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1、扬州市变应性鼻炎患者变应原皮肤点刺试验结果分析张攀徐敏钱明(扬州市第一人民医院耳鼻咽喉科江苏扬州225009)【摘要】目的对2457例变应性鼻炎(AR)患者变应原皮肤点刺试验结果进行分析，了解木地区AR患者变应原分布特点，并提供预防治疗AR所需临床依据。方法针对疑似AR患者进行26种变应原皮肤点刺试验，皮试阳性2457例，记录致敏变应原，并进行统计分析。结果皮试阳性患者中吸入变应原占比最高为粉尘螨87.2%,其后依次为屋尘螨86.6%、交链孢霉19.5%、特异青霉6.5%、艾蒿5.2%、悬铃木属4.8%,食入变应原最高为小虾13.
2、3%,双重阳性患者变应原主要为粉尘螨和屋尘螨。皮试阳性患者分为2组，A组为6-18岁，B组为>18岁，两组患者粉尘螨、屋尘螨阳性占比无明显差异(P>；0.05),而A组中交链孢霉阳性占比明显高于B组(P<0.05)。结论扬州市导致变应性鼻炎的变应原中，粉尘螨、屋尘蝴最为常见，是防治重点，但青少年患者中，交链孢霉也是重要变应原。【关键词】鼻炎变应性变应原皮肤试验【中图分类号】R765.21【文献标识码】A【文章编号】2095-1752(2012)30-0162-02Analysisofskinpricktestsre
3、sultsofpatientswithallergicrhinitisinYangzhouZhangPan,XuMing,QianMing(DepartmentofOtolaryngology,YangzhouNo.lPeople’sHospital,Yangzhou225009,Jiangsu,China)【Abstract】objectiveToanalysetheskinpricktests(SPT)resultsof2457patientswithallergicrhinitis(AR),determineth
4、edistributionofallergensinYangzhou,andprovideclinicalreferencetopreventandtreatAR.Methods26allergensSPTforpatientssuspectedAR,SPTwaspositivein2457cases,recordingpositiveallergens,andstatisticalanalysis.ResultsAmongthepositiveallergens,theDermatophagoidesfarina(Derf)ac
5、countedthehighestproportionininhaledallergensfor87.2%,followedDermatophagoidespteronyssinus(Derp)86.6%,Alternaria19.5%,Penicilliumnotatum6.5%,Mugwort5.2%,Platanus4.8%,andtheShrimpaccountedthehighestproportioninfoodallergensfor13.3%.Amongthepatientswithdoublepositiveal
6、lergens,themainlyallergenswereDerfandDerp.Allthepatientswithpositiveskintestdividedinto2groups,Agroup,consistofpatientsof6-18years,Bgroup,consistofpatientsover18yearsofage.TheproportionsofDerfandDerpamongthepositiveallergenswerenotsignificantlydifferentbetweentwogroup
7、s(P>0.05),buttheproportionofalternariagroupAwashigherthanthatofgroupB(P<O.O5).ConclusionsDerfandDerparethemostcommonamongtheallergensresultinginallergicrhinitisinYangzhou,alsothekeyofpreventionandcureforAR,butfortheadolescentpatient,attentionshallbepaidtoAlterna
8、riatoo［Keywords］RhinitisallergicAllergenSkintests变应性鼻炎(AR)是耳鼻咽喉科常见病，患者主要症状为鼻塞、流涕、鼻痒、喷嚏［1-2］是由IgE介导的鼻腔变态反应性疾病，其诱发是鼻粘膜接触各类各类变应
