2021-2023年北京市某儿童医院儿童过敏性鼻炎过敏原流行特征

Epidemiological characteristics of allergens among children with allergic rhinitis in a children′s hospital of Beijing from 2021 to 2023

  • 摘要:
    目的 探讨北京某儿童医院过敏性鼻炎(AR)患儿常见过敏原流行特征。
    方法 选取2021-2023年在北京京都儿童医院耳鼻咽喉科就诊且症状符合AR的患儿2 120例为研究对象, 采用免疫印迹法检测过敏原特异性免疫球蛋白E(sIgE), 按照年龄、性别、年度等统计各项过敏原阳性率, 分析流行特征和变化趋势。
    结果 2 120例患儿过敏原阳性率为47.78%, 以多重致敏为主, 1~ < 7岁患儿过敏原阳性率和多重致敏率最高。以吸入过敏原为主, 阳性率最高的是念珠菌组。吸入过敏原和食入过敏原阳性率均在1~ < 7岁患儿达到高峰, 随年龄增长阳性率逐渐下降, 牛奶和鸡蛋白是儿童阶段最主要的两种食入过敏原。2 120例患儿各项过敏原阳性率在男女之间差异较大, 男性高于女性(P<0.001)。3年期间, 过敏原阳性率总体呈上升趋势, 吸入过敏原中艾蒿、猫毛、狗毛皮屑等阳性率上升幅度较大, 食入过敏原牛奶、鸡蛋白、鸡蛋黄等阳性率上升趋势明显。
    结论 过敏性鼻炎病因复杂, 过敏原检测影响因素较多。本研究多角度分析过敏性鼻炎患儿过敏原流行特征, 为儿童过敏性鼻炎防治提供参考。

     

    Abstract:
    OBJECTIVE To explore the epidemiological characteristics of common allergens among children with allergic rhinitis (AR) in a children′s specialized hospital of Beijing.
    METHODS A total of 2120 children who met the diagnostic criteria of AR and were treated in otolaryngology department of Beijing Jingdu Children′s Hospital from 2021 to 2023 were recruited as the research subjects. The specific immunoglobulin E (sIgE) of allergens was detected by western blot quantitative assay. The positive rates of the allergens were statistically analyzed according to the age, sex and years. The epidemiological characteristics and changing trends were observed.
    RESULTS The positive rate of allergens was 47.78% among the 2120 children, in whom multiple allergies polysensitization were predominant; the positive rate of allergens and polysensitization rate were the highest among the population aged between 1 and 7 years old. The inhalational allergens were dominant, and the positive rate of the Candida group was highest. The positive rates of inhalant allergens and ingested allergens reached the peak at the age of 1-7 and then declined with age; milk and egg white were the two types of predominant ingested allergens in childhood. Among the 2120 children, there were significant differences in the positive rates of allergens between the male and the female, and the positive rates of the male were higher than those of the female (P < 0.001). The positive rates of allergens generally showed upward trends during the 3 years, the positive rates of the inhalant allergens such as mugwort, cat hair and dog dandruff ascended by a large margin, and the positive rates of the ingested allergens such as milk, egg white and egg yolk showed remarkable rising trends.
    CONCLUSIONS The causes of AR are complicated. There are a variety of factors affecting the allergen test. The epidemiological characteristics of the allergens among the AR children are observed from multiple perspectives, which may provide references for prevention and treatment of the children with AR.

     

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