51例咳嗽变异性哮喘患儿过敏原检测结果分析.docVIP

精品论文 参考文献 51例咳嗽变异性哮喘患儿过敏原检测结果分析 （上海市奉贤区奉城医院儿科 201411） 【摘 要】目的：通过对咳嗽变异性哮喘过敏原检测结果进行分析，从而为制定咳嗽变异性哮喘过敏原的筛查方案提供指导依据。方法：对2010年1月-2012年1月来我院就诊的51例咳嗽变异性哮喘患儿行过敏原检测，同时分析其中23例CVA患儿治疗前后肺功能指标FEV1、FVC、PEF、FEV1/FVC、FEF25、FEF50、FEF75变化情况。结果：51例咳嗽变异性哮喘患儿中，过敏原阳性以对屋尘过敏者最多，占88.24%，其次为粉尘螨，占82.35%；食物性过敏原中对牛奶过敏最多，占15.69%，其次为对海虾过敏，占9.80%。其中23例咳嗽变异性哮喘患儿行支气管舒张治疗后，FEF25、FEF50、FEF75均较治疗前明显提高，但FEV1、FVC、PEF、FEV1/FVC治疗后较治疗前未见明显变化。结论：对咳嗽变异性哮喘患儿的过敏原进行检测，可以为临床过敏性疾病的诊断和治疗提供依据，同时根据过敏原检测结果应用支气管舒张治疗可以改善患儿的肺功能，具有重要的临床意义和指导作用。 【关键词】咳嗽变异性哮喘；过敏原；肺功能 【中图分类号】RR725.6 【文献标识码】A 【文章编号】1004-6194（2015）02-0231-02 The analysis of 51 cases cough variant asthma in children allergen test (201411) Li Hengtao Wang Genzai Zhu Hongqing Zha Jianzhong 【Abstract】Objective: To analyze the allergy testing results of cough variant asthma, so as to provide the basis for guiding the development of allergen screening program. Methods: From January 2010 to January 2012 in our hospital ，51 patients with cough variant asthma children underwent allergy testing, analyzed the lung function before and after the treatment，and observed the change of CVA FEV1, FVC, PEF, FEV1 / FVC, FEF25, FEF50, FEF75 of 23 cases with cough variant asthma children. Results: 51 patients with cough variant asthma in children, allergen positive to house dust allergy most, accounting for 88.24%, followed by dust mites, accounting for 82.35%; food allergens allergic to milk the most, accounting for 15.69% followed by shrimp allergy, accounting for 9.80%. 23 cases of cough variant asthma in children line bronchodilator therapy, FEF25, FEF50, FEF75 than before treatment significantly improved FEV1, FVC, PEF, FEV1/FVC after treatment than before treatment no significant change. Conclusion: detect allergens cough variant asthma in children, can provide the basis for the diagnosis and treatment of clinical allergic disease, so that children avoid contact with pathogenic factors lead to their own allergies, has important clinical implication