摘要
目的探讨温室大棚内的环境因素与慢性荨麻疹的关系,并对大棚菜农慢性荨麻疹的影响因素进行分析。方法采用问卷方式对分层抽样方法得到的温室大棚菜农进行慢性荨麻疹患病率的调查,以普通菜农作对照,并对两组菜农患者行点刺试验,分析两组阳性过敏原的异同。结果大棚菜农慢性荨麻疹的患病率为5.15%高于普通菜农的患病率4.05%。两组菜农点刺试验中大棚组最常见的过敏原依次为尘螨、多价真菌Ⅰ、虾、多价真菌Ⅱ,普通组依次为尘螨、虾、蟑螂、夏秋花粉Ⅱ。吸入性过敏原中,大棚组尘螨阳性率(74.29%)远高于普通组(53.66%),且差异有统计学意义(P<0.05)。大棚组真菌反应阳性率:Ⅰ为35.71%,Ⅱ为28.57%,与普通组相比均高,差异有统计学意义(P均<0.05)。结论温室大棚菜农慢性荨麻疹的患病率高于普通菜农,且大棚内的高尘螨、真菌环境对菜农慢性荨麻疹的发生有影响,而花粉则影响不大。
Objective To evaluate the relationship between the greenhouse environmental factors and the chronic urticaria and to analyze the influential factors of chronic urticaria on vegetable greenhouse farmers. Methods A questionnaire survey of chronic urticaria prevalence was carried out among the greenhouses farmers using the stratified sampling method, compared with the regular farmers. Prick test in patients within two groups of farmers was performed to analyze the similarities and differences between two groups with positive allergen. Results The prevalence of the greenhouse farmers to the chronic urticaria was 5.15% ,which was higher than the regular farmers of 4.05%. In the two groups of farmers the prick test showed that the most common allergens of the greenhouse group were dust mites, muhivalent fungi I, shrimp, muhivalent fungi II and that of the regular ordinary group were dust mites, shrimp, cockroaches, and the pollen of summer and autumn II. As for the inhaled allergens, the positive rate of dust mites from greenhouse group （74.29%） was much higher than that of regular group （53.66%） and the difference was statistically significant （ P 〈 0. 05 ）. The fungi positive response of the greenhouse group： I was 35.71% , II was 28.57% ,which were higher than the normal group and the difference was significant （ P 〈 0. 05 ）. Conclusion The prevalence of the greenhouse farmers to the chronic urticaria is higher than the regular farmers. The high dust mites and fungi lev- els are influencial factors for chronic urticaria for the greenhouse farmers but the pollens have little effect.
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2015年第10期1077-1079,共3页
The Chinese Journal of Dermatovenereology
基金
国家人口计生委资助项目(人口科[2011]55号C1-86)
山东省自然科学基金(ZR2013HQ015
山东省卫生计生委资助项目(2014年第29号)
关键词
温室大棚
荨麻疹
患病率
影响因素
点刺试验
Greenhouse
Urticaria
Prevalence
Influencing factors
Skin prik test
