鼻腔局部变态反应的临床和免疫学特征.pdf

《鼻腔局部变态反应的临床和免疫学特征.pdf》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、࠶㊫ਧ˖R76ᆖṑԓ⸱˖10062ᇶ㓗˖ᆖਧ˖2012702023⺅༛ᆖս䇪᮷MASTER’SDISSERTATION䇪᮷仈ⴞ˖啫㞄ተ䜘ਈᘱ৽ᓄⲴѤᒺ઼⯛ᆖ⢩ᖱTITLEClinicalsymptomsandimmunologyinspectioncharacteristicsofnasalcavitylocalallergyа㓗ᆖ、˖Ѥᒺ५ᆖҼ㓗ᆖ、˖㙣啫૭ஹ、ᆖ䇪᮷֌㘵˖ঠᘇၤᤷሬᮉᐸ˖ઘភ㣣ཙ⍕५、བྷᆖ⹄ウ⭏䲒Ҽƻаӄᒤӄᴸ࠶㊫ਧ˖R76ᆖṑԓ⸱˖10062ᇶ㓗˖ᆖਧ˖2012702023ᆖս㊫࡛˖、ᆖᆖս£уъᆖսRᆖ、䰘㊫˖५५ᆖ⺅

2、༛ᆖս䇪᮷MASTER’SDISSERTATION䇪᮷仈ⴞ˖啫㞄ተ䜘ਈᘱ৽ᓄⲴѤᒺ઼⯛ᆖ⢩ᖱTITLEClinicalsymptomsandimmunologyinspectioncharacteristicsofnasalcavitylocalallergyа㓗ᆖ、˖Ѥᒺ५ᆖҼ㓗ᆖ、˖㙣啫૭ஹ、ᆖ䇪᮷֌㘵˖ঠᘇၤᤷሬᮉᐸ˖ઘភ㣣ሬᐸ㓴ᡀઈ˖ᶘьཙ⍕५、བྷᆖ⹄ウ⭏䲒Ҽƻаӄᒤӄᴸᆜփ䇰ᮽ৕ࡑᙝ༦᱄ᵜӪ䜁䟽༠᰾˖ᡰ੸ӔⲴ䇪᮷ᱟᡁњӪ൘ሬᐸᤷሬл⤜・䘋㹼⹄ウᐕ֌ਆᗇⲴ⹄ウᡀ᷌DŽ䲔Ҷ᮷ѝ⢩࡛࣐ԕḷ⌘ᕅ⭘Ⲵ޵ᇩ઼㠤䉒Ⲵൠᯩཆˈ䇪᮷ѝнवਜ਼ԫօަԆњӪ

3、ᡆ䳶փᐢ㓿ਁ㺘ᡆ᫠߉䗷Ⲵ⹄ウᡀ᷌ˈоᡁа਼ᐕ֌Ⲵ਼ᘇሩᵜ⹄ウᡰڊⲴԫօ䍑⥞൷ᐢ൘䇪᮷ѝ֌Ҷ᰾⺞Ⲵ䈤᰾ᒦ㺘⽪Ҷ䉒᜿DŽᆖս䇪᮷֌㘵ㆮ਽˖ᰕᵏ˖ᒤᴸᰕᆜփ䇰ᮽ⡾ᵹ⭞ᦾᵹҜᵜᆖս䇪᮷֌㘵ᆼޘҶ䀓ཙ⍕५、བྷᆖᴹޣ؍⮉ǃ⭘ᆖս䇪᮷Ⲵ㿴ᇊˈণ˖ᆖṑᴹᵳሶᆖս䇪᮷Ⲵޘ䜘ᡆ䜘࠶޵ᇩ㕆ޕᴹޣᮠᦞᓃ䘋㹼Ự㍒ˈᒦ䟷⭘ᖡঠǃ㕙ঠᡆᢛ᧿ㅹ༽ࡦ᡻⇥؍ᆈǃ≷㕆ԕ׋ḕ䰵઼ُ䰵DŽ਼᜿ᆖṑੁഭᇦᴹޣ䜘䰘ᡆᵪᶴ䘱Ӕ䇪᮷ˈᒦ㕆ޕᴹޣᮠᦞᓃDŽ؍ᇶˈ൘ᒤ䀓ᇶਾ䘲⭘ᵜᦸᵳҖDŽᵜ䇪᮷኎Ҿн؍ᇶDŽ˄䈧൘⴨ሩᓄⲴᯩṶ޵ᢃ¯řā˅ᆖս䇪᮷֌㘵ㆮ਽˖ᰕᵏ˖ᒤᴸᰕሬᐸㆮ਽˖ᰕᵏ˖ᒤᴸᰕཙ⍕५、བྷᆖ⺅༛

4、ᆖս䇪᮷ѣᮽ᪎㾷ⴞⲴ˖᧒䇘啫㞄ተ䜘ਈᘱ৽ᓄⲴѤᒺ઼⯛ᆖỰḕⲴ⢩ᖱDŽᯩ⌅˖䘹ਆӵᴹ啫㞄ተ䜘ਈᘱ৽ᓄ⯷⣦ǃਈᓄ৏Ⳟ㛔⛩ࡪ䈅傼઼㹰␵ਈᓄ৏⢩ᔲᙗIgEỰ⍻൷Ѫ䱤ᙗⲴᛓ㘵60֌Ѫ㿲ሏ㓴ˈਖ䘹ਆਈᓄᙗ啫⚾˄AR˅ᛓ㘵઼ڕᓧᘇᝯ㘵਴40֌Ѫሩ➗㓴DŽ࠶࡛䘋㹼⯷⣦䇴࠶৺VAS䇴࠶ˈᒦ䘋㹼㹰␵ఌ䞨㋂㓶㜎Ự⍻ǃਈᓄ৏Ⳟ㛔⛩ࡪ䈅傼˄SPT˅ǃ㹰␵ਈᓄ৏⢩ᔲᙗIgEỰ⍻˄SIgE˅ǃ啫࠶⋼⢙ਈᓄ৏⢩ᔲᙗIgEỰ⍻ˈਈᓄ৏啫㋈㟌◰ਁ䈅傼ㅹ⯛ᆖỰ⍻ˈᒦሶ㿲ሏ㓴оሩ➗㓴Ⲵᮠᦞ䘋㹼㔏䇑ᆖ࠶᷀DŽ㔃᷌˖㿲ሏ㓴оਈᓄᙗ啫⚾㓴Ⲵ⯷⣦䇴࠶઼VAS䇴࠶ᰐᱮ㪇ᙗᐞᔲ˄P>0.05˅˗ਈᓄ

5、ᙗ啫⚾㓴㹰␵ఌ䞨㋂㓶㜎䇑ᮠ৺Ⲯ࠶∄儈Ҿ↓ᑨⲴᛓ㘵ᮠ᰾ᱮཊҾ㿲ሏ㓴ˈє㓴㹰␵ఌ䞨㋂㓶㜎䇑ᮠ৺Ⲯ࠶∄儈Ҿ↓ᑨⲴᛓ㘵ᮠᴹᱮ㪇ᙗᐞᔲ˄P<0.05˅˗㿲ሏ㓴઼ڕᓧᘇᝯ㘵㓴Ⲵਈᓄ৏Ⳟ㛔⛩ࡪ䈅傼઼㹰␵ਈᓄ৏⢩ᔲᙗIgEỰ⍻൷Ѫ䱤ᙗˈਈᓄᙗ啫⚾㓴Ⲵਈᓄ৏Ⳟ㛔⛩ࡪ䈅傼઼㹰␵ਈᓄ৏⢩ᔲᙗIgE൷Ѫ䱣ᙗ˗㿲ሏ㓴啫࠶⋼⢙ቈ㷘৺㣡㊹ਈᓄ৏Ⲵ䱣ᙗỰࠪ⦷Ѫ90%˄54/60˅,ਈᓄᙗ啫⚾㓴啫࠶⋼⢙ቈ㷘৺㣡㊹ਈᓄ৏Ⲵ䱣ᙗỰࠪ⦷Ѫ100%˄40/40˅ˈڕᓧᘇᝯ㘵㓴Ⲵ啫࠶⋼⢙ቈ㷘৺㣡㊹ਈᓄ৏Ự⍻൷Ѫ䱤ᙗ˗㿲ሏ㓴ቈ㷘ᡆ㣡㊹ਈᓄ৏◰ਁ䈅傼ਾˈৼח啫㞄ᴰሿ⁚ᡚ䶒〟߿ቁ>25%Ⲵ∄

6、Ѫ53.34%˄32/60˅ˈৼח啫≄䚃䱫࣋໎࣐>100%Ⲵ∄Ѫ90%˄54/60˅ˈਟ⺞ᇊѪ啫㞄㋈㟌◰ਁ䈅傼䱣ᙗDŽ㔃䇪˖ާᴹިරARⲴ⯵ਢ઼⯷⣦ˈնਈᓄ৏SPT઼㹰␵ਈᓄ৏SIgEỰ⍻তѪ䱤ᙗⲴᛓ㘵ˈ啫㞄㋈㟌ተ䜘ᆈ൘ਈᓄ৏⢩ᔲᙗ䎵᭿৽ᓄˈն䘉⿽৽ᓄᒦнդᴹޘ䓛Ⲵ㠤᭿DŽ㔃ਸ啫࠶⋼⢙ਈᓄ৏SIgEỰ⍻ᡆਈᓄ৏啫㞄㋈㟌◰ਁ䈅傼䱣ᙗˈਟ⺞䇺Ѫተ䜘ਈᓄᙗ啫⚾DŽޣ䭞䇽˖ተ䜘ਈᓄᙗ啫⚾ਈᓄᙗ啫⚾ਈᓄ৏啫㞄㋈㟌◰ਁ䈅傼Iཙ⍕५、བྷᆖ⺅༛ᆖս䇪᮷AbstractObjective:Toinvestigatetheclinicalsymptomsandimmu

7、nologyinspectioncharacteristicsofnasalcavitylocalallergy.Method:Selected60patientsasobservationgroup,whohadonlynasallocalallergysymptoms,allergenskinpricktestandserumallergenspecificIgEtestwerenegative,40allergicrhinitis(AR)patientsand40healthyvolunteersascontrolgroups.Tode

8、tectSymptomscoresandVASscores,andserumacidophilicgranulocyte,allergenskinpricktest