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儿童螨过敏性哮喘。回避措施试验。

Mite-sensitive asthma of childhood. Trial of avoidance measures.

作者信息

Sarsfield J K, Gowland G, Toy R, Norman A L

出版信息

Arch Dis Child. 1974 Sep;49(9):716-21. doi: 10.1136/adc.49.9.716.

DOI:10.1136/adc.49.9.716
PMID:4213595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1649034/
Abstract

A trial of the effects of measures designed to reduce exposure to house-dust mites was performed on 14 children with mite-sensitive asthma. These measures reduced mite infestation of the beds and were associated with clinical improvement of asthmatic symptoms. Immunological studies revealed a tendency for levels of total serum IgE to fall during the course of the trial, but no such changes were apparent in the levels of anti-mite specific serum IgE. Possible reasons for this discrepancy are discussed. The conclusion of the study is that the use of a plastic mattress cover and the other inexpensive and harmless avoidance measures described should be advised for all asthmatic children with evidence of mite-sensitivity before resort to drug prophylaxis or hyposensitization procedures.

摘要

对14名对螨虫敏感的哮喘儿童进行了一项旨在减少接触屋尘螨措施效果的试验。这些措施减少了床上的螨虫滋生,并与哮喘症状的临床改善相关。免疫学研究显示,在试验过程中总血清IgE水平有下降趋势,但抗螨虫特异性血清IgE水平无明显变化。讨论了这种差异的可能原因。该研究的结论是,对于所有有螨虫敏感证据的哮喘儿童,在采取药物预防或减敏程序之前,应建议使用塑料床垫罩及所描述的其他廉价且无害的规避措施。

相似文献

1
Mite-sensitive asthma of childhood. Trial of avoidance measures.儿童螨过敏性哮喘。回避措施试验。
Arch Dis Child. 1974 Sep;49(9):716-21. doi: 10.1136/adc.49.9.716.
2
Role of house-dust mites in childhood asthma.屋尘螨在儿童哮喘中的作用。
Arch Dis Child. 1974 Sep;49(9):711-5. doi: 10.1136/adc.49.9.711.
3
Controlled trial of house dust mite avoidance in children with mild to moderate asthma.针对轻至中度哮喘儿童避免接触屋尘螨的对照试验。
Clin Allergy. 1987 Mar;17(2):105-11. doi: 10.1111/j.1365-2222.1987.tb02327.x.
4
The house-dust mite and childhood asthma.
Practitioner. 1975 Feb;214(1280):253-6.
5
Continuous avoidance measures with or without acaricide in dust mite-allergic asthmatic children.对尘螨过敏的哮喘儿童采用或不采用杀螨剂的持续回避措施。
Ann Allergy Asthma Immunol. 1997 May;78(5):506-12. doi: 10.1016/S1081-1206(10)63239-5.
6
Seasonal trends in house dust mite allergen in children's beds over a 7-year period.7年期间儿童床上屋尘螨过敏原的季节性趋势。
Allergy. 2007 Dec;62(12):1394-400. doi: 10.1111/j.1398-9995.2007.01533.x.
7
Environmental, clinical, and immunological study of house dust mite in childhood asthma.儿童哮喘中屋尘螨的环境、临床及免疫学研究
Arch Dis Child. 1973 Aug;48(8):655. doi: 10.1136/adc.48.8.655-a.
8
House dust sensitivity and asthma.屋尘敏感性与哮喘。
Q J Med. 1986 Feb;58(226):89-93.
9
House dust mite and cockroach exposure are strong risk factors for positive allergy skin test responses in the Childhood Asthma Management Program.在儿童哮喘管理项目中,接触屋尘螨和蟑螂是皮肤过敏试验呈阳性反应的强烈风险因素。
J Allergy Clin Immunol. 2001 Jan;107(1):48-54. doi: 10.1067/mai.2001.111146.
10
[Allergen-specific immunoglobulin E in the serum (RAST), skin tests and mucosa provocation tests using house dust and house mite extract in rhinopathy and bronchial asthma].[血清中变应原特异性免疫球蛋白E(放射变应原吸附试验)、使用屋尘和屋尘螨提取物对鼻病和支气管哮喘进行的皮肤试验及黏膜激发试验]
Fortschr Med. 1976 May 13;94(14):815-20.

引用本文的文献

1
House-dust allergy.室内尘螨过敏。
Can Fam Physician. 1982 Apr;28:738-42.
2
House dust mite control measures for asthma.哮喘的屋尘螨控制措施
Cochrane Database Syst Rev. 2008 Apr 16;2008(2):CD001187. doi: 10.1002/14651858.CD001187.pub3.
3
Clinical evaluation of the effect of anti-allergic mattress covers in patients with moderate to severe asthma and house dust mite allergy: a randomised double blind placebo controlled study.抗过敏床垫罩对中重度哮喘和屋尘螨过敏患者疗效的临床评估:一项随机双盲安慰剂对照研究。
Thorax. 2002 Sep;57(9):784-90. doi: 10.1136/thorax.57.9.784.
4
Clinical effects of allergen avoidance.
Clin Rev Allergy Immunol. 2000 Jun;18(3):397-419. doi: 10.1385/CRIAI:18:3:397.
5
Allergen avoidance in the treatment of asthma and atopic disorders.避免变应原在哮喘和特应性疾病治疗中的应用。
Thorax. 1998 Jan;53(1):63-72. doi: 10.1136/thx.53.1.63.
6
Hyposensitisation to house dust mites.对屋尘螨的减敏疗法
Br Med J. 1980 Mar 1;280(6214):589-90.
7
Hyposensitization in asthma: a review.哮喘中的减敏疗法:综述
J R Soc Med. 1981 Jan;74(1):60-5.
8
Effects of anti-mite measures on children with mite-sensitive asthma: a controlled trial.抗螨措施对螨致敏性哮喘儿童的影响:一项对照试验。
Thorax. 1980 Jul;35(7):506-12. doi: 10.1136/thx.35.7.506.
9
Control of asthma.哮喘的控制
Can Med Assoc J. 1982 Mar 15;126(6):613-8.
10
Night cough and general practice research.夜间咳嗽与全科医学研究。
J R Coll Gen Pract. 1986 Feb;36(283):74-7.

本文引用的文献

1
IS A MITE (DERMATOPHAGOIDES SP.) THE PRODUCER OF THE HOUSE-DUST ALLERGEN?螨虫(嗜皮螨属)是屋尘过敏原的产生者吗?
Allerg Asthma (Leipz). 1964;10:329-34.
2
Mite asthma. Cause and management.螨性哮喘。病因与治疗
Practitioner. 1970 Dec;205(230):779-83.
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Mites and commercial extracts of house dust.螨虫与屋尘商业提取物。
Science. 1970 Mar 6;167(3923):1382-3. doi: 10.1126/science.167.3923.1382.
4
In vitro diagnosis of atopic allergy. IV. Seasonal variations of IgE antibodies in children allergic to pollens.特应性过敏的体外诊断。IV. 对花粉过敏儿童中IgE抗体的季节性变化。
Int Arch Allergy Appl Immunol. 1971;41(2):452-62.
5
House-dust mite asthma. Results of challenge tests on five criteria with Dermatophagoides pteronyssinus.屋尘螨性哮喘。用粉尘螨对五项标准进行激发试验的结果。
Br Med J. 1970 May 30;2(5708):501-4. doi: 10.1136/bmj.2.5708.501.
6
A study of a population of house dust mite in its natural environment.一项关于自然环境中屋尘螨种群的研究。
Clin Allergy. 1973 Jun;3(2):127-31. doi: 10.1111/j.1365-2222.1973.tb01316.x.
7
Role of house-dust mites in childhood asthma.屋尘螨在儿童哮喘中的作用。
Arch Dis Child. 1974 Sep;49(9):711-5. doi: 10.1136/adc.49.9.711.
8
Radioactive single radial diffusion: a method for increasing the sensitivity of immunochemical quantification of proteins in agar gel.放射性单向扩散:一种提高琼脂凝胶中蛋白质免疫化学定量灵敏度的方法。
Bull World Health Organ. 1969 Apr;40(4):613-6.
9
Mites and house-dust allergy in bronchial asthma.支气管哮喘中的螨类与屋尘过敏
Lancet. 1968 Jun 15;1(7555):1267-70. doi: 10.1016/s0140-6736(68)92289-7.
10
Clinical significance of specific IgE to common allergens. I. Relationship of specific IgE against Dermatophagoides spp. and grass pollen to skin and nasal tests and history.
Clin Allergy. 1971 Mar;1(1):37-55. doi: 10.1111/j.1365-2222.1971.tb02446.x.