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皮肤点刺试验检测慢性荨麻疹、湿疹变应原的临床意义
THE CLINICAL SIGNIFICANCE OF SKIN PRICK TEST TO SPOT ALLERGENS FOR PATIENTS WITH CHRONIC URTICARIA AND ECZEMA
【摘要】 目的:了解包头地区慢性荨麻疹湿疹病人的常见致敏原,评价变应原皮肤点刺试验在慢性荨麻疹湿疹病原诊断中的价值。方法:采用国际标准方法的皮肤点刺试验(SPT),对186例慢性荨麻疹湿疹病人做32种变应原测定,并设阳性(组胺)及阴性(生理盐水)对照,以阳性对照为判断标准。结果:186例慢性荨麻疹湿疹病人中阳性者130例,阳性率达69.9%。吸入组、食入组阳性率分别为48.4%、36.6%(P(0.05)。吸入组中以尘螨、蒿类花粉、蟑螂、狗毛、豚草花粉居前;食入组中以鱼类、牛肉、羊肉、牛奶、虾类居前。结论:吸入性变应原与慢性荨麻疹湿疹的相关性强于食入性变应原。包头地区慢性荨麻疹湿疹病人主要过敏原为尘螨、蒿类花粉、蟑螂、狗毛、鱼类、牛羊肉等。变应原皮肤点刺试验安全、可靠、易操作,为慢性荨麻疹湿疹病人寻找可能的变应原提供依据。
【Abstract】 Objective:To investigate acromegalic sensibiligen for patients of chronic urticaria and eczema in Baotou;to evaluate the effective value of patch test in the process of original diagnosis for patients of chronic urticaria and eczema.Methods:A variety of 32-allergen tests have been operated on 186 patients suffering chronic urticaria or eczema based on international standard skin prick test,with a masculine standard in the comparison of masculine(histamine) and negative(isotonic Na chloride).Results:130 cases from 186 have shown positive(69.9%),among which imbibitional group contributes 48.4% while ingesting group 36.6%(P<0.05).Top five imbibitional allergens are dust mite,Artemisia pollen,cockroach,dog hair and ragweed pollen while ingesting allergens are composed of fish,beef,mutton,milk and seafood.Conclusion:Compared with ingesting allergens,imbititional allergens are of a closer dependability.The majority of allergens for local patients of chronic urticaria and eczema are dust mite,Artemisia pollen,cockroach,dog hair,fish,beef and mutton.skin prick test are safe,reliable and easy to operate,which can be used to spot possible allergens for patients of chronic urticaria and eczema.
- 【文献出处】 内蒙古医学院学报 ,Acta Academiae Medicinae Neimongol , 编辑部邮箱 ,2008年S1期
- 【分类号】R758.24
- 【被引频次】5
- 【下载频次】147