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出生时刻对呼吸系统特应性疾病的识别有意义吗?II. 特应性素质增强家庭中儿童特应性疾病发病率与出生日期的关系

[Does the moment of birth have any significance on recognition of atopic diseases of the respiratory system? II. Incidence of atopic diseases in relation to birth date of children from families with increased atopic diathesis].

作者信息

Kruszewski J, Zaraś E, Chojnacki G

机构信息

Kliniki Chorób Zakaźnych Instytutu Medycyny Wewnetrznej, Centralnego Szpitala Klinicznego WAM, Warszawie.

出版信息

Pneumonol Alergol Pol. 1993;61(7-8):331-5.

PMID:8401336
Abstract

The aim of this study was to analyze the birth rates in specific quarters of the year in families with a history of atopic diathesis. One hundred families with atopic diathesis with at least two children older than 16 years were studied. The diagnosis of its atopic etiology and demonstration of the specific allergen were all based on results of a questionnaire, physical examination, results of skin tests and serum levels of allergen specific IgE. In the selected 100 families an analysis of birth rates of 251 children was carried out in each quarter of the year and the effect of this on first atopy symptoms was searched for. It was demonstrated that in these families more children were born with atopy (57%) than without. More than half of the children were sensitive to grass pollens and perennial allergens, and only 20% to the perennial allergens. Most children were born during the second quarter of the year. In this group atopy was four fold more often seen. The results demonstrate that the birth date of children from atopic families is a risk factor for atopy. This implies that family planning should be added to the list of secondary prophylactic measures of atopic diseases.

摘要

本研究的目的是分析有特应性素质病史的家庭在一年中特定季度的出生率。研究了100个有特应性素质且至少有两个16岁以上孩子的家庭。其特应性病因的诊断和特定过敏原的证明均基于问卷调查结果、体格检查、皮肤试验结果以及过敏原特异性IgE的血清水平。在选定的100个家庭中,对251名儿童在一年中每个季度的出生率进行了分析,并探究了其对首次出现特应性症状的影响。结果表明,在这些家庭中,出生时患有特应性疾病的儿童(57%)比没有患特应性疾病的儿童更多。超过一半的儿童对草花粉和常年性过敏原敏感,只有20%对常年性过敏原敏感。大多数儿童在一年中的第二季度出生。在这一组中,特应性疾病的发病率高出四倍。结果表明,来自特应性家庭的儿童的出生日期是患特应性疾病的一个危险因素。这意味着计划生育应被列入特应性疾病二级预防措施清单。

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