首页|潮汕地区变应性鼻炎过敏原分布及室内因素的分析

潮汕地区变应性鼻炎过敏原分布及室内因素的分析

扫码查看
目的:探讨潮汕地区变应性鼻炎患者的常见过敏原分布以及影响病情的室内相关因素.方法:选取来自汕头、揭阳、潮州诊断为变应性鼻炎并行血清过敏原IgE检测的患者,行问卷调查,通过分析过敏原特异性IgE检测及问卷调查,探讨患者的过敏原分布情况及影响患者病情严重程度的室内相关因素.结果:共回收问卷1 800份,回收有效问卷1 646份,有效回收率91.4%.纳入研究的变应性鼻炎患者共1 646例,其中儿童(≤14岁)1 285例,成人(>14岁)361例;男999例,女647例.阳性率最高的前3位过敏原分别为户尘螨(n=1457,88.5%)、牛奶(n=569,34.6%)、蟹(n=360,21.9%).户尘螨、屋尘、狗毛皮屑、鸡蛋白、牛奶、鱼、蟹、虾、牛肉过敏比例,在儿童与成人之间差异均有统计学意义(P<0.01),男女之间蟹、虾过敏比例差异有统计学意义(P<0.01).通过多因素分析,主动/被动吸烟、祭祀、使用空调、饲养宠物、使用空气净化器、洗晒被褥均为影响变应性鼻炎患者病情的室内因素,其中主动/被动吸烟、祭祀、使用空调、饲养宠物为加重变应性鼻炎患者病情的危险因素,而使用空气净化器、洗晒被褥是其保护因素.结论:户尘螨是潮汕地区变应性鼻炎患者最主要的过敏原.主动/被动吸烟、祭祀、使用空调、饲养宠物可加重变应性鼻炎病情,使用空气净化器、洗晒被褥有利于控制病情.本研究结果可供临床参考.
Analysis of allergen distribution and indoor factors in allergic rhinitis in Chaoshan area
Objective:To investigate the distribution of common allergens and indoor factors influencing the severity of allergic rhinitis in patients from the Chaoshan region.Methods:Patients diagnosed with allergic rhinitis from Shantou,Jieyang,and Chaozhou were selected for serum allergen-specific IgE testing.A questionnaire sur-vey was conducted to analyze the distribution of allergens and indoor factors affecting the severity of the disease.Results:A total of 1 800 questionnaires were collected,with 1 646 valid responses,resulting in an effective re-sponse rate of 91.4%.Among the 1 646 included patients with allergic rhinitis,there were 1 285 children(≤14 years),361 adolescents and adults(>14 years);of which 999 were males and 647 were females.The top three al-lergens with the highest positive rates were house dust mites(n=1 457,88.5%),milk(n=569,34.6%),and crab(n=360,21.9%).The proportions of allergen sensitization to house dust mites,house dust,dog dander,egg white,milk,fish,crab,shrimp,and beef showed statistically significant differences between children and ad-olescents and adults(P<0.01).There were also statistically significant differences in crab and shrimp sensitiza-tion between males and females(P<0.01).Multivariate analysis revealed that active/passive smoking,religious rituals,air conditioning usage,pet ownership,air purifier usage,and bedding drying were indoor factors influen-cing the severity of allergic rhinitis.Among them,active/passive smoking,religious rituals,air conditioning us-age,and pet ownership were risk factors for exacerbating the disease,while air purifier usage and bedding drying were protective factors.Conclusion:House dust mites are the most common allergen in patients with allergic rhi-nitis in the Chaoshan region.Active/passive smoking,religious rituals,air conditioning usage,and pet ownership can worsen the condition,while air purifier usage and bedding drying can help control the disease.The results of this study can provide clinical reference.

allergic rhinitisallergenschaoshan arearesearchlogistic analysis

沈赢政、庄夏衍、李创伟、姚丹勉

展开 >

汕头市中心医院耳鼻咽喉头颈外科(广东汕头,515000)

变应性鼻炎 过敏原 潮汕地区 调查研究 logistic分析

汕头市科技计划项目汕头市中心医院科研培育计划基金项目

211115176495356202114

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(7)
  • 10