摘要
目的:开展对白癜风患者的临床调查,获得中国白癜风患病情况的基本资料;探讨患病情况及影响因素。方法:采用统一设计的白癜风流行病学调查表,对河北省沧州中西医结合医院皮肤科就诊的257位白癜风患者分别进行基本情况测查。将测查数据用SPSS17.0软件进行统计处理,统计方法有描述性统计、t检验、χ2检验、方差分析和相关性分析。结果 (:1)257例患者,年龄3~70岁,首次发病年龄2~68岁,平均(28.17±14.24)岁,女性平均首发年龄为(30.02±15.69)岁,男性(26.37±13.36)岁,两者差异有显著性(t=-1.795,P〈0.05);发病高峰年龄为11~30岁(143例);有家族史的患者36例(14.01%)。(2)多春夏发病(70.04%),分型中以散发型最多(64.98%),泛发型最少(1.17%)。男、女患者在疾病分型上无统计学差异(χ2=0.689,P〉0.05)。有白斑自愈倾向者25例(9.73%),有18例患者认为自愈与精神放松有关。39.30%患者发病前有明显精神因素。结论:白癜风好发于青壮年,11~30岁为发病高峰。男性患病率较高,有一定的遗传倾向。多春夏发病,且春夏病情易加重,患者应注意防晒。散发型发病率最高,各类型发病年龄的差异无统计学意义。瘙痒和同形反应多见于进展期,故皮疹瘙痒和同形反应可以做为进展期的一项指征。皮肤损伤和精神刺激等因素可诱发白癜风。
Objective:Develop the clinical investigation of leucoderma patients to obtain the basic data of leucoderma information of Chinese patients,and investigate patients' conditions and the influencing factors.Method:The unified-designed survey-table of epidemic disease was carried out for the basic survey of 257 patients of Integrated Traditional and Western Medicine Hospital of Cangzhou in Hebei.The data was dealt with software system of SPSS 17.0,statistics methods included description,t test and χ2 test.Results:(1)257 patients(aging from 3 to 70),who suffered from the disease from 2 to 68;the average age was 28.18±14.34,female average age was 30.32±15.69.There was a significant difference between the male and the female(t=-1.799,P0.05).The age of the patients who suffered from the disease easily was from 11 to 30(143 patients),36 patients had family history(14.01%).(2)The disease often occurred in spring and summer,the diverging type was the biggest one(64.98%)while the type that happen randomly was the smallest one(1.17%).There was no statistics difference between the male and the female in the variety of this disease(χ2=0.689,P0.05).25 patients might be cured by themselves(9.73%)and 18 patients were considered that self-cure was relevant to spirit relaxation.Before the disease occurred,about 39.30% patients had obvious spirit factors.Conclusion:Vitiligo is easily occurred in the youth,especially from 11 to 30.The chance that the male suffer from this disease is much higher,and there is a genetic trend.It usually occurs in spring and summer,and gets worse in these two seasons,so the sufferes should pay attention not to be exposed to the sun.The greatest chance is to suffer from diverging type,but there is no statistics significance in the difference among the variety of the disease.Pruritus and isomorphic reaction usually happen in developing period,so erythra pruritus and isomorphic reaction are the characteristics in the developing period.The injury of skin,the stimulation of the spirit and other factors may lead to vitiligo.
出处
《辽宁中医药大学学报》
CAS
2012年第6期45-48,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
沧州市科学技术研究与发展指导计划项目(1123082ZD)
关键词
白癜风
临床调查
vitiligo
clinical survey