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題 名 | 鼻過敏患者的家塵與塵蟍特異性IgE抗體值=House Dust and House Dust Mite-Specific IgE Antibodies in Patients with Nasal Allergy |
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作 者 | 邱國華; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:4 民88.07-08 |
頁 次 | 頁281-287 |
分類號 | 416.853 |
關鍵詞 | 異位性體質; 家塵; 塵蟍; 特異性IgE抗體; Atopy; House dust; Mite; Specific IgE; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:特異性IgE抗體之有無可用來診斷過敏性鼻炎或氣喘。其數值高低被認為與 過敏性疾病的嚴重度有相關性。塵�薳峸a塵是國內最主要的吸入性過敏原,影響鼻過敏患者 血中塵�薴峸a塵特異性 IgE 抗體值的因素不少, 本文的目的在於探討其數值高低代表何種 臨床意義及其與年齡、性別、家族過敏史、過敏原暴露情形等影響因素有何關係。方法:鼻 過敏特別門診之病患, 若鼻過敏史確定,家應皮內注射試驗,家塵 (h �� ) 及塵�� (d �� ) 特異性 IgE 測定,3 者任 1 項為陽性,則被認為對家塵或塵�薾L敏。這些被列入研究的 病患共 288 名,男 167 名,女 121 名。年齡分佈由 5 歲至 77 歲,平均年齡為 27.9 歲 。以其測定之 d �砥Bh �絳ぉ�,依以下 6 個分項的分組來比較其組間差異:(1) 依年齡分 2 組; 2) 依性別分組; 3) 依家族過敏史之有無來分組; 4) 依病人本身異位性體質 (atopy) 之種類總數目分為 A �策� A �� 4 組;5) 根據家塵暴露病史與鼻過敏發作之直接 相關程度分為 H �策� H �� 3 組; 6) 依鼻炎症狀徵候評分總和分為輕症、 中度、重症 3 組。結果:塵 (d �� ) 及家塵 (h �� ) 兩者之相關係數為 0.6762,p 值 <0.05。依 6 個 分項,其 d �砥Bh1 平均值比較之結果分別為 1) 年齡分組間之 p 值皆 <0.001,2) 男、女 2 組間之 p 值皆 >0.05,3) 在有無家族史 2 組間 p 值皆 <0.05,4)d �砲郁#�在 A �窗B A �陘� A �砥AA 組間 p 值皆 <0.05,而 h 只在 A �窗BA �假梮’陵t異趨向分析顯示,隨 Atopy 總數漸增,與 d �砥Bh �筏�呈直線趨向,5)d �砥Bh �等郁#�在 H �窗BH �砥BH �� 任 2 組間之值皆 > 0.05, 由趨向分析得知暴露於家塵之病史的直接相關程度之強弱與 d �砥Bh �筏�不相干, 6) 除 h �等郁#�在輕、中症組間 p 值 >0.05 外, 其他組間皆有差 異。 趨向分析發現症狀徵候嚴重度與 d �砥Bh �筏�呈正直線趨向。結論:塵�薳M家塵特異 性 IgE 值的相關性不錯,臨床測試可選取任一項即可。 對塵�薳峸a塵過敏的鼻過敏病患血 中特異性 IgE 抗體值愈高,代表症狀徵候也愈厲若。 且其數值在年紀小的組別與有家族過 敏史者較高,但不受性別及家塵病史的相關程度影響。異位性體質的種類數目愈多,其值也 愈高。 |
英文摘要 | Background:Specific lgE antibody measurement has been used for the diagnosis of nasal allergy and asthma. The quantitative level of specific lgE antibodies has been proposed to correlate with the severity of allergic disease. The goal of this study was to evaluate the clinical significance of house dust and house dust mite (HDM) specific lgE levels. The influence of the related factors such as age, sex, allergen exposure, and family history of atopy on the levels of house dust and HDDM-specific lgE was also our concern. Methods: This study involved 288 patients with documented nasal allergy (167 male and 121 female) who were diagnosed to be either house dust or HDM-sensitive, on the basis of typical nasal alletgy history and at least one positive result from the following: house dust skin testing, and testing for house dust and/or HDM-specific lgE antibodies. Their ages ranged from 5 to 77 years (mean, 27.9 years). We compared the Dermatophagoid farinae (d �� ) and house dust (h �� ) specific lgE levels between the groups for the following six items: 1)age; 2)sex; 3)family history of atopy; 4) total number of atopic diseases, groups A �� to A ��; 5) relationship between clinical symptoms and house dust allergen exposure history, groups H1 to H3; and 6) clinical score, mild to sever groups. Results: The correlation between d �� and h �� specific lgE levels was signifiant (r=0.6762, p<0.05). The mean levels of d �� or h1 were significantly different between the groups for the items of age and family history of atopy (p<0.05). However, there was no difference between the groups for the items of sex and allergen exposure history (p>0.05). The d �� or h �� levels had a positive linear trendd with the total number of atopic diseases (p<0.01) and the clinical score (p<0.0125). Conclusion: A good correlation between house dust (h �� ) and D. farinae (d �� )- specific lgE levels suggested that we could choose either test for the diagnosis of house dust or HDM-sensitive nasal allergy. The higher d �� or h1 levels in patients with nasal allergy indicated more severe clinical signs and symptoms. The higher values of d �� and h �� weere seen in patients under age 14, with a family history of atopy, and a higher total number of atopic diseases. The factors of age and alletgen exposure had no influence on the d �� and h1 levels. |
本系統中英文摘要資訊取自各篇刊載內容。