Objective: This study aimed to analyze the characteristics of airborne pollen in the urban area of Kunming City, explore its correlation with meteorological factors and allergic rhinitis (AR) visits, and provide a scientific basis for the prevention and treatment of local AR. Methods: This retrospective cross-sectional study analyzed medical records of pediatric patients diagnosed with allergic rhinitis (AR) who visited the Department of Otolaryngology-Head and Neck Surgery at Kunming Children's Hospital between January 1, 2023, and December 31, 2024. During this period, daily pollen dispersal data (including species and counts) and meteorological data were collected for Kunming city. Spearman rank correlation and multiple linear regression were used to assess the associations of pollen concentration and meteorological factors with the number of AR outpatient visits. Results: Pollen can be detected in Kunming City throughout the year, and the pollen dispersal trend was consistent in the two years. A total of 57 792 pollen grains/1 000 mm² were collected from monitoring sites in Kunming urban area from 2023 to 2024, covering 29 families/genera, with Pinaceae and Alnus as the dominant pollen types, exhibiting a bimodal pattern in spring and autumn (February-April, October-November. Spring was dominated by Pinaceae (accounting for 83.7% of the total in spring, 25 324/30 270), while autumn was dominated by the Alnus genus (accounting for 88.8% of the total in autumn, 11 832/13 322). Correlation analysis between pollen concentration and meteorological factors revealed that daily pollen concentration throughout the year was negatively correlated with the daily average temperature(r=-0.25,P<0.01), daily average relative humidity(r=-0.36,P<0.01), and daily precipitation(r=-0.32,P<0.01), and positively correlated with wind speed (r=0.21, P<0.01). The correlation analysis between pollen concentration and AR clinic visits showed that the number of pediatric AR patients was consistent with the trend of pollen concentration, with a positive correlation between daily pollen concentration and AR visits (r=0.293, P<0.05). Specifically, the concentration of Alnus pollen in autumn showed a positive correlation with both the number of AR patient visits(r=0.319,P<0.05) and the number of individuals with a positive Skin Prick Test (SPT)(r=0.36,P<0.05). In contrast, spring Pinaceae pollen concentration showed no statistically association with the aforementioned visits (r=0.142,r=-0.086, with all P values >0.05). Conclusion: Pollen dispersal in the Kunming urban area exhibits a bimodal pattern in spring and autumn, with the dominant pollen being Pinaceae and Alnus, respectively. Pollen dispersal is significantly influenced by meteorological factors, particularly daily precipitation. The variation in pollen concentration aligns with the number of pediatric AR patient visits. Alnus pollen might be a potential sensitizing pollen associated with autumn AR in children in this region. 目的: 分析昆明城区气传花粉特点,探讨其与气象因素、变应性鼻炎(AR)就诊人数的相关性,为AR的防治提供参考依据。 方法: 采用横断面研究方法,针对2023年1月1日至2024年12月31日昆明市儿童医院耳鼻咽喉头颈外科门诊AR就诊患儿的资料,同时采集同期昆明城区每日花粉播散情况、记录花粉的种类及数量、收集同期气象数据,对花粉浓度与气象因素、AR患者就诊人数,进行Spearman相关分析。 结果: 昆明全年均可监测到花粉,两年来每年花粉飘散趋势一致,2023—2024年昆明城区监测点内共收集花粉57 792粒/1 000 mm²,涵盖29个科属,以松科、桤木属为核心优势花粉,花粉播散呈现春秋双峰模式,春季以松科为主(占春季总量的83.7%、25 324/30 270),秋季以桤木属为主(占秋季总量的88.8%、11 832/13 322)。花粉浓度与气象因素相关性分析表明,全年日花粉浓度与日平均气温(r=-0.25,P<0.01)、日平均相对湿度(r=-0.36,P<0.01)、日降水量(r=-0.32,P<0.01)呈负相关,与风速呈正相关(r=0.21,P<0.01)。全年花粉播散高峰与AR患儿就诊人数高峰期吻合,花粉浓度与AR就诊情况相关性分析表明,日花粉浓度与AR就诊人数呈正相关(r=0.293,P<0.05)。秋季桤木属花粉浓度与AR就诊人数(r=0.319,P<0.05)、皮肤点刺试验(SPT)阳性人数(r=0.36,P<0.05)呈正相关。而春季松科花粉浓度与上述就诊指标无统计学关联(r=0.142,r=-0.086,P值均>0.05)。 结论: 昆明城区花粉播散成春秋双峰模式,优势花粉分别为松科和桤木属。花粉播散受气象因素(特别是日降水量)影响显著。花粉浓度变化规律与儿童AR就诊人数一致,桤木属花粉可能是引发该地区秋季儿童AR的潜在致敏相关花粉。.