Yang You, Zhao Yan, Wang Cheng-shuo, Wang Xiang-dong, Zhang Luo
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing Institute of Otorhinolaryngology, Beijing 100730, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Nov;46(11):914-20.
To investigate the main inhaled allergens in patients with allergic rhinitis.
Forty-three standardization allergens were used to perform skin prick test in 54 813 patients with chronic rhinitis. According to different gender and age groups, 10 030 patients with allergic rhinitis were divided into eight groups. The distributions of different allergens in the eight groups were analyzed.
(1) The most common four allergens in male patients with allergic rhinitis were Dermatophagoides farina (Der f), Dermatophagoides pteronyssinus (Der p), Mugwort and Blaterlia Germanica. Der f, Der p, Mugwort and Chenopodium album were the most common in female patients. (2) In all groups, patients with dual positive allergens were the most common, followed by triple positive allergens and single positive allergen. (3) In single positive allergen group, the top four allergen in male 3-17 year group were Der f, Der p, Alternaria tenuis and Mugwort. In other male groups, the most common positive allergen were Der f, Der p, Mugwort and Blaterlia Germanica. Meanwhile, the top four positive allergens in female 3-17 year group were Der f, Der p, Mugwort and Alternaria tenuis, in 18-39 year group were Der f, Der P, Mugwort and Dandelion, in 40-59 year group were Der f, Der p Mugwort and mixed tree 1, in ≥60 year group were Derf, Der P, mixed animal hair and Mugwort. (4) In dual positive allergens group, the most common allergen combination was Der f+Der p, followed by Alternaria tenuis in patient of 3-17 year group. (5) In triple positive allergens group, the most common allergen combination was Der f+Der p+Blaterlia Germanica, followed by Der f+Der p+mixed animal hair.
Dust mites, flowers pollen, herbs, Alternaria tenuis and Blaterlia Germanica were the most common allergens in patients with allergic rhinitis. However, the frequencies of the allergens were different in different age groups.
探讨变应性鼻炎患者主要吸入性变应原。
采用43种标准化变应原对54813例慢性鼻炎患者进行皮肤点刺试验。将10030例变应性鼻炎患者按不同性别和年龄组分为8组,分析8组中不同变应原的分布情况。
(1)男性变应性鼻炎患者中最常见的4种变应原是粉尘螨(Der f)、屋尘螨(Der p)、艾蒿和德国小蠊。女性患者中最常见的是Der f、Der p、艾蒿和藜。(2)在所有组中,变应原双阳性的患者最为常见,其次是变应原三阳性和单阳性患者。(3)在单阳性变应原组中,男性3 - 17岁组前4位变应原是Der f、Der p、链格孢和艾蒿。在其他男性组中,最常见的阳性变应原是Der f、Der p、艾蒿和德国小蠊。同时,女性3 - 17岁组前4位阳性变应原是Der f、Der p、艾蒿和链格孢,18 - 39岁组是Der f、Der P、艾蒿和蒲公英,40 - 59岁组是Der f、Der p、艾蒿和混合树1,≥60岁组是Derf、Der P、混合动物毛和艾蒿。(4)在变应原双阳性组中,最常见的变应原组合是Der f+Der p,其次是3 - 17岁组患者中的链格孢。(5)在变应原三阳性组中,最常见的变应原组合是Der f+Der p+德国小蠊,其次是Der f+Der p+混合动物毛。
尘螨、花粉、草本植物、链格孢和德国小蠊是变应性鼻炎患者最常见变应原。然而,不同年龄组变应原的出现频率不同。