發(fā)布時(shí)間：2018-09-10 20:45

【摘要】：目的探討血清特異性IgE檢測(cè)在濕疹患者診療中的應(yīng)用價(jià)值。方法回顧性分析本院2014年3月-2016年7月診治的171例濕疹患兒的血清特異性IgE檢測(cè)結(jié)果。結(jié)果 171例濕疹患兒中,主要食物過(guò)敏原為牛奶(64例,占37.43%)、羊肉(43例,占25.15%)、雞蛋白(43例,占25.15%)和牛肉(24例,占14.04%);主要吸入性過(guò)敏原為戶塵螨(58例,占33.92%)和貓毛狗毛皮屑(24例,占14.04%)。雞蛋白陽(yáng)性率比較:1歲組(18例,占64.29%)高于1~5歲組(11例,占20.37%)和5歲組(14例,占15.73%)。牛奶陽(yáng)性率比較:1歲組(15例,占53.57%)、1~5歲組(33例,占61.11%)高于5歲組(16例,占17.98%)。羊肉陽(yáng)性率比較:1歲組(13例,占46.43%)、1~5歲組(23例,占42.59%)高于5歲組(7例,占7.87%)。戶塵螨陽(yáng)性率比較:5歲組(40例,占44.94%)高于1~5歲組(16例,占29.63%)和1歲組(2例,占7.14%),以上差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。不同年齡組患兒魚(yú)、蝦、蟹、牛肉等過(guò)敏原陽(yáng)性率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論血清特異性IgE檢測(cè)對(duì)濕疹患兒診治有一定的應(yīng)用價(jià)值,如有助于患兒回避相關(guān)過(guò)敏原,其中低年齡患兒主要對(duì)食入性變應(yīng)原過(guò)敏,高年齡患兒主要對(duì)吸入性變應(yīng)原過(guò)敏。
[Abstract]:Objective to evaluate the value of serum specific IgE in the diagnosis and treatment of eczema. Methods the results of serum specific IgE in 171 children with eczema from March 2014 to July 2016 were retrospectively analyzed. Results among 171 children with eczema, the main food allergens were milk (64 cases, 37.43%), mutton (43 cases, 25.15%), egg white (43 cases, 25.15%), beef (24 cases, 14.04%), dust mites (58 cases, 33.92%) and cat hair and dog hair dandruff (24 cases). Accounting for 14.04%). The positive rate of egg white in the group of 1 year old (18 cases, 64.29%) was higher than that in the group of 5 years old (11 cases, 20.37%) and the group of 5 years old (14 cases, 15.73%). The positive rate of milk in 1 year old group (15 cases, 53.57%) was higher than that in 5 year old group (33 cases, 61.11%), and in 5 years old group (16 cases, 17.98%). The positive rate of mutton in the group of 1 year old (13 cases, 46.43%), the group of 5 years old (23 cases, 42.59%) was higher than that of the group of 5 years old (7 cases, 7.87%). The positive rate of dust mites in 5 years old group (40 cases, 44.94%) was higher than that in 5 year old group (16 cases, 29.63%) and 1 year old group (2 cases, 7.14%). The difference was statistically significant (P0.05). The positive rates of fish, shrimp, crab, beef and other allergens in different age groups were not significantly different (P0.05). Conclusion Serum specific IgE is useful in the diagnosis and treatment of eczema, such as avoiding allergens in children with eczema.
【作者單位】： 鄭州兒童醫(yī)院皮膚科;
【分類(lèi)號(hào)】：R758.23

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