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与血清 IgE 相关的过敏证据:来自中国呼吸疾病国家重点实验室的 2008-2013 年数据。

Allergy-related evidences in relation to serum IgE: data from the China state key laboratory of respiratory disease, 2008-2013.

机构信息

State Key Laboratory of Respiratory Disease, National Clinical Center for Respiratory Diseases, Guangzhou Institute of Respiratory Diseases, First Affiliated Hospital, Guangzhou Medical University, Guangzhou 510120, Guangdong, China.

Department of Pediatrics, First Affiliated Hospital, Guangzhou Medical University, Guangzhou 510120, Guangdong, China.

出版信息

Biomed Environ Sci. 2014 Jul;27(7):495-505. doi: 10.3967/bes2014.081.

Abstract

OBJECTIVE

To investigate the serum total IgE (tIgE) and specific IgE (sIgE) to common allergens among allergic patients in Guangzhou, China.

METHODS

7 085 patients were examined for tIgE and sIgE to 15 allergens, based on the protocols of reversed enzyme allergosorbent test and the sandwich enzyme-linked immunosorbent assay.

RESULTS

3 758 (53.04%) patients tested positive for tIgE, and 4 640 (65.49%) for sIgE. Der pteronyssinus, Der farinae, eggs, and cow's milk were the most common allergens leading to higher positive rates of sIgE responses. Several peaks of sensitization were: Der pteronyssinus, Der farinae, and Blomia tropicalis at age 10-12; cow's milk at age below 3; eggs at age 4-6. The mean level and positive rate of tIgE tended to increase in subjects sensitized to more allergens. Sensitization to Der pteronyssinus (OR, 1.6; P<0.05), Der farinae (OR, 1.5; P<0.05), Blomia tropicalis (OR, 1.4; P<0.05), Blattella germanica (OR, 1.5; P<0.05), cow's milk (OR, 1.3; P<0.05), and soy beans (OR, 2.0; P<0.05) were independently correlated with allergy-related conditions in preliminary diagnosis.

CONCLUSION

The major allergens in Guangzhou include Der pteronyssinus, Der farinae, cow's milk, and eggs. Sensitization to these allergens appears to be predictors of allergy-related disorder.

摘要

目的

研究中国广州地区过敏患者血清总 IgE(tIgE)和特异性 IgE(sIgE)对常见过敏原的反应。

方法

根据逆转酶过敏原吸附试验和夹心酶联免疫吸附试验的方案,对 7085 例患者进行 tIgE 和 sIgE 检测,共检测 15 种过敏原。

结果

3758 例(53.04%)患者 tIgE 阳性,4640 例(65.49%)患者 sIgE 阳性。户尘螨、粉尘螨、鸡蛋和牛奶是导致 sIgE 阳性反应率较高的最常见过敏原。几个过敏高峰期分别为:户尘螨、粉尘螨和热带无爪螨在 10-12 岁;牛奶在 3 岁以下;鸡蛋在 4-6 岁。致敏的过敏原种类越多,tIgE 的平均水平和阳性率越高。户尘螨(OR,1.6;P<0.05)、粉尘螨(OR,1.5;P<0.05)、热带无爪螨(OR,1.4;P<0.05)、德国小蠊(OR,1.5;P<0.05)、牛奶(OR,1.3;P<0.05)和大豆(OR,2.0;P<0.05)的致敏与初步诊断中的过敏相关情况独立相关。

结论

广州地区的主要过敏原包括户尘螨、粉尘螨、牛奶和鸡蛋。对这些过敏原的致敏似乎是过敏相关疾病的预测因素。

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