目的比较慢性鼻-鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)与不伴鼻息肉(chronic rhinosinusitis without nasal polyps,CRSsNP)的临床特征,为制定合理治疗策略提供依据.方法回顾性分析2018年11月~2019年12月...目的比较慢性鼻-鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)与不伴鼻息肉(chronic rhinosinusitis without nasal polyps,CRSsNP)的临床特征,为制定合理治疗策略提供依据.方法回顾性分析2018年11月~2019年12月住院手术的苏皖地区225例慢性鼻-鼻窦炎(CRS)患者术前血常规、血生化、血清总IgE(total IgE,tIgE)、特异性IgE(specific IgE,sIgE)、鼻窦CT及术后病理检查等临床资料,进行统计学分析.结果225例中,CRSwNP组148例(65.8%),CRSsNP组77例(34.2%).患者的性别、年龄、住院时间、外周血白细胞及分类、血生化指标在两组间差异无统计学意义(P>0.05).CRSwNP和CRSsNP患者中至少1种变应原阳性分别占34.5%和40.3%,其中尘螨过敏最多见,阳性率分别为23.0%和26.0%,两组间差异均无统计学意义(P>0.05).血清tIgE阳性率、20种变应原slgE浓度等级和阳性率、吸入性及食物性变应原阳性率在两组间差异也均无统计学意义(P>0.05).鼻窦CT扫描Lund-Mackay评分中,两组各鼻窦、窦口鼻道复合体及CT总分CRSwNP组都高于CRSsNP组,差异均有统计学意义(P<0.05).在病理组织中,两组患者淋巴细胞及浆细胞浸润均为60%以上,但嗜酸性粒细胞(Eos)在CRSwNP组的阳性率为43.2%,显著高于CRSsNP组的阳性率22.1%,差异有统计学意义(P<0.05).结论本地区CRS患者目前仍以淋巴细胞/浆细胞性炎症为主,但CRSwNP息肉组织中Eos阳性率达43.2%,需引起重视并进一步关注.CRSwNP和CRSsNP患者变应原阳性率分别为34.5%和40.3%,两者无明显差异,尘螨为主要致敏原.展开更多
Haze and fog are both low visibility events, but with different physical properties. Haze is caused by the increase of aerosol loading or the hygroscopic growth of aerosol at high relative humidity, whereas visibility...Haze and fog are both low visibility events, but with different physical properties. Haze is caused by the increase of aerosol loading or the hygroscopic growth of aerosol at high relative humidity, whereas visibility degradation in fog is due to the light scattering of fog droplets, which are transited from aerosols via activation. Based on the difference of physical properties between haze and fog, this study presents a novel method to distinguish haze and fog using real time measurements of PM2.5, visibility, and relative humidity. In this method, a criterion can be developed based on the local historical data of particle number size distributions and aerosol hygroscopicity. Low visibility events can be classified into haze and fog according to this criterion.展开更多
基金supported by the Basic Research Program of China(Grant No.2011CB403402)the Basic Research Fund of Chinese Academy of Meteorological Sciences(Grant No.2008Z011)
文摘Haze and fog are both low visibility events, but with different physical properties. Haze is caused by the increase of aerosol loading or the hygroscopic growth of aerosol at high relative humidity, whereas visibility degradation in fog is due to the light scattering of fog droplets, which are transited from aerosols via activation. Based on the difference of physical properties between haze and fog, this study presents a novel method to distinguish haze and fog using real time measurements of PM2.5, visibility, and relative humidity. In this method, a criterion can be developed based on the local historical data of particle number size distributions and aerosol hygroscopicity. Low visibility events can be classified into haze and fog according to this criterion.
