糖尿病住院患者207例甲真菌病临床调查研究

Clinical data analysis of onychomycosis in 207 inpatients with diabetes

目的调查研究糖尿病住院患者合并甲真菌病的患病率、临床分型及菌种构成。方法以2014年6-12月207例我院糖尿病住院患者为研究对象,调查分析糖尿病住院患者甲真菌病的患病率、临床分型及菌种构成等。结果 207例糖尿病住院患者甲真菌病的临床分型为远端侧位甲下型(42.9%)、全甲毁损型(38.1%)、近端甲下型(14.3%)、浅表白色型(4.8%);糖尿病住院患甲真菌病的患病率为10.1%;致病菌主要为皮肤癣菌和酵母菌。结论糖尿病患者甲真菌病的发病率高于普通人群的平均发病率,临床分型以远端侧位甲下型为主,病原菌主要是皮肤癣菌和酵母菌。

Objective To investigate and analyze the incidence of onychomycosis coupled with diabetes in the inpatients,the clinical classification of the disease and species composition. Methods Two hundred and seven patients with diabetes admitted into our hospital from June 2014 to December 2014,were used as the research objects. The incidence of onychomycosis,the clinical classification of the disease and species composition were investigated and analyzed in the inpatients coupled with diabetes. Results The clinical classifications of onychomycosis in 207 inpatients coupled with diabetes were DLSO（ accounting for 42. 9%）,TDO（ accounting for 38. 1%）,PSO（ accounting for 14. 3%） and SWO（ accounting for 4. 8%）. The incidence of onychomycosis in diabetic inpatients was 10. 1%,with the main pathogens of the disease being dermatophyte and yeast. Conclusion The incidence of onychomycosis in diabetic inpatients was higher than that of the general population. Clinical classification of the disease was chiefly DLSO,with pathogens being dermatophyte and yeast.