气传变应原皮试在支气管哮喘诊断中的应用

The application of the gas transmissive allergen subcutaneous test in diagnosis of asthma

目的 对气传变应原皮试与支气管哮喘的关系进行临床分析。方法 对哮喘病人详细询问病史 ,提前 3d停用激素及抗组胺药。取浓度为 1∶10 0的 14种气传变应原及阳性、阴性对照液各 0 .1ml,在病人上臂外侧进行皮内注射 ,皮丘间距 2cm ,15min观察结果。结果 65例病人中一种变应原阳性 2 3例 ,～ 3种变应原阳性 3 6例 ,～ 5种变应原阳性 6例 ,其中螨、多价霉菌Ⅰ、Ⅱ、室尘、其他垫料及枕垫料占阳性率前 6位。

Objective To evaluate the relationship between the gas transmissive allergen subcutaneous test and asthma.Methods The patients with asthma history was inquired.Glucocorticoid and antistamine drugs were stopped three days before.Take 0.1 ml of each of fourteen gas transmissive allergens whose concentration was 1∶100 and 0.1 ml of negative and positive control preparation and inject when into subcutaneous part of the upper arm.The distance between skin dunes was 2 cm.Observe the result after 15 minutes.Results In 65 cases,there were 23 patients of positive to one allergen,36 patients of positive to 2～3 allergens and 6 patients of positive to 4～5 allergens.In the first six of positive rate were mite,multivalent mould Ⅰ?Ⅱ?house dust,other mattress and pillow spacer.Conclusion The gas transmissive allergen subcuteneous test has value on etiologic diagnosis of respiratory tract allergy disease.