宜昌地区变应性鼻炎患者变应原检测结果分析 - 海南医学.pdf

Hainan Med J, Jan. 2015, Vol. 26, No. 2 doi:10.3969/j.issn.1003-6350.2015.02.0067 ·论 著· 宜昌地区变应性鼻炎患者变应原检测结果分析 向银洲，彭 平，许 军，贵 平，章松勤，鄢 冲，宁 娜 (三峡大学人民医院宜昌市第一人民医院耳鼻咽喉科，湖北 宜昌 443000) 【摘要】 目的 检测宜昌地区变应性鼻炎(Allergic rhinitis ，AR)患者的变应原，为临床诊断和治疗提供参 考。方法 2011 年3 月至2012 年3 月对635 例具有AR 症状的患者进行变应原皮肤点刺试验(Skin prick test ， SPT) ，分析宜昌地区AR 患者的变应原分布特点。结果 635 例AR 患者中490 例(77.17%) SPT 呈阳性，其中吸入 性变应原阳性397 例(62.52%) ，主要变应原为粉尘螨、户尘螨、梧桐、蒿草等；食入性变应原阳性93 例(14.65%) ，以 大豆、虾为主。结论 宜昌地区AR 患者的过敏原主要为粉尘螨、户尘螨、梧桐、蒿草等。 【关键词】 变应性鼻炎；常年性；季节性；皮肤试验；变应原 【中图分类号】R765.21 【文献标识码】A 【文章编号】 1003—6350（2015 ）02—0192—03 AllergenanalysisonpatientswithallergicrhinitisinYichang.XIANGYin-zhou,PENGPing,XUJun,GUIPing, ZHANGSong-qin,YANChong,NINGNa.DepartmentofOtorhinolaryngology,theThreeGorgesUniversityPeoples Hospital,theFirstPeoplesHospitalofYichang,Yichang443000,Hubei,CHINA 【Abstract】 Objective To study the distribution characteristics of the major allergens in patients with allergic rhinitis (AR) in Yichang and provide a reference for the prevention and clinical diagnosis of AR. Methods A total of 635 patients from Yichang area were sampled between March 2011 and March 2012. Free point skin prick test (SPT) were performed to analyze the allergens. Results Among 635 patients, 490 (77.2%) were found to be positive in the skin test. The major inhalation allergens were dermatophagoides farinae, house dust mite, Chinese parasol tree and wormwood. The major ingestive allergens were soybean and shrimp. Conclusion The major aeroallergens in Yichang region in patients with AR are dermatophagoides farinae, house dust mite, Chinese parasol tree and wormwood. 【Keywords】Allergic rhin