352例常见变态反应性疾病变应原皮肤点刺试验结果分析

Result analysis of skin prick test(SPT) on allergen of 352 cases of allergic diseases

目的探讨泰安地区变态反应性疾病的变应原分布状况,为变应性疾病预防和治疗提供重要依据。方法对来山东省泰山医院就诊的泰安地区352例变态反应性疾病进行变应原皮肤点刺试验(SPT)结果分析。结果 SPT总阳性率85.80%,其中吸入组总阳性率84.66%,其中尘螨175例(58.72%)、昆虫134例(44.97%)、室内尘土130例(43.62%)、蒿属花粉111例(37.25%)、草花粉108例(36.24%)。尘螨和室内尘同时阳性者与尘螨阳性者之比约为5∶7;多价昆虫所致134例阳性病例中有114例发生在夏秋季,占85.07%。食物组总阳性率58.24%,其中主要是牛奶104例(50.73%)、海鱼68例(33.17%)、海蟹68例(33.17%)、海虾65例(31.71%)。但不同性别之间阳性率对比差异无统计学意义。结论泰安地区变态反应性疾病的SPT总阳性率高,吸入组变应原主要是尘螨、昆虫、室内尘土、蒿属花粉、草花粉,且具有夏秋季多发的特点。食物组主要是牛奶、海鱼、海蟹、海虾。但不同性别之间发病率差异无统计学意义。

Objective To investigate the allergen distribution status of allergic diseases in Taian area, so as to provide an important basis for clinical diagnosis, treatment and prevention of allergic disease.Methods Skin prick test （SPT） on allergen was conducted in 352 cases of allergic diseases in Taian area coming to Taishan Hospital for diagnosis, and the results were analyzed. Results The total positive rate of skin prick test was 85.80% .The total positive rate of the inhalation group was 84.66%, including 175 cases of dust mites（58.72%）, 134 cases of insects（44.97%）, 130 cases of house dust（43.62%）, 111 cases of artemisia pollen （37.25%）, 108 cases of humulus pollen（36.24%）.The ratio between dust mites and house dust positive and dust mites positive was 5 ： 7; 114 out of the134 positive cases from polyvalent insects occurred in summer and autumn,accounting for 85.07% .The total positive rate of the food group was 58.24%, including 104 cases of milk（50.73%）, 68 cases of fish（33.17%）, 68 cases of sea crabs（33.17%）, and 65 cases of sea shrimps（31.71%）.The positive rates showed differences of no statistical significance between different sexes.Conclusion The total positive rate of SPT of allergic diseases in Taian area is high, and the allergen of the inhalation group is mainly dust mites, insects, house dust, artemisia pollen, and humulus pollen with higher occurrence in summer and autumn.The allergen of the food group is mainly milk, fish, sea crabs and sea shrimps.The morbidity showed differences of no statistical significance between different sexes.