青岛地区豚草花粉症85例

目的探讨青岛地区豚草花粉症的临床表现、变态反应特点及与新的变应性鼻炎分类方法的关系和防治措施。方法在就诊的花粉症患者中,通过豚草花粉变应原皮内试验、鼻黏膜激发试验、血清特异性IgE测定等检测方法,按照"ARIA"关于变应性鼻炎新的分类标准进行了分类和阶梯式治疗及特异性免疫治疗。结果在502例花粉症患者中,85例为豚草花粉症,占16.93%,发病季节自8月下旬至10月初。69例并发过敏性眼结膜炎,占81.12%,18例合并哮喘,占21.21%,符合间歇性鼻炎者占63.53%,持续性鼻炎者占36.07%。特异性免疫治疗有效率为84.62%。结论豚草花粉已成为青岛地区花粉症的主要病因之一,必须采取拨除豚草的有效预防措施。特异性免疫治疗是治疗花粉症和阻止其向哮喘方向发展的重要防治方法。

Ragweed pollenosis in the Qingdao area:a report of 85 cases

Objective To study the clinical manifestations,allergic characters and management of ragweed pollenosis in the Qingdao area.Methods The intra-dermal test and intranasal provocation test with ragweed pollen allergen,and specific serum IgE determination were given to patients with pollenosis.Results 85 patients were proved as ragweed pollensis in 502 patients with pollenosis based on the ARIA standard.They received step-treatment and specific immunotherapy(SIT).They were usually attacked from August to October in the pollen season,and 81.12% of them had complicated allergic conjunctivitis and 21.21% of them complicated bronchial asthma.In the 85patients,54 were defined as intermitted rhinitis and 31 as persistent rhinitis.The response rate of SIT was 84.62%.Conclusions Ragweed pollen has become one of the major allergic pollens,so it should be eradicated to prevent pollenosis in the Qingdao area.SIT is useful in treating pollenosis and modulating the progression to asthma.