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儿童过敏性紫癜的免疫球蛋白水平检测及过敏源分析

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目的 分析儿童过敏性紫癜的免疫球蛋白水平及过敏源。方法 选择2019年1月至2023年1月我院收治的100例过敏性紫癜患儿作为过敏组,以同期到院进行健康体检的100例志愿儿童为对照组。两组均开展血清特异性免疫球蛋白G、A、M、D、E水平检测并予以比较;分析过敏组的吸入性及食物过敏源阳性检出率。结果 过敏组的血清特异性免疫球蛋白G、A、M、D、E水平均显著高于对照组,差异具有统计学意义(P<0。05)。过敏组的吸入性过敏源阳性总检出率为89。00%;且花粉、柳絮、粉尘、螨虫、动物皮屑为常见的吸入性过敏源。过敏组的食物过敏源阳性总检出率为86。00%;且螃蟹、小龙虾、扇贝、芒果、菠萝为常见食物过敏源。治疗后,过敏组的血清特异性免疫球蛋白G、A、M、D、E水平均显著低于治疗前,差异具有统计学意义(P<0。05)。结论 过敏源检测对儿童过敏性紫癜具有较高应用价值,并可通过快速明确过敏源而采取针对性治疗,以此保障患儿的治疗效果与健康发育。
Detection of immunoglobulin levels and analysis of allergen in children with allergic purpura
Objective To analyze the immunoglobulin levels and allergic sources of allergic purpura in children.Methods A total of 100 children with allergic purpura admitted in our hospital from January 2019 to January 2023 were selected as allergic group,and 100 volunteer children who came to the hospital for physical examination during the same period were selected as control group.Serum specific immunoglobulin G,A,M,D and E levels were detected and compared between the two groups;the positive detection rate of inhalation and food allergens in the allergic group were analyzed.Results The levels of serum specific immunoglobulin G,A,M,D and E in the allergic group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The total positive detection rate of inhaled allergens in the allergic group was 89.00%;pollen,willow catkins,dust,mites and animal dander were common inhalation allergens.The total positive detection rate of food allergens in the allergic group was 86.00%;crabs,crayfish,scallops,mango and pineapple were common food allergens.After treatment,the levels of serum specific immunoglobulin G,A,M,D and E in the allergic group were significantly lower than those before treatment,and the differences were statistically significant(P<0.05).Conclusion The detection of allergens has a high application value for children with allergic purpura,and targeted treatment can be adopted by quickly identifying allergens,so as to ensure the therapeutic effect and healthy development of children.

childrenallergic purpuraallergen detectionserum specific immunoglobulin

刁敏、张维

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咸阳市第一人民医院儿科,陕西咸阳,712000

儿童 过敏性紫癜 过敏源检测 血清特异性免疫球蛋白

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)