Chu Y L, Yan A H, Tai X H, Jiang X J, Hui L, Jiang F F, Hu Y
Department of Otolaryngology, First Affiliated Hospital of China Medical University,Shenyang,110001,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Apr;32(7):502-506. doi: 10.13201/j.issn.1001-1781.2018.07.006.
To discuss multiple-factor analysis of serum allergen distribution of patients with allergic rhinitis and level of main allergen IgE in Shenyang area, and to provide a scientific basis for the prevention of allergic rhinitis in this area.Serum IgE was detected in 749 cases[501 cases of male (66.8%), and 248 cases of female (33.2%)], with allergic rhinitis.The age range was from 3 to 65 years old, and they were divided into 5 groups based on age. A questionnaire survey was conducted to analyze the distribution of serum allergens and to carry out a multiple-factor analysis of level of the main allergen IgE in patients.The primary allergen was house dust mite/dust mite in each age group, and the differences in the positive rate of elm, mold, cat/dog fur scurf, cockroach and ragweed among different groups were statistically significant(<0.01 or <0.05).The ingested allergen sequencing for all age groups: the distribution of 7-14 years old group and 15-35 years old group were consistent with that of the whole, among the under 6 years old group, mango and pineapple was ranked 1st,beef and mutton was ranked 2nd,the occurrence rate of shrimp and crab rose to the 3rd place, among the 36-60 years old group, mango, pineapple and milk was ranked 1st, egg was ranked 2nd, and beef and mutton ranked 3rd, the differences in positive rate of mango and pineapple, beef and mutton, crab and nut among all groups were statistically significant(<0.01 or <0.05).The IgE level of cockroach was impacted by the allergic history, home cultivation of flowers and plants and animal domestication. The IgE level of mold was impacted by sex, allergy history, home rearing of pet and furniture updates. The IgE level of wormwood was impacted by allergy history and asthma history. The IgE level of peanut was impacted by age and allergy history. The IgE level of egg was impacted by history of food and drink allergy, home cultivation of flowers and plants and home rearing of pet. The IgE level of crab was impacted by the allergy history and home rearing of pet. The primary inhaled allergen in all groups is house dust mite/dust mite, and the ingested allergen varies in each group, which has provided a reference basis for prevention of ingested allergy.The varying influence factors for IgE level of primary allergens could be used to prevent the patients from contacting the allergen,and each risk factor has become a focus of prevention and control for patients, offering a major help to the prevention and treatment of allergic rhinitis.
探讨沈阳地区变应性鼻炎患者血清变应原分布及主要变应原IgE水平的多因素分析,为该地区变应性鼻炎的防治提供科学依据。对749例变应性鼻炎患者[男性501例(66.8%),女性248例(33.2%)]进行血清IgE检测,年龄范围为3至65岁,按年龄分为5组。进行问卷调查分析血清变应原分布并对患者主要变应原IgE水平进行多因素分析。各年龄组主要变应原为屋尘螨/粉尘螨,榆树、霉菌、猫/狗皮屑、蟑螂和豚草阳性率在不同组间差异有统计学意义(<0.01或<0.05)。各年龄组食入性变应原排序:7 - 14岁组和15 - 35岁组与总体分布一致,6岁以下组芒果和菠萝居首位,牛羊肉居第2位,虾蟹发生率升至第3位,36 - 60岁组芒果、菠萝和牛奶居首位,鸡蛋居第2位,牛羊肉居第3位,各组间芒果和菠萝、牛羊肉、蟹和坚果阳性率差异有统计学意义(<0.01或<0.05)。蟑螂的IgE水平受过敏史、家庭养花和饲养宠物影响;霉菌的IgE水平受性别、过敏史、家庭饲养宠物和家具更新影响;艾草的IgE水平受过敏史和哮喘史影响;花生的IgE水平受年龄和过敏史影响;鸡蛋的IgE水平受饮食过敏史、家庭养花和饲养宠物影响;蟹的IgE水平受过敏史和家庭饲养宠物影响。各组主要吸入性变应原为屋尘螨/粉尘螨,各年龄组食入性变应原不同,为食入性过敏的预防提供了参考依据。主要变应原IgE水平的影响因素各异,可用于指导患者避免接触变应原,各危险因素成为患者防治重点,对变应性鼻炎的防治有重要帮助。