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荨麻疹患者过敏原及其心肌酶谱联合检测的临床研究

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目的 探究荨麻疹患者过敏原与心肌酶谱的关系,明确荨麻疹患者的心肌损害情况.方法 选择本院皮肤科荨麻疹患者244例作为研究对象,同时选择本院健康体检者及幼儿入托查体者共225例作为对照,采用免疫印迹法进行过敏原检测,采用速率法进行心肌酶谱检测.结果 244例荨麻疹患者中过敏原阳性率为69.7%,心肌酶谱升高率为31.1%.在过敏原阳性等级中,1~4级心肌酶谱升高率分别为27.3%、40.0%、53.8%、70.0%,5级以上升高率为100%.对照组225例中,过敏原阳性仅4例,并且分级都在1级以下;心肌酶谱升高率为7.1%,仅AST、CK轻度升高,禁酒或适当休息后正常.荨麻疹患者心肌酶谱中AST、CK、CK-MB较对照组升高不明显,差异无统计学意义(P>0.05),LDH、HBDH明显高于对照组,差异有统计学意义(P<0.05).结论 荨麻疹患者心肌酶谱升高率随过敏原等级升高而递增,LDH和HBDH数值升高明显,这说明荨麻疹患者过敏原等级越高,对心肌的损害程度越高.通过对过敏原与心肌酶谱的联合检测,为临床诊治提供实验室依据,意义重大.
A Clinical Study of Allergen and Myocardial Enzymes in Patients with Urticaria
Objective To investigate the relationship between allergen and myocardial enzyme spectrum in urticaria patients,and to further clarify the myocardial damage status in urticaria patients.Methods 244 cases of dermatology urticaria patients were recruited as the experimental group.During the same time period,we chose healthy examined people and children to kindergarten for investigation with a total of 225 subjects as the control group.Immunoblotting test were applied to detect the allergen and the rate method were applied to detect the myocardial enzymes.Results In the experimental group,the positive rate of allergens in 244 patients with urticaria was 69.7%,and the increase rate of myocardial enzyme elevation was 31.1%.In the positive grade of allergens,the rates of increase of myocardial enzyme spectrum in grade 1-4 were as follows:27.3%,40.0%,53.80%,70.0%.In addition,the increase rate of 5 or above was 100%.In the control group of 225 patients,only 4 cases were positive allergic antigen and all of their gradings were under grade 1;The increasing rate of myocardial enzyme spectrum was 7.1%,with only AST,CK increased slightly,which went back to normal after temperance and appropriate rest.The increasing of AST,CK and CK-MB in the myocardial enzyme spectrum of urticaria patients were not significantly higher than those in the control group(P>0.05),and HBDH and LDH were significantly higher than those in the control group(P<0.05).Conclusion The increasing rate of myocardial enzyme spectrum in urticaria patients increases with the increasing of the grade of allergen,especially the increasing value of HBDH and LDH,which shows that the higher the level of allergens in urticaria,the higher degree of the myocardial damage.There is a great significance to provide laboratory basis for clinical diagnosis and treatment,through the combined detection of allergen and myocardial enzymes.

UrticariaAllergenMyocardial enzymesImmunoblotting test

陈玲玲、王晓晗、李朝华、王新花

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临沂市中心医院检验科,山东临沂 276400

荨麻疹 过敏原 心肌酶谱 免疫印迹法

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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