[北京地区豚草花粉致敏特性研究]。

Shuang Suo, Tingting Ma, Hongtian Wang, Ye Wang, Xueyan Wang
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摘要

目的:了解北京地区变应性鼻炎(AR)和(或)过敏性哮喘患者的豚草花粉致敏特性,为豚草花粉致敏人群的防治提供依据。方法:对2017年1月至2019年12月在北京世纪坛医院过敏科门诊就诊的过敏性鼻炎和/或哮喘患者进行回顾性分析。用豚草花粉过敏原试剂进行皮肤点刺试验,比较不同年龄、性别和呼吸道疾病过敏原的分布,观察其人群的致敏特征。所有分析均使用SAS软件版本9.4进行。结果:共有9727名患者最终入选。豚草花粉SPT总阳性率为45.50%(426/9727),13~17岁组阳性率最高,为65.54%;豚草花粉SPT在过敏性鼻炎合并哮喘患者中的阳性率为49.79%,其次是过敏性鼻炎患者中的46.46%,在单一过敏性哮喘患者中阳性率最低,为19.42%。结论:北京地区豚草花粉致敏程度较高,单一豚草花粉敏感性较低,常合并多种花粉致敏,过敏性鼻炎为主要疾病。
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[Sensitization characteristics of ragweed pollen in Beijing area].

Objective:To investigate the sensitization characteristics of ragweed pollen in patients with allergic rhinitis(AR) and(or) allergic asthma in Beijing area, and to provide basis for the prevention and treatment of ragweed pollen sensitized population. Methods:Patients with allergic rhinitis and/or asthma from January 2017 to December 2019 in the outpatient department of Allergy Department of Beijing Shijitan Hospital were retrospectively analyzed in this study. Skin prick test(SPT) was performed with ragweed pollen allergen reagents to compare different ages, genders and respiratory diseases allergen distribution, and to observe the sensitization characteristics of its population. All of the analyses were performed using SAS software version 9.4. Results:A total of 9 727 patients were enrolled in the end. The total positive rate of ragweed pollen SPT was 45.50%(4 426/9 727), the highest positive rate was 65.54% in 13-17 years old group; The positive rate of ragweed pollen SPT was 49.79% in allergic rhinitis combined with asthma patients, followed by 46.46% in allergic rhinitis patients, and the lowest rate was 19.42% in single allergic asthma patients. There were more females than males in both ragweed pollen sensitized and non-ragweed pollen sensitized groups(P<0.05), and the proportion was higher in 30-39 years old than in other age groups(P<0.05). Ragweed pollen sensitization was higher than non-ragweed pollen sensitization in the allergic rhinitis group(98.49% vs 94.76%, P<0.05). Ragweed pollen with other summer and autumn pollen allergens in patients with positive SPT, the top three were Chenopodium pollen, Humulus pollen and Artemisia grandis pollen, with positive rates of 90.42%, 89.63% and 85.40%, respectively. Ragweed combined with other pollen sensitization accounted for 99.57%(4 407/4 426). Allergic rhinitis was the main disease in patients sensitized with ragweed pollen alone or combined with other pollens, and there was no significant difference between the two groups(94.97% vs 98.50%, P>0.05). Conclusion:Ragweed pollen is highly sensitized in Beijing area, single ragweed pollen sensitization is rare, often combined with multiple pollen sensitization, and allergic rhinitis is the main disease.

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