广州医药 ›› 2015, Vol. 46 ›› Issue (4): 63-65.DOI: 10.3969/j.issn.1000-8535.2015.04.021

• 论著 • 上一篇    下一篇

广州地区过敏性疾病儿童血清特异性过敏原IgE检测分析

汤少珊, 梁少媛, 陈广道   

  1. 广州市番禺区中心医院儿科 (广州 511400)
  • 收稿日期:2015-03-11 发布日期:2021-11-30
  • 通讯作者: 陈广道,E-mail:doctor_cgd79@126.com

Anylysis of serum allergen-specific IgE in children with allergic diseases in Gungzhou area

Tang Shaoshan, Liang Shaoyuang, Chen Guangdao   

  1. Department of Pediatrics Gungzhou Panyu Central Hospital,Panyu, Guangzhou 511400,China
  • Received:2015-03-11 Published:2021-11-30

摘要: 目的 分析过敏性疾病儿童过敏原的种类和特点。方法 采用国产欧博克试剂盒(酶联免疫法)对174例过敏性疾病患儿进行食物及吸入性过敏原特异性IgE(SIgE)检测,比较≤3岁和>3岁两组患儿SIgE阳性率。结果 过敏性疾病患儿SIgE检测阳性率达72.99%(127/174),排名前2位的是:屋尘螨/粉尘螨(39.66%,69/174)、屋尘(26.44%,46/174)。≤3岁组食物性过敏原阳性率33.93%(19/56),吸入性过敏原阳性率44.64%(25/56),>3岁组食物性过敏原阳性率41.53%(49/118),吸入性过敏原阳性率61.02%(72/118);127例阳性病例中, 96例对≥2种过敏原呈阳性反应, 69例SIgE等级≥3,>3岁组混合过敏率及高度过敏率高于≤3岁组。结论 广州地区过敏性疾病儿童以吸入性过敏为主,主要过敏原是屋尘螨/粉尘螨、屋尘,随着年龄增长,吸入性过敏原阳性率升高,混合过敏的机率增加。建议对过敏疾病患儿进行过敏原检测,以制定相应环境干预措施及特异性脱敏治疗方案。

关键词: 儿童, 过敏性疾病, 特异性过敏原IgE

Abstract: Objective To inverstigate the types and characteristics of allergen in children in different age with allergic diseases. Methods The food and inhalant allergen-specifi IgE(SIgE) were detected by the domestic specific IgE Screening ELISA kit in 174 children with allergic diseases,and were compared among children aged ≤3 and >3 years. Results 72.99%(127/174) of children with allergic diseases were positive for SIgE,the common allergen were dermatophagoides pteronyssinus/dermatophagoides farina and dust. In the group of ≤3 years old,the positives rate of food allergens was 33.93%(19/56),and the positives rate of aeroallergens was 44.65%(25/56).In the group of >3 years old, the positives rate of food allergens was 41.53%(49/118), the positives rate of aeroallergens was 61.02%(72/118).96 of 127(75.59%) positive cases yielded positive result to more than 2 allergens.69 patients's SIgE levels greater were ≥ 3,the mixed allergic rate and highly allergic rate of the children aged >3 years were higher than the children aged ≤3 years. Conclusion The children with allergic diseases in Guangzhou area were allergic mainly to inhalant allergens,especially to dermatophagoides pteronyssinus/dermatophagoides farina and dust.Aeroallergens are becoming the allergens as children grow with ages, and probability of mixture allergy is increasing.

Key words: Child, Allergic diseases, Allergen specific IgE