过敏性鼻炎的临床特征和危险因素在患有表症的儿童中
Jing Qing1, Yili Cai2, Shixiong Tang1
1Department of Otorhinolaryngology, Ningbo First Hospital, Ningbo 315000, Zhejiang, China.
International journal of clinical practice
|September 11, 2023
概括
儿童鼻血经常与过敏性鼻炎有关. 识别特定的过敏原和鼻症状,如鼻,可以帮助诊断这种情况,并有效地管理鼻血.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 过敏和免疫学 过敏和免疫学
- 临床研究 临床研究
背景情况:
- 过敏性鼻炎 (鼻血) 在儿童中很常见,经常与过敏性鼻炎同时发生.
- 关于儿科表症患者过敏性鼻炎的临床特征和危险因素的研究有限.
- 这项研究调查了与患有表观的儿童过敏性鼻炎相关的因素.
研究的目的:
- 为了确定临床特征和过敏性鼻炎的危险因素,在儿童经历表.
- 为了提高过敏性鼻炎的诊断率,在患有经常性鼻血的儿科患者中.
- 提供有关过敏性鼻炎儿童表症管理的见解.
主要方法:
- 在一家三级医院招募了80名儿童 (3-14岁) 经过表皮切除 (2014年1月 - 2022年1月).
- 对所有参与者进行了至少3个月的随访.
- 采用多变量逻辑回归分析来确定过敏性鼻炎的危险因素.
主要成果:
- 超过71%的患有表症的儿童患有过敏性鼻炎.
- 过敏性鼻炎患者主要在秋季出现表,而非过敏患者在夏季出现 (P=0.029).
- 群体之间观察到过敏原数 (P<0.001) 和总IgE (P<0.001) 的显著差异. 鼻腔症状的严重程度,包括鼻 (OR:3.86,P=0.003),阻塞,打喷和,与过敏性鼻炎有关.
结论:
- 临床指标,如发病季节,过敏原暴露,总IgE水平和特定的鼻症状 (特别是鼻) 可以表明患有表症的儿童有过敏性鼻炎.
- 早期发现过敏性鼻炎可以减少错误诊断.
- 抗过敏药物可能有助于管理与过敏性鼻炎相关的表症.
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