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多维度分析过敏性皮肤病斑贴试验数据特征OA

Multidimensional analysis of patch test data characteristics in allergic dermatoses

中文摘要英文摘要

目的 本研究旨在通过多维度特征,明确不同过敏原的阳性构成、敏感人群分布以及与临床诊断的相关性,为接触性皮炎、湿疹和荨麻疹等疾病的治疗提供依据.方法 回顾性分析2019年5月至2021年4月濮阳市安阳地区医院收治的390例过敏性皮肤病患者,采用60种标准过敏原试剂进行斑贴试验.在贴敷48 h和72 h分别判定反应程度,记录(-)(±)(+)(++)(+++)等级.结果 十二醇硫酸钠、对叔丁基苯酚甲醛树脂、对苯二胺等项目的阳性率最高;湿疹、过敏性皮炎患者中高反应度(++至+++)的比例明显高于荨麻疹类疾病,差异有统计学意义(P<0.05).青中年女性过敏原暴露水平最高.C+H联合检测的阳性检出率比单一系列高得多,差异有统计学意义(P<0.01).结论 斑贴试验可以确定不同人群的过敏原谱,给过敏性皮肤病的精确诊断和个体化治疗提供可靠的依据.联合系列检测可提高检出率,对于复杂的或者复发性皮炎患者来说比较适用.

Objective This study aims to clarify the positive composition of different allergens,the distribution of sensitive populations,and the correlation with clinical diagnosis through multidimensional characteristics,providing a basis for the treatment of diseases such as contact dermatitis,eczema,and urticaria.Methods A retrospective analysis was conducted on 390 patients with allergic dermatoses admitted to Puyang Anyang Area Hospital from May 2019 to April 2021,who underwent patch testing using 60 standard allergen reagents.The degree of reaction was assessed at 48 hours and 72 hours after application,and recorded as(-)(±)(+)(++)(+++).Results The highest positive rates were observed for nickel,fragrance mix,parabens,and isopropylthiazolinone;the proportion of patients with high reaction levels(++to+++)was significantly higher in eczema and allergic dermatitis than in urticaria-related diseases,with a statistically significant difference(P<0.05).Young and middle-aged women had the highest level of allergen exposure.The positive detection rate of combined C+H testing was much higher than that of single series testing,with a statistically significant difference(P<0.01).Conclusion Patch testing can identify the allergen spectrum of different populations,providing a reliable basis for the precise diagnosis and individualized treatment of allergic dermatoses.Combined series testing can improve the detection rate and is more suitable for patients with complex or recurrent dermatitis.

王晓朋;张大雷;边楠;仲瑞青

濮阳市安阳地区医院 皮肤科,河南 安阳,455000濮阳市安阳地区医院 皮肤科,河南 安阳,455000濮阳市安阳地区医院 皮肤科,河南 安阳,455000濮阳市安阳地区医院 皮肤科,河南 安阳,455000

斑贴试验过敏性皮肤病过敏原谱

patch testallergic dermatosisallergen spectrum

《中国医疗美容》 2026 (4)

24-28,5

2023年度河南省医学科技攻关计划联合共建项目(项目编号LHGJ20230914)

10.19593/j.issn.2095-0721.2026.04.005

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