Torii Sinpei, Hirayama Khoichiro, Akiyama Kazuo, Ikezawa Zenro, Uchio Eiichi, Okamoto Yoshitaka, Ogura Hideo, Takahashi Kiyoshi, Nishima Sankei
Department of Home Economics, Aichi Gakusen University.
Arerugi. 2006 Dec;55(12):1515-30.
This study was designed to clarify the definition of sick house syndrome (SHS).
SHS was defined based on the disease related to habitation as follows. 1. The cause of the onset of a disease relates to house. 2. Symptoms appear within house. 3. Symptoms will be less serious or disappear if patient away from house. 4. If patient goes into house, symptoms will appear repeatedly. When it corresponded to all above, it was defined to SHS, and it classified as MCS (multiple chemical sensitivities) without above conditions. Even if SHS is isolated from similar disease completely, characteristic symptoms of MCS are hard to be detected because MCS are combination of two or more diseases. Based on this working hypothesis, the logistic regression by setting MCS as reference was performed so that characteristic symptoms of SHS show odds ratios with exceeding one.
The odds ratios with more than two of characteristic symptoms in SHS were "nausea or vomiting" "Troublesome in everything" and the causative substances to which symptoms get worse was "The smell of a perfume and cosmetics". Characteristic symptoms of an allergy disease were detected by comparison with the allergic conjunctivitis, allergic rhinitis, and bronchial asthma, respectively.
These results showed that the classification method was appropriate. This definition is not fundamentally differed from the definition of the sick-building syndrome of WHO.
本研究旨在明确病态房屋综合征(SHS)的定义。
SHS是根据与居住相关的疾病定义如下。1. 疾病发作的原因与房屋有关。2. 症状在房屋内出现。3. 如果患者离开房屋,症状会减轻或消失。4. 如果患者进入房屋,症状会反复出现。当符合上述所有情况时,定义为SHS,不符合上述条件则归类为多重化学敏感性(MCS)。即使SHS与类似疾病完全隔离,由于MCS是两种或更多种疾病的组合,也很难检测到其特征性症状。基于这一工作假设,以MCS为参照进行逻辑回归分析,以使SHS的特征性症状显示出大于1的优势比。
SHS中具有两种以上特征性症状的优势比为“恶心或呕吐”“事事麻烦”,症状加重的致病物质为“香水和化妆品的气味”。通过分别与过敏性结膜炎、过敏性鼻炎和支气管哮喘进行比较,检测到了过敏性疾病的特征性症状。
这些结果表明该分类方法是合适的。这个定义与世界卫生组织的病态建筑综合征的定义在根本上没有区别。