60岁以上老年人变应性鼻炎临床特征分析

Clinical features of allergic rhinitis aged over 60 years

目的了解宜昌市城区60岁以上老年人变应性鼻炎（AR）的流行病学特征,提出有效的防控措施。方法收集2010~2014年宜昌市城区综合医疗机构耳鼻喉科门诊接诊的60岁以上老年AR患者的病史资料,录入数据库并进行统计分析。结果近年来该地区AR老年患者数量逐年上升,春、冬季为高发季节;65~70岁年龄段人群为主要发病人群;不同类型的病例在年龄、地区构成上差异均有统计学意义（P〈0.01）;变应原种类及阳性程度在性别、年龄构成上差异均有统计学意义（P〈0.01）。结论需加强对老年人群的健康教育,优化环境,加强季节性预防,适度锻炼,同时改变不良生活习惯,出现症状应及时就医、规范治疗。

Objective To understand the epidemiological characteristics of allergic rhinitis（AR） of old people aged over 60 in Yichang city and to put forward effective prevention and control measures. Methods Data of old patients with AR aged over 60 years of Ear Nose Throat out-patient admissions in comprehensive medical institutions department from 2010 to 2014 in Yichang city were input the database and analyzed statistically. Results In recent years,the number of elderly patients with AR increased year by year and spring and winter are the peak season. The age group of 65~70 years was the main disease group. There were significant differences among different types of cases in age and region composition（ P 〈 0. 01）. There were significant differences among allergens as well as the positive degrees in gender and age composition（P 〈 0. 01）. Conclusions Health education,optimization of environment,moderate exercise,timely medical treatment and standard treatment are all needed for the elderly population.