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东北地区变应性鼻炎常见过敏原 IgE 水平影响因素分析。

Analysis of IgE level influencing factors of common allergens for allergic rhinitis in northeastern China.

机构信息

Department of Otolaryngology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.

Department of Otolaryngology, The First Hospital of China Medical University, Shenyang, China.

出版信息

Clinics (Sao Paulo). 2024 Sep 11;79:100495. doi: 10.1016/j.clinsp.2024.100495. eCollection 2024.

Abstract

OBJECTIVES

This thesis aims to provide patients with a preventive and therapeutic basis by analyzing IgE level influencing factors of common allergens for Allergic Rhinitis (AR).

METHOD

Multiple linear regression analysis is made upon questionnaires among 749 cases of AR patients that are divided into 5 age-based groups. Perform serum-specific IgE content testing on patients.

RESULTS

Cockroach being an allergen, AR patients' IgE Level is influenced by allergic history, home-raised plants and animals. For AR patients with mugwort as an allergen, allergy and asthma history could increase IgE level, respectively, β = 4.291 and β = 4.364. If the allergen turns out to be peanut, allergic history would increase the IgE level (β = 0.171), however, the level would be lower in female patients compared with male patients (β = -0.078). For patients with egg as an allergen, allergic history, home-raised plants and animals (pets) would all affect the IgE level, respectively, β = 0.182, β = 0.118 and β = -0.101.

CONCLUSIONS

IgE level varies according to allergic history, home-raised plants & animals, gender, furniture renewal, asthma, and ages for patients with different allergens including cockroach, mold, mugwort, peanut, egg and crab. For each kind of allergen, the IgE levels react differently to different influencing factors, thus requiring a thorough analysis of each AR patient's allergen and allergenic factors.

摘要

目的

通过分析变应性鼻炎(AR)常见过敏原的 IgE 水平影响因素,为患者提供预防和治疗依据。

方法

对 749 例 AR 患者进行问卷调查,分为 5 个年龄组,进行血清特异性 IgE 含量检测,采用多元线性回归分析。

结果

蟑螂作为一种过敏原,AR 患者的 IgE 水平受过敏史、家养动植物的影响。对于以艾蒿为过敏原的 AR 患者,过敏和哮喘史分别会升高 IgE 水平,β值分别为 4.291 和 4.364。如果过敏原是花生,过敏史会升高 IgE 水平(β=0.171),但女性患者的水平比男性患者低(β=-0.078)。对于以鸡蛋为过敏原的患者,过敏史、家养动植物(宠物)会分别影响 IgE 水平,β值分别为 0.182、0.118 和-0.101。

结论

不同过敏原(蟑螂、霉菌、艾蒿、花生、鸡蛋、蟹)的 IgE 水平受过敏史、家养动植物、性别、家具更新、哮喘和年龄的影响。对于每种过敏原,IgE 水平对不同的影响因素反应不同,因此需要对每个 AR 患者的过敏原和致敏因素进行全面分析。

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