切换至 "中华医学电子期刊资源库"

中华临床实验室管理电子杂志 ›› 2021, Vol. 09 ›› Issue (03) : 138 -142. doi: 10.3877/cma.j.issn.2095-5820.2021.03.003

实验研究

嗜酸性粒细胞计数在变应性鼻炎患儿中的临床意义
曾心睿1, 梁嘉敏2, 王怡洁1, 陈韵3, 罗嘉莹4, 王峰4, 孙宝清4,()   
  1. 1. 510182 广东广州,广州医科大学金域检验学院
    2. 510182 广东广州,广州医科大学公共卫生学院
    3. 510182 广东广州,广州市越秀区妇幼保健院检验科
    4. 510182 广东广州,广州医科大学附属第一医院 广州呼吸健康研究院 呼吸疾病国家临床医学研究中心 呼吸疾病国家重点实验室
  • 收稿日期:2020-08-12 出版日期:2021-08-26
  • 通信作者: 孙宝清
  • 基金资助:
    国家自然科学基金面上项目(81871376); 广州市高校创新创业教育项目(平台建设)(2020PT102)

The clinical significance of eosinophil count in patients with allergic rhinitis

Xinrui Zeng1, Jiamin Liang2, Yijie Wang1, Yun Chen3, Jiaying Luo4, Feng Wang4, Baoqing Sun4,()   

  1. 1. KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou Guangdong 510182, China
    2. School of Public Health, Guangzhou Medical University, Guangzhou Guangdong 510182, China
    3. Department of Clinical Laboratory, Yuexiu District Maternal and Child Health Care Hospital, Guangzhou Guangdong 510182, China
    4. The First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, National Clinical Research Center for Respiratory Disease, Guangzhou Guangdong 510182, China
  • Received:2020-08-12 Published:2021-08-26
  • Corresponding author: Baoqing Sun
引用本文:

曾心睿, 梁嘉敏, 王怡洁, 陈韵, 罗嘉莹, 王峰, 孙宝清. 嗜酸性粒细胞计数在变应性鼻炎患儿中的临床意义[J/OL]. 中华临床实验室管理电子杂志, 2021, 09(03): 138-142.

Xinrui Zeng, Jiamin Liang, Yijie Wang, Yun Chen, Jiaying Luo, Feng Wang, Baoqing Sun. The clinical significance of eosinophil count in patients with allergic rhinitis[J/OL]. Chinese Journal of Clinical Laboratory Management(Electronic Edition), 2021, 09(03): 138-142.

目的

本文旨在探讨外周血嗜酸性粒细胞计数在变应性鼻炎患儿中的临床辅助诊断价值。

方法

通过回顾性分析方法,收集在广州医科大学附属第一医院确诊的117例变应性鼻炎患儿及118例在广州市越秀区妇幼保健院体检的健康儿童检查结果,并结合变应性鼻炎严重程度,视觉模拟量表结果进行相关性分析。

结果

变应性鼻炎患儿外周血嗜酸性粒细胞较正常儿童高,嗜酸性粒细胞数与tIgE、打喷嚏、眼痒的症状相关,且不同严重程度变应性鼻炎中嗜酸性粒细胞数与症状相关性存在差异。

结论

外周血嗜酸性粒细胞计数可以辅助诊断变应性鼻炎,结合tIgE可以反映变应性鼻炎的严重程度。

Objective

To investigate the clinical value of peripheral blood eosinophil count in the auxiliary diagnosis of children with allergic rhinitis.

Methods

117 children with allergic rhinitis diagnosed in the First Affiliated Hospital of Guangzhou Medical University and 118 healthy children from the physical examination of the Maternal and Children Health Care Hospital in Yuexiu District in Guangzhou were collected through retrospective analysis, and the correlation analysis was conducted based on the resultes ofthe severity of allergic rhinitis and Visual Analog Scale.

Results

Compared with healthy children, peripheral blood eosinophil count were higher in children with allergic rhinitis. The number of eosinophil in patients with allergic rhinitis was correlated with tIgE、eye itching and sneezing. There was a statistically difference in the correlation between eosinophil count and symptom in different degrees of allergic rhinitis.

Conclusions

Peripheral blood eosinophil count can assist in the diagnosis of allergic rhinitis, and combined with tIgE can reflect the severity of allergic rhinitis.

表1 AR组和对照组血常规结果
表2 AR组症状VAS评分结果
图1 AR组各指标和AR症状的相关性分析
图2 AR组EOS和tIgE、打喷嚏、眼痒的相关性分析
图3 不同严重程度AR血常规指标和症状相关性分析
图4 中重度AR的EOS和tIgE对比分析
1
Brożek JL, Bousquet J, Agache I, et al. Allergic rhinitis and its impact on Asthma (ARIA) guidelines-2016 revision[J]. J Allergy Clin Immunol, 2017, 140(4): 950-958.
2
Dykewicz MS, Wallace DV, Baroody F, et al. Treatment of seasonal allergic rhinitis: an evidence-based focused 2017 guideline update[J]. Ann Allergy Asthma Immunol, 2017, 119(6): 489-511.
3
Blaiss MS, Hammerby E, Robinson S, et al. The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents: a literature review[J]. Ann Allergy Asthma Immunol, 2018, 121(1): 43-52.
4
Meltzer EO, Blaiss MS, Derebery MJ, et al. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey[J]. Allergy Clin Immunol, 2009, 124(3 Suppl): S43-70.
5
Asher MI, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys[J]. Lancet, 2006, 368(9537): 733-743.
6
Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosis and management of rhinitis: an updated practice parameter[J]. J Allergy Clin Immunol, 2008, 122(2 Suppl): S1-84.
7
Smith HE, Hogger C, Lallemant C, et al. Is struc-tured allergy history sufficient when assessing patients with asthma and rhinitis in general practice[J]? J Allergy Clin Immunol, 2009, 123(3): 646-650.
8
Vidal C, Gude F, Boquete O, et al. Evaluation of the phadiatop test in the diagnosis of allergic sensitization in a general adult population[J]. J Investig Allergol Clin Immunol, 2005, 15(2): 124-130.
9
Eriksson NE. Allergy screening with Phadiatop and CAP Phadiatop in combination with a questionnaire in adults with asthma and rhinitis[J]. Allergy, 1990, 45(4): 285-292.
10
O'sullivan JA, Bochner BS. Eosinophils and eosinophil-associated diseases: an update[J]. J Allergy Clin Immunol, 2018, 141(2): 505-517.
11
Huang L, Gebreselassie NG, Gagliardo LF, et al. Eosinophil-derived IL-10 supports chronic nematode infection[J]. J Immunol, 2014, 193: 4178-4187.
12
Togias A, Naclerio RM, Proud D, et al. Studies on the allergic and nonallergic nasal inflammation[J]. J Allergy Clin Immunol, 1988, 81(5 Pt 1): 782-790.
13
Rondón C, Campo P, Togias A, et al. Local allergic rhinitis: concept, pathophysiology, and management[J]. J Allergy Clin Immunol, 2012, 129(6): 1460-1467.
14
Chiarotto A, Maxwell LJ, Ostelo RW, et al. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review[J]. J Pain, 2019, 20(3): 245-263.
15
Heller GZ, Manuguerra M, Chow R. How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance[J]. Scand J Pain, 2016, 13: 67-75.
16
Valero A, Ferrer M, Sastre J, et al. A new criterion by which to discriminate between patients with moderate allergic rhinitis and patients with severe allergic rhinitis based on the Allergic Rhinitis and its Impact on Asthma severity items[J]. J Allergy Clin Immunol, 2007, 120(2): 359-365.
17
Matucci A, Vultaggio A, Maggi E, et al. Is IgE or eosinophils the key player in allergic asthma pathogenesis? Are we asking the right question[J]? Respir Res, 2018, 19(1): 113.
18
Yenigun A, Sezen S, Calim OF, et al. Evaluation of the eosinophil-to-lymphocyte ratio in pediatric patients with allergic rhinitis[J]. Am J Rhinol Allergy, 2016, 30(2): e21-e25.
19
Rosenberg HF, Phipps S, Foster PS. Eosinophil trafficking in allergy and asthma[J]. J Allergy Clin Immunol, 2007, 119(6): 1303-1312.
20
Linden M, Svensson C, Andersson M, et al. Circulating eosinophil/basophil progenitors and nasal mucosal cytokines in seasonal allergic rhinitis[J]. Allergy. 1999, 54(3): 212-219.
21
Roethlisberger S, Karoui O, Mapelli D, et al. Novel nanofluidic ige assay versus a reference method: a real-world comparison[J]. Int Arch Allergy Immunol, 2019, 180(1): 28-36.
22
Sharma M, Khaitan T, Raman S, et al. Determination of serum IgE and eosinophils as a diagnostic indicator in allergic rhinitis[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71: 1957-1961.
23
姜翠菊. 变应性鼻炎鼻腔灌洗液和血清中嗜酸粒细胞阳离子蛋白的关系[J]. 新疆医学, 2019, 49(04): 361-363.
24
罗鸿, 陶泽璋, 孔维佳. 变应性鼻炎造血机制的调控与嗜酸性粒细胞的产生[J]. 国际耳鼻咽喉头颈外科杂志, 2009, 33(2): 67-70.
25
Fulkerson PC, Rothenberg ME. Targeting eosinophils in allergy, inflammation and beyond[J]. Nat Rev Drug Discov, 2013, 12(2): 117-129.
26
Bengtsson U, Knutson TW, Knutson L, et al. Eosinophil cationic protein and histamine after intestinal challenge in patients with cow's milk intolerance[J]. J Allergy Clin Immunol, 1997, 100(2): 216-221.
27
Mould AW, Matthaei KI, Young IG, et al. Relationship between interleukin-5 and eotaxin in regulating blood and tissue eosinophilia in mice[J]. J Clin Invest, 1997, 99(5): 1064-1071.
28
Costa GG, Silva RM, Franco-Penteado CF, et al. Interactions between eotaxin and interleukin-5 in the chemotaxis of primed and non-primed human eosinophils[J]. Eur J Pharmacol, 2007, 566(1-3): 200-205.
29
Haldar P, Brightling CE, Hargadon B, et al. Mepolizumab and exacerbations of refractory eosinophilic asthma[J]. N Engl J Med, 2009, 360(10): 973-984.
30
Carlson M, Peterson C, Venge P, et al. The influence of IL-3, IL-5, and GM-CSF on normal human eosinophil and neutrophil C3b-induced degranulation[J]. Allergy, 1993, 48(6): 437-442.
[1] 陶宏宇, 叶菁菁, 俞劲, 杨秀珍, 钱晶晶, 徐彬, 徐玮泽, 舒强. 右心声学造影在儿童右向左分流相关疾病中的评估价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 959-965.
[2] 刘琴, 刘瀚旻, 谢亮. 基质金属蛋白酶在儿童哮喘发生机制中作用的研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(05): 564-568.
[3] 向韵, 卢游, 杨凡. 全氟及多氟烷基化合物暴露与儿童肥胖症相关性研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(05): 569-574.
[4] 张梦思, 麻艺群, 蒙礼娟, 朱辉, 付晋凤. 压力手套与指蹼加压带及泡沫型硅凝胶贴膜联合应用于儿童瘢痕性并指术后的效果观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(04): 329-334.
[5] 刘静, 王燕妮, 王继萍. 儿童毛发移植应用前景及病例讨论[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(04): 368-368.
[6] 郑宝英, 黄小兰, 贾楠, 朱春梅. 儿童难治性肺炎支原体肺炎早期预警指标[J/OL]. 中华实验和临床感染病杂志(电子版), 2024, 18(04): 215-221.
[7] 刘冉佳, 崔向丽, 周效竹, 曲伟, 朱志军. 儿童肝移植受者健康相关生存质量评价的荟萃分析[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 302-309.
[8] 丁荷蓓, 王珣, 陈为国. 七氟烷吸入麻醉与异丙酚静脉麻醉在儿童腹股沟斜疝手术中的应用比较[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 570-574.
[9] 曾纪晓, 徐晓钢, 王欣星, 刘斐, 兰梦龙, 陶波圆, 梁子建, 叶志华, 罗媛圆. 达芬奇机器人辅助Swenson-like巨结肠根治术[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(04): 239-243.
[10] 中华医学会器官移植学分会, 中华医学会外科学分会外科手术学学组, 中华医学会外科学分会移植学组, 华南劈离式肝移植联盟. 劈离式供肝儿童肝移植中国临床操作指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 593-601.
[11] 刘军, 丘文静, 孙方昊, 李松盈, 易述红, 傅斌生, 杨扬, 罗慧. 在体与离体劈离式肝移植在儿童肝移植中的应用比较[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 688-693.
[12] 张琛, 秦鸣, 董娟, 陈玉龙. 超声检查对儿童肠扭转缺血性改变的诊断价值[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 565-568.
[13] 王晓瑜, 郭群英, 牛雅萌, 赵成松. 公立儿童医院促进儿科就医均等化实践探析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(04): 383-387.
[14] 陈晓胜, 何佳, 刘方, 吴蕊, 杨海涛, 樊晓寒. 直立倾斜试验诱发31 秒心脏停搏的植入心脏起搏器儿童一例并文献复习[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 488-494.
[15] 曹亚丽, 高雨萌, 张英谦, 李博, 杜军保, 金红芳. 儿童坐位不耐受的临床进展[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 510-515.
阅读次数
全文


摘要