佛山市禅城区糖尿病患者足癣流行病学调查

Epidemiological Investigation of the Tinea Pedis in Diabetic Patients in Chancheng District of Foshan

目的：了解佛山市禅城区糖尿病人群足癣流行情况。方法：对2005年8年至2007年8月到我院内分泌科及社区医院就诊20岁以上1082例糖尿病患者足癣流行病学情况进行统计分析。结果：糖尿病患者足癣的患病率37．7％，病原菌主要为红色毛癣菌，白念珠菌也有相当大比例；临床表现以鳞屑型为主，其次糜烂型及水疱型；年龄分布以中青年为主，20～40岁占55．9％；农民患者比例高于其他人群，足癣患病率随糖尿病病程延长而增加。结论：根据佛山禅城区糖尿病患者足癣流行病学特征，加强城市人群的糖尿病及其并发症的防治宣传工作，积极控制血糖，合理使用抗生素，预防和减少足癣感染。

Objective： To investigate the epidemiology of tinea pedis in diabeic patients in Chancheng District of Foshan. Methods：The epidemiology data of tinea pedis in 1082 diabetic patients over 20 years old who come from the department of endocrinology and the community hospital in our hospital, were analyzed from August 2005 to August 2007. Results：The prevalence rate of tinea pedis in diabetic patients was 37.7% and the most frequent dermatophyte was Triehopbyton rubrum, followed by Candida albicans. Scale. was the most common clinical characteristics, followed by erosion and vesicular. The most commonly affected age group was young and middle - aged（55.9% ）. Tinea pedis was more prevalent in farmers than in the other groups. The morbidity increased with the course of diabetes. Conclusion： According to the epidemiological characteristics of tinea pedisin in diabetic patients in Chancheng District of Foshan, prevention and control of diabetes and its complications should be strengthened, actively control blood glucose and rational use of antibiotics should be performed to prevent and reduce the infection of tinea pedis.