姚娟, 沈国松, 张雅琴, 沈国平. 338名6岁以下儿童血清总IgE及过敏原特异性IgE检测结果分析[J]. 上海预防医学, 2019, 31(11): 941-945. DOI: 10.19428/j.cnki.sjpm.2019.18886
引用本文: 姚娟, 沈国松, 张雅琴, 沈国平. 338名6岁以下儿童血清总IgE及过敏原特异性IgE检测结果分析[J]. 上海预防医学, 2019, 31(11): 941-945. DOI: 10.19428/j.cnki.sjpm.2019.18886
YAO Juan, SHEN Guo-song, ZHANG Ya-qing, SHEN Guo-ping. Detection result analysis on serum total IgE and allergen specific IgE in 338 children under 6 years of age[J]. Shanghai Journal of Preventive Medicine, 2019, 31(11): 941-945. DOI: 10.19428/j.cnki.sjpm.2019.18886
Citation: YAO Juan, SHEN Guo-song, ZHANG Ya-qing, SHEN Guo-ping. Detection result analysis on serum total IgE and allergen specific IgE in 338 children under 6 years of age[J]. Shanghai Journal of Preventive Medicine, 2019, 31(11): 941-945. DOI: 10.19428/j.cnki.sjpm.2019.18886

338名6岁以下儿童血清总IgE及过敏原特异性IgE检测结果分析

Detection result analysis on serum total IgE and allergen specific IgE in 338 children under 6 years of age

  • 摘要:
    目的了解儿童总IgE和过敏原特异性IgE的分布情况及变化规律,为儿童过敏性疾病防治提供依据。
    方法对2017年8月—2018年2月在湖州市妇幼保健院就诊的338名儿童进行总IgE、过敏原特异性IgE检测,采用胶体金法检测总IgE抗体,用免疫印迹法检测过敏原特异性IgE抗体。
    结果在检测的338名儿童中,总IgE阳性率为56.51%(191/338),过敏原特异性IgE抗体阳性儿童占36.69%(124/338), 其中61.29%为单一物质过敏,38.71%为2种或以上物质过敏;不同性别之间总IgE、过敏原特异性IgE差异均无统计学意义(P>0.05)。吸入性过敏原特异性IgE阳性率为18.64%(63/338),以户尘螨为主;食物性过敏原特异性IgE阳性率为40.24%(136/338),以鸡蛋白和牛奶为主。随着年龄增长总IgE、吸入性过敏原逐渐增高,而食物性过敏原逐步减少,差异均有统计学意义(P<0.05)。
    结论户尘螨、鸡蛋白和牛奶是婴幼儿最主要的过敏原,早期预防的重点应放在食物性过敏原,而随着年龄增长需警惕吸入性过敏原引起的超敏反应。血清总IgE和过敏原特异性IgE的检测有利于了解过敏状态,能更好地为儿童过敏性疾病的预防、诊断和治疗提供帮助。

     

    Abstract:
    ObjectiveTo investigate the distribution and changes of the total IgE and allergen specific IgE in children, and to provide the evidences for the prevention and control of children′s allergic diseases.
    MethodsThe total IgE and allergen specific IgE were detected in 338 children from the Maternity and Child Health Care Hospital of Huzhou from August 2017 to February 2018.The total IgE was determined by colloidal gold method and the specific IgE by immunoblotting.
    ResultsAmong the 338 children detected, 56.51%(191/338) were TIgE positive; specific IgE antibody were positive in 124 children, accounting for 36.69%(124/338), 61.29% of them for a single material allergy, 38.71% for 2 or more allergy; There was no significant difference between different sexes in total IgE and allergen specific IgE(P>0.05);there were 63 positive cases in inhalation allergens specific IgE; the positive rate was 18.64%(63/338);inhalation allergens were mainly house dust mites; 136 positive cases were found in food allergens specific IgE, and the positive rate was 40.24%(136/338);food allergens mainly consisted of egg white and milk; with the increase of age, gradually increased were the total IgE and inhalation allergens, and gradually reduced were food allergens.The differences were statistically significant(P < 0.05).
    ConclusionDust mite, egg white and milk are the most common allergens found with infants, and early prevention should focus on food allergy.With the increase of age, we need to be wary of inhalation allergens which cause immediate hypersensitivity reactions; detection of serum total IgE and allergen specific IgE is conducive to understanding the allergic state, and it can contribute to prevention, diagnosis and treatment of allergic diseases in children.

     

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