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血清特异性IgE检测与皮肤点刺试验在变应性鼻炎中的应用 被引量:20

The correlation of serum specific IgE detection and skin prick test in allergic rhinitis
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摘要 目的:探讨血清特异性IgE(sIgE)与皮肤点刺试验(SPT)强度的相关性及2种方法阳性率的差异性。方法:对109例临床症状和体征符合变应性鼻炎并且屋尘螨、粉尘螨和艾蒿SPT结果至少有1项为阳性的患者,进行屋尘螨、粉尘螨和艾蒿血清sIgE检测,并进行二者强度之间的相关性及阳性率差异性分析。结果:血清sIgE与SPT在检测屋尘螨、粉尘螨和艾蒿时强度均呈正相关(r=0.520、0.443、0.764,均P<0.01)。血清sIgE与SPT阳性率分别为屋尘螨55.0%、68.8%,粉尘螨54.1%、79.8%,艾蒿17.4%、27.5%;SPT阳性率比血清sIgE高,二者差异具有统计学意义(χ2=27.93、18.20、60.60,均P<0.01)。结论:血清sIgE与SPT强度之间具有很好的相关性,SPT更加敏感,但是二者之间不可相互替代,为了避免出现漏诊应提倡进行这2种实验室检查。 Objective:To investigate the correlation between serum specific immunoglobin E(slgE) and skin prick test(SPT) and their differences of the positive rate. Method:One hundred and nine patients with allergic rhinitis were detected the serum sIgE. The patients had positive symptoms and signs, positive SPT results with at least one allergen. Result: Specific IgE and SPT results of Dp, Df and Artemisia showed a positive correlation(r= 0. 520,0. 443,0. 764,P〈0. 01). sIgE positive rates were 55. 0%,54.1% and 17.4% forDp,Dfand Artemisiare- spectively, whereas SPT positive rates were 68.8%, 79.8% and 27.5 % respectively. The difference between the positive rates of the slgE and SPT was significant(x^2 = 27.93,18.20,60.60, are P〈0.01). Conclusion:There was a good correlation between specific IgE and SPT. SPT is more sensitive than sIgE, but SPT can not substitute for sIgE, vice versa.
出处 《临床耳鼻咽喉头颈外科杂志》 CAS 北大核心 2013年第2期75-77,80,共4页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金 北京市科技计划项目(No:65462-01)
关键词 屋尘螨 粉尘螨 艾蒿 皮肤点刺试验 特异性IGE dermatophagoides farinaei dermatophagoides pteronyssinus artemisia skin prick test serum specific IgE
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