检验医学 ›› 2015, Vol. 30 ›› Issue (5): 457-460.DOI: 10.3969/j.issn.1673-8640.2015.05.012

• 临床应用研究·论著 • 上一篇    下一篇

过敏原检测对湿疹、过敏性鼻炎和哮喘患者的意义

尧荣凤1, 姜培红1, 许国祥2, 徐龙1, 李智1, 薛龙1, 赵迪1   

  1. 1.上海市杨浦区中心医院检验科,上海 200090
    2. 上海市第七人民医院康复科,上海 200137
  • 收稿日期:2014-08-07 出版日期:2015-05-30 发布日期:2015-06-17
  • 作者简介:null

    作者简介:尧荣凤,女,1976年生,硕士,主管技师,主要从事中药活性成分抗感染免疫研究。

    通讯作者:李智,联系电话:021-65690520-333。

The significance of allergen detection for eczema, allergic rhinitis and asthma patients

YAO Rongfeng1, JIANG Peihong1, XU Guoxiang2, XU Long1, LI Zhi1, XUE Long1, ZHAO Di1   

  1. 1. Department of Clinical Laboratory, Yangpu District Central Hospital, Shanghai 200090, China
    2. Department of Medical Rehabiliation, Shanghai Seventh People's Hospital, Shanghai 200137, China
  • Received:2014-08-07 Online:2015-05-30 Published:2015-06-17

摘要: 目的 了解过敏原IgE抗体在不同过敏性疾病中的分布情况,为临床防治提供依据。方法 采用免疫印迹法检测过敏性鼻炎(236例)、哮喘(250例)和湿疹(275例)患者血清过敏原特异性IgE抗体,同时对过敏性鼻炎、哮喘和湿疹患者的过敏原进行比较分析。结果 761例患者吸入性过敏原检出率为41.66%,食入性过敏原检出率为8.28%;最常见的过敏原为户尘螨(43.10%)、狗毛皮屑(12.22%)、牛奶(11.43%)和屋尘(10.78%)。11~30岁组的户尘螨(62.35%)、狗毛皮屑(21.11%)、屋尘(18.89%)和牛奶(26.47%)阳性率明显高于其他年龄组(P<0.05)。湿疹患者蟑螂、牛奶和点青霉/分枝孢霉/烟曲霉/黑曲霉/交链孢霉的阳性率明显高于过敏性鼻炎和哮喘患者(P<0.05)。过敏性鼻炎与哮喘患者过敏原分布差异无统计学意义(P>0.05)。结论 血清过敏原测定有利于了解患者过敏状态,协助过敏性疾病的诊断,为过敏性疾病制订环境干预措施和免疫治疗方案提供可靠依据。

关键词: 过敏原, 过敏性鼻炎, 哮喘, 湿疹

Abstract: Objective To understand allergen IgE antibody distribution for different allergic diseases, in order to provide the reference for clinical prevention and treatment. Methods A total of 236 patients with allergic rhinitis, 250 patients with asthma and 275 patients with eczema were enrolled. Western blot was performed to detect the serological specific allergen IgE antibody. The allergens for allergic rhinitis, asthma and eczema were analyzed comparatively. Results The inhaled allergen detection rate was 41.66% in the 761 patients, and the ingested allergen detection rate was 8.28%. Dust mite(43.10%) was the most common allergen, and dog hair(12.22%), milk(11.43%) and house dust(10.78%) were the other 3 common allergens. The prevalence rates of dust mite(62.35%), dog hair(21.11%), house dust(18.89%) and milk(26.47%) in 11-30 years old group were higher than those in the other age groups(P<0.05). The allergen detection rates of cockroach, milk and Penicillium notatum/Branch spore mould /Aspergillus fumigatus/Aspergillus niger/Streptomyces josamycetinus in eczema patients were obviously higher than those in allergic rhinitis and asthma patients(P<0.05). There was no statistical significance in allergen distribution of allergic rhinitis patients and asthma patients(P>0.05). Conclusions Serum allergen detection might be conducive to identify the allergic status of patients, and provides a reliable reference to assist in the diagnosis of allergic diseases, prevent from environmental factors and make treatment plan.

Key words: Allergen, Allergic rhinitis, Asthma, Eczema

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