青岛地区豚草花粉症85例.pdfVIP

第21卷第6期 山 东 大 学 耳 鼻 喉 眼学 报 Vo1．21 No．6 2007年12月 J(yI1OI ARYNGOL OPHTHAL SHANDONG UNⅣ Dec．砌 文章编号：1673—3770(2(107)06—0537—03 青岛地区豚草花粉症85例 于斌 ，鹿道温 ，刘杰 (1．青岛市医疗保险管理中心；2．青岛市第五人民医院变态反应科； 3．青岛市市南区人民医院耳鼻咽喉科，山东 青岛266002) 摘要：目的 探讨青岛地区豚草花粉症的临床表现、变态反应特点及与新的变应性鼻炎分类方法的关 系和防治措施。方法 在就诊的花粉症患者中，通过豚草花粉变应原皮内试验、鼻黏膜激发试验、血清特异 性IgE测定等检测方法，按照“ARIA”关于变应性鼻炎新的分类标准进行了分类和阶梯式治疗及特异性免疫 治疗。结果 在502例花粉症患者中，85例为豚草花粉症，占16．93％，发病季节自8月下旬至1O月初。69例 并发过敏性眼结膜炎，占81．12％，18例合并哮喘，占21．21％，符合间歇性鼻炎者占63．53％，持续性鼻炎者占 36．cr7％。特异性免疫治疗有效率为84．62％。结论 豚草花粉已成为青岛地区花粉症的主要病因之一，必须采 取拨除豚草的有效预防措施。特异性免疫治疗是治疗花粉症和阻止其向哮喘方向发展的重要防治方法。 关键词：豚草；花粉症；变应原 中图分类号：R765．21 文献标志码：A Ragweed pollenosis in the Qingdao area：a report of 85 cases YU Bin ，LU Dao—wed，LIU Jies (1．Qingdao Center of Medical Insurance Management；2．Department of Allergy，Qingdao Fifth People S Hospital； 3．Department of Otolaryngology，Shinan District Hospital of Qingdao，Qingdao 266002，Shandong，China) Al~xaet：Objective To study the clinical manifestations，allergic characters and management of ragweed polleno— sis in the Qingdao area．Methods The intra-dermal test and intranasal provocation test witIl ragweed pollen allergen． and specific senlnl IgE determination were given to patients with pollenosis．Results 85 patients were proved as ragweed pollensis in 502 patients tIl pollenosis based on the ARIA standard．1hey received step—treatment and specific ilnllluno— therapy(SIT)．They were usually attacked from August to October in the pollen season，and 81．12％of them had com— plicated allergic conjunctivitis and 21．21％of them complicated bronchial asthma．In the 85patients．54 were defined as intermitted rhinitis and 31 as persistent rhinitis．The response rate of SIT Was 84．62％．Colaelusiom Ragweed pollen has beco