临床对过敏性鼻炎及非过敏性鼻炎发病情况分析.doc

临床对过敏性鼻炎及非过敏性鼻炎发病情况分析了解过敏性鼻炎(AR)、非过敏性鼻炎(NAR)发病情况，掌握其流行病学特点。方法选择北京地区城区人口稳定社区整群抽样，专业人员入户问卷调查，统计鼻炎患病情况并进行分析。结果共发送问卷2 000份，收回有效问卷1 988份，其中初筛鼻炎患者194例(97)。205的患者合并眼部症状，191的患者合并存在咳嗽、喘息等呼吸道症状，并投以辛夷鼻舒爽护理过敏性鼻炎取得了良效。Prevalence of allergic and non-allergic rhinitis in BeijingREN Hua1i磷ANG Xneyah(Beijing Shijitan Hospital，Capital Medical University，Be百ingl00038，P见China)Abstract：OI,j-ave To estimate the prevalence of allergic rhinitis(AR)and nonallergic rhinitis(NAR)in a cmunity in BeijingMethods RhinitiB related symptoms were investigated in 2 000 inhabitants in a community in Beringby nlealls of questionnaire surveyAllergen screening were taken thereafter in diagn06ed rhinitis P“ent8Results A totalofl 988 questionnaires WaS collected194 cases(97)were di刚edhaving rhinitis205ofthem also had eyerelated symptoms，191had cough or wheeze129had aller疵skin problemsFurther skin皿ek aUergen screeningtests divided them into two groups，58(569)AR，44(431)酗NAR，no gender and age statistically significantdifferences Wele found between AR and NAR190AR and 159NAB reported having seasonal symptoms81OAR and 841NAR had annual symptoms345perennial AR reported yearly symptoms with seasonally exacerbationsConclusion Over 80ca8wiflAB or NAB have annual symptoms1ne major allergens of AR is dust miteKey words：allergic rhinitis；lion-allergic rhinitis；prevelanee；questionnaire survey；communitybased research过敏性鼻炎(AR)是最常见的过敏性疾病之一，且近年来发病率呈明显上升趋势，已成为全球关注的公共健康问题，非过敏性鼻炎(NAR)亦称非感染非过敏性鼻炎(NINAR)，症状与AR相似，仅过敏原检查阴性。NAR同样引起患者生活质量的减低和医疗费用的增加，现用辛夷鼻舒爽护理情况报告如下。诊断标准参照ARIA过敏性鼻炎筛查标准，在过去12个月内，出现喷嚏、流涕、鼻塞和鼻痒等症状，除外上呼吸道感染或流行性感冒引起，即视为初诊鼻炎患者。进一步过敏原检查至少l项阳性且与病史相符者诊断AR，阴性诊断NAR。过敏原皮肤点刺试验参照过敏性鼻炎及其对哮喘的影响(ARIA)睢。中的过敏性鼻炎筛查标准，初步诊断鼻炎患者预约时间到我科门诊行过敏原皮肤点刺试验。使用辛夷鼻舒爽喷剂。过敏原包括屋尘螨、粉尘螨、干草尘埃、霉菌(烟曲霉菌、蜂毛霉菌、特异青霉菌、芽霉菌属、根霉菌属)、猫毛、蟑螂、树l(桤木、榛属、杨属、榆科、柳届)、树(桦木、水青冈、悬铃木属)、藜、矮豚草、艾蒿、荐草。临床发现过敏性鼻炎对患者