河北地区2016—2019年儿童患者食物性与吸入性过敏原sIgE抗体检测结果大样本回顾性研究
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作者单位:

中国农业大学食品科学与营养工程学院,北京 100083

作者简介:

朱绘霖 女 本科生 研究方向为食品质量与安全 E-mail:2021306120221@cau.edu.cn

通讯作者:

吴晓蒙 男 副教授 研究方向为食品加工技术与食物营养安全 E-mail:Wuxmeng@cau.edu.cn

中图分类号:

R155

基金项目:

国家重点研发计划项目(2023YFF1105203)


A large-scale retrospective study on sIgE antibodies for food and inhalant allergens in children from Hebei Province from 2016 to 2019
Author:
Affiliation:

College of Food Science and Nutritional Engineering, China Agricultural University, Beijing 100083, China

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    摘要:

    目的 通过对河北地区儿童7种吸入性过敏原和7种食物性过敏原的特异性IgE(sIgE)抗体检测结果进行回顾性分析,为过敏性疾病的预防和管理提供依据。方法 采用免疫印迹法对2016年1月至2019年12月期间河北某医院23 904例0~14岁儿童进行过敏原sIgE抗体检测结果,对检测结果按过敏原种类和等级、年龄段、季节、性别进行统计分析。结果 河北地区儿童病例食物性过敏原阳性率(71.11%)大于吸入性过敏原阳性率(49.73%);大部分男性患儿检测过敏原的阳性率高于女性,差异具有统计学意义(P<0.01);吸入性过敏原方面,多数过敏原的阳性率呈现随年龄递增而上升的趋势,如矮豚草/艾蒿的阳性率婴儿期、幼儿期、学龄前期、学龄期为0.22%:0.98%:2.30%:3.94%(χ2=240.51,P<0.01)。食物性过敏原方面,鸡蛋白、牛肉/羊肉和牛奶过敏原的阳性率达到一定高度后呈逐渐下降的趋势,如鸡蛋白的阳性率在四个时期分别为19.42%、38.30%、35.86%、21.25%(χ2=790.19,P<0.01)。季节对过敏原阳性率有影响,多数吸入性过敏原在夏季和秋季的阳性率较高,而食物性过敏原随季节的波动性较大。春、夏、秋、冬吸入性过敏原中混合尘螨组的阳性率为16.52%、21.95%、11.91%、14.61%(χ2=226.37,P<0.01),食物性过敏原中牛奶的阳性率春季最高,春、夏、秋、冬为37.98%、30.37%、33.41%、33.48%(χ2=87.82,P<0.01)。结论 不同性别、年龄和地区监测病原流行病学特征有所不同,应根据对应特征分布制定针对性措施预防儿童过敏性疾病发生。

    Abstract:

    Objective To retrospectively analyze the specific immunoglobulin E (sIgE) antibody test results of seven inhalant allergens and seven food allergens in children from Hebei Province, and to provide a scientific basis for the prevention and management of allergic diseases.Methods From January 2016 to December 2019, a total of 23 904 children aged 0-14 years in a tertiary hospital in Hebei Province underwent sIgE testing using the immunoblotting method. The test results were statistically analyzed according to allergen type and grade, age group, season, and gender.Results The positivity rate of food allergens in children from Hebei Province was 71.11%, higher than 49.73% for inhalant allergens. Male children showed significantly higher positivity rates than females for most allergens (P<0.01). For inhalant allergens, positivity rates generally increased with age; for example, ragweed/mugwort was 0.22%, 0.98%, 2.30%, and 3.94% in infancy, toddlerhood, preschool, and school age, respectively (χ2=240.51, P<0.01). In contrast, for food allergens such as egg white, beef/lamb, and milk, the rates peaked early and then declined, with egg white positivity rates of 19.42%, 38.30%, 35.86%, and 21.25% across the four age groups (χ2=790.19, P<0.01). Seasonal variation was evident: inhalant allergen positivity was generally higher in summer and autumn, while food allergens showed more fluctuation. For example, mixed dust mites showed 16.52%, 21.95%, 11.91%, and 14.61% positivity in spring, summer, autumn, and winter, respectively (χ2=226.37, P<0.01), and milk allergen positivity was highest in spring (37.98%, 30.37%, 33.41%, 33.48%; χ2=87.82, P<0.01).Conclusion From 2016 to 2019, the epidemiological characteristics of allergen sensitization in children from Hebei Province varied according to gender, age, and season. Targeted preventive strategies should be developed based on these characteristics to reduce the incidence of allergic diseases in children.

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朱绘霖,吴晓蒙.河北地区2016—2019年儿童患者食物性与吸入性过敏原sIgE抗体检测结果大样本回顾性研究[J].中国食品卫生杂志,2025,37(5):446-453.

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  • 收稿日期:2024-08-06
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