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手足癣214例流行病学调查分析 被引量:6

Investigation on epidemiology of 214 cases of tinea manus and pedis
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摘要 目的:分析手足癣病人的流行病学及临床特点。方法:选取214例手足癣病人作为研究对象,回顾性分析手足癣的流行病学、致病菌以及临床类型及其特点。结果:手足癣大多数是由红色毛癣菌(手癣63.1%,足癣71.0%)和断发毛癣菌(手癣9.8%,足癣15.4%)感染引起,其中单纯手癣的病人均未检出絮状表皮癣菌,但相比于单纯足癣的病人其白念珠菌的检出构成比高(手癣22.0%,足癣5.6%)。根据病人皮肤损伤的程度,可将手足癣分为水泡型、鳞屑型、糜烂型3种类型。在流行病学方面,20~40岁为高发人群,占69.6%;近45%的病人为工人;无论是手癣还是足癣,其患病构成均有鳞屑型(手癣62.1%,足癣77.1%)>糜烂型(手癣22.9%,足癣13.1%)>水泡型(手癣15.0%,足癣9.8%)。结论:绝大多数手足癣的致病菌为同一类型,患病率与日常接触及个人卫生密切相关,无论是手癣还是足癣,其患病构成均有鳞屑型>糜烂型>水泡型的规律。 Objective:To analyze the epidemiological and clinical features of tinea manus and pedis.Methods:Two hundred and fourteen patients with tinea manus and pedis were set as research object to retrospective analysis,to find out the epidemilology and clinical characteristics of tinea manus and pedis.Results:More than90%of the patients were infected by Trichophyton rubrum(tinea manus63.1%,tinea pedis71.0%)and Trichophyton tonsurans(tinea manus9.8%,tinea pedis15.4%).All patients with purely tinea manus were not checkouted with epidermophyton floccosum.Compared to purely tinea pedis,relevance ratio of candida albicans in purely tinea manus is obviously higher(tinea manus22.0%,tinea pedis5.6%).According to the degree of skin damage,tinea manus and pedis are divided into blister type,scale type and erosion type.As of epidemiology,20-40years old are the high risk group,which contain69.6%and about45%are workman.In morbidity,scale type(tinea manus62.1%,tinea pedis77.1%)>erosion type(tinea manus22.9%,tinea pedis13.1%)>blister type(tinea manus15.0%,tinea pedis9.8%).Conclusions:Most of the tinea manus and pedis is caused by a minority of pathogenic bacterium.The morbidity have close relationship to what they touch and personal hygiene.Both the prevalence of tinea pedis and tinea manus have a rule of composition that is scale type>erosion type>blisters type.
作者 李海燕 LI Haiyan(Department of Dermatology,Lianyungang Second People′s Hospital,Lianyungang Jiangsu 222000,China)
出处 《蚌埠医学院学报》 CAS 2017年第11期1500-1502,共3页 Journal of Bengbu Medical College
关键词 手癣 足癣 流行病学 临床特点 tinea manus tinea pedis epidemiology clinical characteristics
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