134例变应性鼻炎患者敏筛试验检测结果分析

目的:分析变应性鼻炎(AR)患者血清变应原检测结果,了解临床常见的变态反应性疾病特异性变应原及血清总IgE水平变化,探讨总IgE水平对诊断疾病的意义.方法:采用敏筛变应原检测系统对134例AR患者血清变应原及总IgE水平进行检测.结果:134例AR患者中,体外测试变应原阳性患者92例,检出率68.7%,吸人性变应原以户尘螨/粉尘螨最高,阳性率为90%;其次为动物毛皮屑组合/真菌组合,阳性率分别为16%和9%.72例血清总IgE阳性,阳性率为54%.血清总IgE 100～200 kU/L者21例,占29.2%,其中7例变应原特异性IgE(sIgE)为阴性;血清总IgE＞200 kU/L者51例,占70.8%,其中4例变应原sIgE为阴性.结论:血清总IgE和变应原sIgE检查,可寻找相应变应原,为AR的预防、诊断及治疗提供重要依据.

Analysis about the results of allergy screen in 134 cases of allergic rhinitis

Objective:To analyze the results of serum in allergic rhinitis and investigate the specific clinic allergen and serum immunoglobulin E(IgE)levels.Method:Allergy Screen method was used to detect the specific allergen and total serum IgE level of 134 cases of Allergic rhinitis.Result:The dust mite was the most common allergen in inhalation group in 134 cases of allergic rhinitis,the positive rates was 90%;then were dogly,feline and scurf fungus,the positive rates were 16%,9%.The positive rates of total IgE was 54%.The serum IgE levels between 100 to 200 kU/L,there was 21 cases together,but there existed 7 negative cases.There were 51 cases' IgE levels more than 200 kU/L,the rates was 70.8%,but there still existed 4 negative cases.Conclusion:Allergy screen method can find relevant allergen and provide basis for the prevention and treatment of allergic disease.