Qin Y N, Sun Y L, Wang L, Zhang L, Zhao L J, Li Z Y, Zhang S N, Cui X, Jiang Y
Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Hospital of Qingdao University,Qingdao,266003,China.
Department of Otolaryngology,Haiyang People's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Jan;34(1):36-40. doi: 10.13201/j.issn.1001-1781.2020.01.009.
To analyze the distribution of allergens and the risk factors in patients with allergic rhinitis in Qingdao area. Two hundred and sixteen patients diagnosed with allergic rhinitis and 49 healthy volunteers were admitted to the outpatient clinic of the Otolaryngology Department of the three branches of Qingdao University Affiliated Hospital in Qingdao from August 2018 to March 2019. A total of 271 patients(5-84 years old) were included in the epidemiological investigation. The study conducted a skin stinging test of inhalation allergens. In addition, the questionnaire of allergic disease and self-examination of dust mite allergy were carried out for each group of patients, and the results were analyzed and counted. ①In 216 patients with allergic rhinitis, the top six inhalation allergens were dust mites(55.0%), house dust mites(46.1%), tropical mites(21.8%), dog hair(16.6%), Artemisia halodendron(13.3%), and German cockroaches(10.3%). ②Inhalation allergens, the degree of positive of house dust mites and dust mites were mainly(+++), the degree of positive of Artemisia halodendron were mainly(+++) and(++++), and the degree of positive of other allergens were mainly(++). ③There were statistically significant differences in the positive rates of inhalation allergens in different age groups, and the positive rates of inhalation allergens gradually decreased with age after adulthood. ④The single factor and multi-factor logical regression analysis all showed that the history of smoking, family history, age less than 18 years, and 18-40 years old were closely related to the occurrence of allergic rhinitis(<0.05). ⑤Using Spearson-related analysis and loess regression analysis, it was found that with the increase of dust mite self-examination score, the positive rate of dust mite increased significantly. The most important inhalation allergens of patients with allergic rhinitis in Qingdao area are dust mites, dog hair and artemisinin. The positive rate of inhalation allergens is influenced by age and there are certain rules in them. Smoking history, family history, age and other factors are risk factors for allergic rhinitis. The dust mite self-examination score can predict the occurrence of dust mite allergy.
分析青岛地区变应性鼻炎患者变应原分布及危险因素。2018年8月至2019年3月,青岛大学附属医院三个院区耳鼻喉科门诊收治216例诊断为变应性鼻炎的患者及49例健康志愿者。共271例患者(年龄5 - 84岁)纳入流行病学调查。本研究对吸入性变应原进行皮肤点刺试验。此外,对每组患者进行变应性疾病问卷调查及尘螨过敏自检,并对结果进行分析统计。①216例变应性鼻炎患者中,吸入性变应原前六位依次为尘螨(55.0%)、屋尘螨(46.1%)、热带螨(21.8%)、狗毛(16.6%)、黄花蒿(13.3%)、德国小蠊(10.3%)。②吸入性变应原中,屋尘螨和尘螨阳性程度主要为(+++),黄花蒿阳性程度主要为(+++)和(++++),其他变应原阳性程度主要为(++)。③不同年龄组吸入性变应原阳性率差异有统计学意义,成年后吸入性变应原阳性率随年龄增长逐渐降低。④单因素及多因素逻辑回归分析均显示,吸烟史、家族史、年龄小于18岁及18 - 40岁与变应性鼻炎的发生密切相关(P<0.05)。⑤采用Spearson相关性分析及局部加权回归分析发现,随着尘螨自检评分增加尘螨阳性率显著升高。青岛地区变应性鼻炎患者最重要的吸入性变应原是尘螨、狗毛和青蒿。吸入性变应原阳性率受年龄影响且有一定规律。吸烟史、家族史、年龄等因素是变应性鼻炎的危险因素。尘螨自检评分可预测尘螨过敏的发生。