变应性鼻炎患者大鱼际掌纹特应征观察研究

Clinical observation of atopic traits of thenar palmprint in patients with allergic rhinitis

目的观察变应性鼻炎患者的大鱼际掌纹特应征,为变应性鼻炎的防治提供临床依据。方法以185例变应性鼻炎患者为研究对象,并按1∶1匹配性别、年龄相同的对照组,搜集所有变应性鼻炎患者的大鱼际掌纹特应征、病程以及变应原等相关数据因素,并对所搜集的数据统计分析。结果采用条件Logistic回归分析提示协变量大鱼际掌纹特应征(OR=41.665,95%CI=13.258~130.946)是变应性鼻炎的危险因素;关联性分析显示,大鱼际掌纹形态分级与变应性鼻炎患者的年龄、病程无相关性(P>0.05),与尘螨、花粉过敏阳性程度成正相关(P<0.05),与霉菌阳性程度不相关(P>0.05)。结论大鱼际掌纹形态可能是恒定不变的,大鱼际掌纹特应征是变应性鼻炎的典型特征,且与患者的年龄以及病程无相关性,大鱼际掌纹特应征变应性鼻炎患者要特别注意对尘螨、花粉的接触。

Objective To observe the atopic traits of thenar palmprint in patients with allergic rhinitis,and to provide clinical basis for the prevention and treatment of allergic rhinitis. Methods 185 patients with allergic rhinitis were selected as subjects. The control subjects were selected according to 1 ∶ 1 matching sex and age,and the atopic traits of thenar palmprint,course of disease and allergens of all subjects were collected and analyzed. Results The results of condition logistic regression showed that the covariant atopic trait of thenar palmprint( OR = 41. 665,95% CI = 13. 258 ~ 130. 946) was a risk factor for allergic rhinitis. There was no relationship among the classification atopic traits of thenar palmprint,age and course of disease( P > 0. 05). The correlation analysis showed that there is a positively correlated between the classification atopic traits of thenar palmprint and the positive degree of dust mite and pollen allergy( P < 0. 05). There was no correlation between the degree of palmprint grading and the positive degree of mold( P > 0. 05). Conclusion The shape of thenar palmprint maybe constant,and has no correlation with the age and course of disease of allergic rhinitis patients. The atopic trait of thenar palmprint is a typical characteristic of allergic rhinitis,and the atopic traits of thenar palmprint of allergic rhinitis were positive need to pay special attention to contacting dust mites andpollen.