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[中国北方儿童及青少年季节性变应性鼻炎的花粉变应原致敏特征]

[Pollen allergen sensitization feature of seasonal allergic rhinitis in children and adolescents in northern China].

作者信息

Wang Xiaoyan, Guo Miaoying, Wang Hongtian, Wang Xueyan

机构信息

Allergy Department/Allergy Center,Beijing Shijitan Hospital,Capital Medical University,Beijing,100038,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov;34(11):1005-1010. doi: 10.13201/j.issn.2096-7993.2020.11.011.

Abstract

The prevalence of seasonal allergic rhinitis(SAR) is high in children and adolescents population. The aim of this study is to explore the feature of pollen allergen sensitization of SAR in children and adolescents . Children and adolescents with self-reported seasonal allergic rhinitis in an allergy center of a tertiary hospital were enrolled and received skin prick test(SPT) of 13 common pollen allergens. SAR was defined with positive SPT to any pollen allergen. SPSS software was applied to analyze the differences in age, gender, sensitization pattern. In total, 374(85.6%) SAR cases with self-reported seasonal allergic rhinitis were enrolled,including 213 males (57%) and 161 females (43%). There are 198 children (2-12 years old) and 176 adolescents (13-17 years old). The highest sensitization rate was presented in Chenopodium (73.8%) , Humulus(67.6%) and Artemisia (64.7%).The severe sensitization was presented in Artemisia(53.7%), Humulus(46.8%) and Chenopodium (42.0%). No gender difference was found among different pollen allergens and sensitization patterns(>0.05). No age difference was found between different pollen allergens and sensitization patterns except that Cupressaceae was higher in adolescent group than that in children group(55.1% vs 42.9%, =0.023). Poly-sensitization rate was 57.2% in tree pollens, 59.6% in weed pollens and 81.3% in total. Significant correlation was found among different tree pollens and weed pollens(<0.01). Tree pollen sensitization was significantly correlated with weed pollens except Cupressaceae(<0.01). The mono-sensitization rate is low in all 4 weed pollen allergens ranged from 1% to 8% while 49.2% of SAR patients were allergic to all of the 4 weed pollen allergens. The prevalent pollen allergens in SAR were similar in children and adolescent comparing to adults. No obvious gender and age differences were found. An extensive co-sensitizations were found among pollens especially in weed pollens.

摘要

季节性变应性鼻炎(SAR)在儿童和青少年人群中的患病率较高。本研究旨在探讨儿童和青少年SAR患者对花粉过敏原致敏的特征。选取某三级医院过敏中心自报有季节性变应性鼻炎的儿童和青少年,对13种常见花粉过敏原进行皮肤点刺试验(SPT)。若对任何花粉过敏原的SPT结果为阳性,则定义为SAR。应用SPSS软件分析年龄、性别、致敏模式的差异。共纳入374例(85.6%)自报有季节性变应性鼻炎的SAR患者,其中男性213例(57%),女性161例(43%)。儿童(2 - 12岁)198例,青少年(13 - 17岁)176例。致敏率最高的是藜属(73.8%)、葎草属(67.6%)和蒿属(64.7%)。重度致敏率较高的是蒿属(53.7%)、葎草属(46.8%)和藜属(42.0%)。不同花粉过敏原和致敏模式之间未发现性别差异(>0.05)。除柏科在青少年组的致敏率高于儿童组(55.1%比42.9%,P = 0.023)外,不同花粉过敏原和致敏模式之间未发现年龄差异。树花粉的多致敏率为57.2%,草花粉为59.6%,总体为81.3%。不同树花粉和草花粉之间存在显著相关性(P<0.01)。除柏科外,树花粉致敏与草花粉显著相关(P<0.01)。4种草花粉过敏原的单致敏率均较低,在1%至8%之间,而49.2%的SAR患者对所有4种草花粉过敏原均过敏。与成人相比,儿童和青少年SAR中常见的花粉过敏原相似。未发现明显的性别和年龄差异。花粉之间尤其是草花粉之间存在广泛的共同致敏现象。

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