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基于问卷调查的精浆超敏反应患者的临床特征分析

李论 杜志荣 尹佳

中华临床免疫和变态反应杂志2025,Vol.19Issue(4):216-221,6.
中华临床免疫和变态反应杂志2025,Vol.19Issue(4):216-221,6.DOI:10.3969/j.issn.1673-8705.2025.04.002

基于问卷调查的精浆超敏反应患者的临床特征分析

Clinical characteristics analysis of seminal plasma hypersensitivity based on questionnaire survey

李论 1杜志荣 1尹佳1

作者信息

  • 1. 100730 北京,中国医学科学院 北京协和医学院 北京协和医院变态反应科,过敏性疾病精准诊疗研究北京市重点实验室,国家皮肤与免疫疾病临床医学研究中心
  • 折叠

摘要

Abstract

Objective This study aims to investigate the current status of seminal plasma hypersensitiv-ity(SPH)in Chinese women and summarize the clinical characteristics of SPH,thus providing data support for future health education,as well as clinical diagnosis and treatment.Methods A cross-sectional survey was conducted using an anonymous electronic questionnaire published on the Wenjuanxing platform to collect data from December 2020 to August 2021.The questionnaire included demographic information,allergic disease his-tory and clinical manifestations.Results A total of 178 self-reported SPH respondents were included in the study,all of whom had complete resolution of symptoms with condom use.The 1003 participants without SPH symptoms were classified as the healthy control group.The prevalence of allergic diseases in the self-reported SPH group was significantly higher than that in the the healthy control group(77.5%vs.65.4%,P=0.001).Regarding SPH clinical manifestations,164 cases(92.1%)reported local allergic reactions,and 40 cases(22.4%)reported systemic allergic reactions.A total of 85 cases(47.8%)experienced allergic reactions during the first unprotected sexual intercourse.118 cases(66.3%)developed allergic reactions within 30 mi-nutes of seminal plasma exposure,with a median onset time of 10(2,120)minutes.In 160 cases(90.0%),symptoms were relieved spontaneously or after washing,with a median duration of 3(0.5,24)hours.Conclusion Women with a history of allergic diseases are more likely to experience seminal plasma hy-persensitivity.Clinicians should increase awareness of SPH,make appropriate diagnoses for both local and sys-temic SPH,and select appropriate treatment according to patients' conditions.

关键词

精浆过敏/精液/性交困难/全身过敏反应

Key words

seminal plasma hypersensitivity/semen/dyspareunia/systemic allergic reactions

引用本文复制引用

李论,杜志荣,尹佳..基于问卷调查的精浆超敏反应患者的临床特征分析[J].中华临床免疫和变态反应杂志,2025,19(4):216-221,6.

基金项目

中国医学科学院医学与健康科技创新工程(2021-I2M-1-017) (2021-I2M-1-017)

北京协和医学基金会(佳禾基金) Medical Health Science and Technology Innovation Project of Chinese Academy of Med-ical Sciences(2021-I2M-1-017) (佳禾基金)

Peking Union Medical Foundation(Jiahe foundation) (Jiahe foundation)

中华临床免疫和变态反应杂志

1673-8705

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