目的探讨海口市区花粉变应原与变应性鼻炎的关系。方法对变应性鼻炎患者进行20种花粉变应原皮肤点刺试验,分析变应性鼻炎中花粉致敏情况。结果 500例变应性鼻炎患者花粉皮肤点刺试验阳性357例,阳性率71.40%,其中强阳性67例,占13.40%;对2种或2种以上花粉变应原阳性反应273例,占54.60%。变应性鼻炎患者中合并哮喘者51人,SPT阳性39人,阳性率76.47%;单纯变应性鼻炎患者449人,SPT阳性318人,阳性率70.82%。皮肤点刺试验阳性率最高的为软叶针葵花粉(68.60%),其次是芒果花粉(52.60%)和苏铁花粉(51.20%)。结论花粉过敏是海口市变应性鼻炎主要病因之一,软叶针葵花粉、芒果花粉和苏铁花粉是海口市区变应性鼻炎最常见的花粉变应原。
Objective To explore the correlation between pollen allergens and allergic rhinitis in the City of Haikou. Methods A skin prick test was performed with 20 different allergens to analyze the sensitization to these allergens in patients with allergic rhinitis (AR). Results Of 55 patients, 357 (357/500, 71.40%) had a positive response to a skin prick test with pollen allergens, and 67 (67/500, 13.40%) had a strongly positive response. Of the total patients, 273 (273/500, 54.60%) had a positive response to two or more types of allergenic pollens. Of the patients with AR, 51 also had asthma and 39 had a positive response to the SPT, testing positive at a rate of 76.47%. Four hundred and forty-nine patients had true AR and 318 had a positive response to the SPT, testing positive at a rate of 70.82%. The most common allergenic pollen was Phoenix roebelenii pollen (68.60%), followed by Mangifera indica pollen (52.60%) and Cycas revoluta pollen (51.20%). Conclusion Pollen sensitivity is one of the leading causes of allergic rhinitis. In the City of Haikou, the most common allergenic pollen is Phoenix roebelenii pollen, followed by Mangifera indica and Cycas revoluta pollen.