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中国北方 4203 例儿童过敏致敏模式调查。

Investigation of Allergic Sensitization Pattern in 4,203 Children in Northern China.

机构信息

Department of Laboratory Medicine, Shanxi Provincial People's Hospital, Taiyuan, China.

Department of Laboratory Medicine, Children's Hospital of Shanxi Province, Taiyuan, China.

出版信息

Int Arch Allergy Immunol. 2021;182(5):455-458. doi: 10.1159/000511976. Epub 2020 Dec 9.

Abstract

OBJECTIVE

The objective of this study is to investigate the allergen sensitization pattern among 4,203 children in the Shanxi region of China and to provide guidance for diagnosis and prevention of allergic diseases.

METHODS

A retrospective analysis was conducted on the allergen-specific immunoglobulin E (sIgE) results of 4,203 children aged 0-12 years from January to December in 2019. SIgE antibodies to 19 allergens in the serum sample were detected by enzyme ALLERGO-SORBENT testing.

RESULTS

In total, 49.70% (2,089/4,203) of children with allergic diseases were positive for sIgE, and the top 5 allergens were egg white 18.63% (783/4,203), artemisia 14.47% (608/4,203), milk 13.04% (548/4,203), ragweed 8.66% (364/4,203), and poplar/willow/elm 8.52% (358/4,203). Significant differences in the positive rate of food allergens and aeroallergens in different ages were found (p < 0.05). 50.98% (1,065/2,089) patients were sensitive to 2 or more allergens. The high sensitization rate in the >3-year group was significantly higher than the ≤3-year group (p < 0.05).

CONCLUSION

Egg white and artemisia are the most common allergens in children in northern China. This study provides allergic sensitization pattern of children and clinical epidemiological data in the region.

摘要

目的

本研究旨在调查中国山西地区 4203 例儿童的变应原致敏模式,为过敏性疾病的诊断和预防提供指导。

方法

对 2019 年 1 月至 12 月山西地区 0-12 岁 4203 例儿童的过敏原特异性免疫球蛋白 E(sIgE)结果进行回顾性分析。采用酶 ALLERGO-SORBENT 检测血清样本中 19 种过敏原 sIgE 抗体。

结果

共有 49.70%(2089/4203)的过敏性疾病患儿 sIgE 阳性,前 5 位过敏原依次为蛋清 18.63%(783/4203)、蒿属 14.47%(608/4203)、牛奶 13.04%(548/4203)、豚草 8.66%(364/4203)、杨树/柳树/榆树 8.52%(358/4203)。不同年龄组食物过敏原和空气过敏原阳性率差异有统计学意义(p<0.05)。2089 例 sIgE 阳性患儿中 50.98%(1065/2089)对 2 种及以上过敏原呈阳性反应。>3 岁组高致敏率明显高于≤3 岁组(p<0.05)。

结论

蛋清和蒿属是中国北方儿童最常见的过敏原。本研究为该地区儿童提供了过敏致敏模式和临床流行病学数据。

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