夏秋季花粉症合并植物性食物过敏的临床观察

狄杨; 于睿莉; 杜慧; 李丽; 闫卫军; 刘建国; 王学艳; 尹金淑

doi:10.13201/j.issn.1001-1781.2018.23.003

夏秋季花粉症合并植物性食物过敏的临床观察

- 1 首都医科大学附属北京世纪坛医院变态反应中心(北京, 100038);
- 2 内蒙古自治区锡林郭勒多伦县人民医院变态反应科
基金项目:
北京市科委首都临床特色应用研究 (No:2016-A19)

详细信息

通讯作者: 尹金淑, E-mail:yinjinshu55@aliyun.com

中图分类号: R765.21

收稿日期: 2018-07-24

Observation on pollinosis with vegetable food allergy

- 1 Department of Allergy, Beijing Shijitan Hospital, Affiliated to Capital Medical University, Beijing, 100038, China;
- 2 Department of Allergy, Duolun People's Hospital of Inner Mongolia

More Information

Corresponding author: YIN Jinshu, E-mail: yinjinshu55@aliyun.com

Received Date: 24 July 2018

摘要

摘要: 目的: 探讨夏秋季花粉症患者伴发植物类食物过敏的情况及食物性变应原对临床症状的影响。方法: 对40例花粉症伴发食物过敏患者进行吸入性变应原皮肤点刺试验,填写调查问卷。随机分成A、B两组,嘱A组患者进行相关食物忌口,B组不忌口,分别对干预前和干预后1年的临床症状、视觉模拟量表(VAS)评分、鼻结膜炎相关生活质量问卷(RQLQ)评分进行统计学分析。结果: 40例患者均对蒿属过敏,过敏的植物类食物以桃居多,占47.5%。24例患者同时对多种食物过敏。17例花粉症先于食物过敏出现,23例食物过敏先于花粉症出现。A组患者干预1年后RQLQ、VAS及症状评分均值分别为81.44±14.31、6.02±1.39和10.60±3.68,B组患者干预1年后RQLQ、VAS及症状评分均值分别为100.73±21.66、8.30±1.00和13.45±3.51,2组指标差异均有统计学意义(P<0.01);A组患者诉忌口后症状较前好转,干预前患者RQLQ、VAS及症状评分均值分别为105.2±26.69、7.00±1.71和14.83±3.66,干预1年后各指标评分均值下降,差异有统计学意义(P<0.01);B组患者症状未见明显改善,各指标差异无统计学意义(P>0.05)。结论: 花粉症患者常伴发食物过敏,该类患者应减少过敏植物类食物的摄入,有助于减轻症状。
- 花粉症 /
- 食物过敏 /
- 视觉模拟量表 /
- 鼻结膜炎相关生活质量问卷
Abstract: Objective: To investigate the incidence of plant food allergy in patients with pollinosis and the effect of food allergens on the clinical symptoms of pollinosis patients. Method: A total of 40 patients with pollinosis and food allergy attended to the allergy Department of Duolun People's Hospital of Inner Mongolia were accepted skin prick test of inhaled allergens while the rhino conjunctivitis quality of life questionnaire (RQLQ)were also completed. The patients were divided into A and B groups randomly. Patients in group A were required for avoiding allergic plant foods intake but not them in group B. The two groups of patients with RQLQ, VAS and clinical symptom scores were statistically analyzed by P<0.05, the difference was statistically significant. Result: Forty cases were allergic to Artemisia. The most common allergic plant foods was peach, which accounted for 47.5%. Twenty-four patients were allergic to multiple foods simultaneously. Seventeen cases of pollinosis were preceded by food allergy, and 23 cases of food allergy were preceded by pollinosis. The mean values of RQLQ, VAS and symptom scores in group A were 81.44±14.31, 6.02±1.39, 10.60±3.68, respectively. The mean values of group B patients after 1 years were 100.73±21.66, 8.30±1.00, 13.45±3.51, the difference was statistically significant (P<0.01). The patients in group A complained that the symptoms were better than before. The mean values of RQLQ, VAS and symptom scores before intervention were 105.2±26.69, 7.00±1.71, 14.83±3.66, with significant difference (P<0.01). There was no significant improvement in the symptoms of Group B patients (P>0.05).Conclusion: Patients with pollinosis are often associated with food allergies. Reducing the intake of allergic plant foods should help alleviate symptoms.
- pollinosis /
- food hypersensitivity /
- VAS /
- RQLQ

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