ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (6): 646-648.doi: 10.3969/j.issn.1674-3865.2016.06.032

• 调查研究 • 上一篇    

辽阳地区患过敏性疾病儿童过敏原的分布特点

李婷婷   

  1. 111000 辽宁 辽阳,辽阳市第三人民医院儿科
  • 出版日期:2016-12-25 发布日期:2018-11-19
  • 作者简介:李婷婷(1967-),女,主任医师。研究方向:小儿呼吸系统疾病及小儿重症的诊治,E-mail:15841991311@163.com

Distribution of allergens in children with allergic diseases in Liaoyang area

LI Tingting   

  1. Third People's Hospital of Liaoyang,Liaoyang 111000,China
  • Online:2016-12-25 Published:2018-11-19

摘要: 目的:通过对辽阳地区患过敏性疾病及疑似过敏性疾病儿童进行血清变应原筛查检测及分析,筛查出本地区常见过敏原,为防治过敏性疾病提供依据。
方法:采用免疫印记法,对2 614例患过敏性疾病及疑似过敏性疾病患儿进行变应原筛查,并进行临床数据分析。
结果:2 614例儿童中变应原筛查阳性有737例(28.19%),其中0~3岁婴幼儿1 717例,变应原筛查阳性394例(22.95%),>3~14岁897例,变应原筛查阳性343例(38.24%);吸入性过敏原由高至低为户尘螨、混合霉菌、狗毛皮屑、猫毛皮屑、屋尘、混合草花粉(蒿/矮豚草/葎/苋)、混合树木花粉(柏/榆/柳/桦/枫/胡桃/梧桐/杨)、蟑螂;食物性过敏原由高至低为牛奶、鸡蛋、蟹、腰果/花生/黄豆、贝/鱼、虾、牛/羊肉、芒果/苹果/樱桃/桃;0~3岁以牛奶、鸡蛋等食物性过敏原为常见,>3~14岁以户尘螨、混合霉菌等吸入性过敏原为常见。
结论:牛奶、鸡蛋等食物性过敏原是0~3岁过敏性疾病儿童的主要过敏原,随着年龄的增长,食物性过敏原逐渐降低,而户尘螨、混合霉菌等吸入性过敏原开始成为主要过敏原。

关键词: 过敏性疾病, 变应原, 特异性IgE, 儿童

Abstract: Objective:Through detecting and analyzing the serum allergen in children with allergic diseases and suspected allergic diseases in Liaoyang area, to provide evidence for the prevention and treatment of allergic diseases.
Methods:A total of 2 641 children with allergic diseases and suspected allergic diseases were screened by western blotting, and clinical data were analysed retrospectively.
Results:Totally 737(28.19%) out of 2 641 children were with positive allergens, 1 717 cases were 0-3-year old, and 394(22.95%) of them were positive for allergen screening; in 897 cases of 3-14-year old children, 343 cases(38.24%) were positive for allergen screening. Inhalant allergens were as follows(from high to low): house dust mites, mixed mold, dog hair dander, cat hair dander, house dust, mixed grass pollen(Artemisia/short ragweed/Humulus/amaranth), mixed tree pollen(cypress/elm/willow/birch/maple/walnut/sycamore/poplar),and cockroaches; food allergens were as follows(from high to low): milk, eggs, crab, cashew nuts/peanuts/soy, shellfish/fish, shrimp, beef/lamb, mango/apple/cherry/peach;0-3-year old children were commonly allergic to milk, eggs and other food allergens , and 3-14-year old children were commonly allergic to house dust mites, mold and other mixed inhalant allergens.
Conclusion:Milk, eggs and other food allergens are major allergens of allergic diseases in 0-3-year old children, with the age growing, food allergens gradually decreased, while house dust mites, mixed mold and other inhaled allergens become the main allergen.

Key words: Allergic disease, Allergen, Specific IgE, Children