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[农村地区与城市地区儿童吸入性过敏的发生率比较]

[Frequency of inhalation allergies in children of rural areas as compared to urban areas].

作者信息

Dupal H D, Horak F, Türk R

出版信息

Laryngol Rhinol Otol (Stuttg). 1982 Nov;61(11):648-50.

PMID:7176786
Abstract

The morbidity of inhalation allergies which was proved to exist on the basis of a screening test involving schoolchildren in a big city (Vienna) in 1979 was compared to that in school children in a rural area (Wiener Neustadt region). The study involved 651 children aged 8, 12 and 15-16 who were examined under the same conditions as the Vienna school children had been examined previously. Case histories were prepared with the help of questionnaires and each child was subjected to a skin test against grass species, pollen and the house-dust mite. If one of the two criteria was positive, blood samples were taken for specific serum-IgE determination by means of RAST and whole-blood IgE-level by means of PRIST. In the group of Wiener Neustadt schoolchildren aged 8, 8% suffered from manifest allergies (7% in Vienna) and 5% from latent allergies (7% in Vienna). In the group of 12 year old children, 11% suffered from manifest allergies (11% in Vienna) and 8.5% from latent allergies (8% in Vienna). A definite conclusion concerning the group of children aged 15-16 cannot be drawn, since the samples were not comparable. Since the results obtained in Wiener Neustadt and Vienna were largely identical, this proves 1. the reliability of the results concerning the percentages of allergic children; 2. that the number of allergies increases with the age of the children; 3. that there is no statistical difference in the allergy distribution between children coming from rural areas or from big cities.

摘要

1979年,在一个大城市(维也纳)对学童进行了一项筛查测试,以此证实了吸入性过敏的发病率,并将其与农村地区(维也纳新城地区)学童的发病率进行了比较。该研究涉及651名8岁、12岁以及15至16岁的儿童,他们接受检查的条件与之前维也纳学童接受检查的条件相同。借助问卷来准备病历,并且让每个孩子接受针对草种、花粉和屋尘螨的皮肤测试。如果两项标准中的一项呈阳性,就采集血样,通过放射变应原吸附试验(RAST)测定特异性血清IgE,并通过粒子放射性免疫吸附试验(PRIST)测定全血IgE水平。在维也纳新城8岁的学童组中,8%患有明显过敏(维也纳为7%),5%患有潜在过敏(维也纳为7%)。在12岁的儿童组中,11%患有明显过敏(维也纳为11%),8.5%患有潜在过敏(维也纳为8%)。对于15至16岁的儿童组无法得出明确结论,因为样本不具有可比性。由于在维也纳新城和维也纳获得的结果基本相同,这证明了:1. 关于过敏儿童百分比的结果具有可靠性;2. 过敏的数量随着儿童年龄的增长而增加;3. 来自农村地区或大城市的儿童在过敏分布上没有统计学差异。

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