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[豚草花粉症气道激发试验及迟发相反应]

[Airway provocation test with ragweed pollenosis and late-phase reaction].

作者信息

Lu D W

机构信息

Qingdao Fifth People's Hospital.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1991 Jun;14(3):154-5, 190.

PMID:1913962
Abstract

Ragweed pollen extract inhalation airway provocation test (APT) were studied in 55 patients with ragweed pollenosis. Single dosage of 9000 PNU ragweed extract was applied and positive response was defined as more than 35% fall in SGrs at the dose of PT35-Grs. Among 55 patients, positive APT was found in 27 case (49%), dual late-pase responses in 11 patients, single late-phase response only was found 2 patients in complicated asthma group. Late-phase response were well related to the increased specific IgE, and strong positive skin test response (wheal greater than 11 mm). The results suggested ragweed pollen was one of the important allergen causing bronchial asthma. There was airway hyperresponsiveness to ragweed pollen in some patients (20%) with ragweed pollenosis without asthmatic symptoms.

摘要

对55例豚草花粉症患者进行了豚草花粉提取物吸入气道激发试验(APT)。应用单剂量9000 PNU豚草提取物,阳性反应定义为在PT35 - Grs剂量下SGrs下降超过35%。55例患者中,27例(49%)APT呈阳性,11例出现双相迟发反应,在合并哮喘组中仅2例出现单相迟发反应。迟发反应与特异性IgE升高以及皮肤试验强阳性反应(风团大于11 mm)密切相关。结果表明豚草花粉是引起支气管哮喘的重要变应原之一。在一些无哮喘症状的豚草花粉症患者(20%)中存在对豚草花粉的气道高反应性。

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