缺失突变致Alport综合征的家系研究[J]. 发育医学电子杂志, 2015, 3(3): 139-144.
[5] 邓丽群. 41例小儿热性惊厥的免疫功能研究[J]. 发育医学电子杂志, 2014, 2(3): 166-167.
[6] 汪萍 简芳芳 王晨  王炎佳 寇倩. 经颅微电流刺激仪治疗儿童多发性抽动障碍的研究[J]. 发育医学电子杂志, 2013, 1(4): 193-196.
[1] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 0, (): 152 .
[2] Society of Neonatologist, Chinese Medical Doctor Association. Consensus recommendations on the prevention and early management of respiratory distress syndrome in preterm infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 129 -131 .
[3] Professional Committee of Respiratory, Society of Neonatologist, Chinese Medical Doctor Association. Clinical application recommendations for heated humidified high flow nasal cannula[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 132 -135 .
[4] YAN Jun, ZHU Xing-wang, SHI Yuan. Application progress of noninvasive ventilate technique for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 136 -140 .
[5] GU Min-fang, YANG Chuan-zhong. Progress of intrapartum resuscitation for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 141 -145 .
[6] LIU Shu-hua, SHEN Yue-bo, LIU Cui-qing, MA Li. The efficacy of pulmonary surfactant for pulmonary function in premature tension pneumothorax[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 146 -151 .
[7] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 152 -158 .
[8] XIA Yao-fang, YANG Juan , TIAN Bao-li, et al. Value of amplitude-integrated electroencephalography in monitoring acute period of neonatal bilirubin encephalopathy and prognostic assessment[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 159 -163 .
[9] WANG Li-rong, SUN Xiao-yan, ZHU Ruo-xin, et al. Epidemiological investigation and analysis of women aged 40-55 years old with osteoporosis in Gansu province[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 164 -167 .
[10] CHEN Ru-yue, SHEN Yun-yan, CHEN Qing , et al. Five cases about Henoch-Schönlein purpura complicated with central nervous system injury in children and literatures review[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 168 -171 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed