摘要
目的 调查哮喘患者自认为是诱发哮喘的感冒中，有多少人实际上是过敏性鼻炎，并探讨其临床特点及其与哮喘发病的关系。方法 按照预先设计的调查表对１０３ 例患者进行调查，根据是否患过敏性鼻炎将患者分为过敏性鼻炎合并哮喘组（４９ 例）和单纯哮喘组（５４ 例） 详细询问患者每次感冒和哮喘发作的具体症状和相关病史并作体检，同时进行鼻分泌物涂片查嗜酸细胞和过敏原皮肤试验。结果 １０３ 例患者中４９ 例所说的感冒实际上属于过敏性鼻炎，占４７－６％ ；过敏性鼻炎合并哮喘组的哮喘首发年龄明显低于单纯哮喘组，分别为（２８±１３） 岁和（３６ ±１６） 岁，两组比较差异有显著性（Ｐ＜０．０１）；哮喘的好发季节和发作时间与过敏性鼻炎基本一致。结论 （１） 哮喘患者自诉诱发哮喘的感冒并非都是感冒，４７－６％ 的患者所说的感冒实际上是过敏性鼻炎；（２） 过敏性鼻炎与支气管哮喘的发病关系密切；（３）认真鉴别感冒和过敏性鼻炎对于预防哮喘的发生具有重要临床意义。
Objective To investigate the incidence of allergic rhinitis (AR) in the patients with asthma induced by the common cold, diagnosed by the patients themselves, and the relationship between AR and asthma. Methods All the patients were inquired and examined in details, including counting the eosiphils in the smear of the nasal secretion and allergen skin test. Results 49(47.6%) out of 103 asthmatics with so called common cold were diagnosed as AR. The average of the initial asthmatic episode in asthmatics with AR were significantly younger than that in patients without AR, (28±13) and (36±16) years, respectively ( P <0.01). There was concordance between asthma and AR on seasonal regularity of episode. Conclusions (1) In large portion of asthma, common cold diagnosed by patients themselves actually is AR; (2) There is a close relationship between AR and asthma; (3) It is important for physicians to distinguish AR from common cold in asthmatics.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1999年第12期710-712,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
感冒
过敏性鼻炎
哮喘
Common cold Allergic rhinitis Asthma
