合并痤疮的女性酒糟鼻患者严重程度现状及其影响因素分析

Analysis of the influencing factors of the severity of female rosacea patients with acne vulgaris

目的探讨合并痤疮的女性酒糟鼻患者严重程度现状及其影响因素,为该类患者的健康教育提供理论基础。方法采用便利抽样法,选取本院585例合并痤疮的女性酒糟鼻患者,在文献检索基础上自行设计问卷,采用现状调查方法,了解合并痤疮的女性酒糟鼻患者严重程度现状及其影响因素。结果最终纳入研究563例合并痤疮的女性酒糟鼻患者,其中轻度116例(20.6%),中度279例(49.6%),重度168例(29.8%)。单因素有序Logistic回归分析结果显示:酒糟鼻病情加重年龄、日晒、饮食辛辣和酒糟鼻家族史是合并痤疮的女性酒糟鼻患者严重程度的影响因素(均P<0.1);多因素有序logistic回归分析结果显示:日晒、饮食辛辣和酒糟鼻家族史是合并痤疮的女性酒糟鼻患者严重程度的独立影响因素(均P<0.05)。结论合并痤疮的女性酒糟鼻患者严重程度呈中等以上,其中日晒、饮食辛辣和有酒糟鼻家族史是合并痤疮的女性酒糟鼻患者严重程度的风险因素。对合并痤疮的女性酒糟鼻患者,特别是有家族史的患者,应加强饮食、防晒等方面的健康教育,其对患者酒糟鼻严重程度的影响具有重要意义。

Objective To investigate the factors affecting the severity of female rosacea patients with acne vulgaris and provide theoretical basis for targeted health education guidance. Methods Convenient sampling method was used, and a total of 585 cases of female rosacea patients with acne vulgaris in our hospital were selected. On the basis of literature retrieval, a questionnaire was designed to investigate the influencing factors of the disease severity. Results 563 patients, which included 116 mild rosacea (20.6%), 279 moderate rosacea (49.6%) and 168 severe rosacea (29.8%), were included in this research. Univariate ordered logistic regression analysis showed that ages of rosacea aggravation age, sun exposure, spicy diet and rosacea family history were the influencing factors of the severity of female rosacea patients with acne vulgaris(all P<0.1). Further multi-factor orderly logistics regression analysis showed that the sun exposure, spicy food and rosacea family history were independent influencing factors (all P<0.05). Conclusions Sun exposure, rosacea family history and spicy food are risk factors for the severity of the disease. For female rosacea patients with acne vulgaris, especially those with rosacea family history, health education in diet and sun protection should be strengthened, which is of great significance to the severity of rosacea.