基于网络的不同性别成年寻常型银屑病患者调查

Analysis of different gender psoriasis vulgaris patients based on network survey

目的探索不同性别寻常型银屑病患者的流行病学特征差异。方法使用问卷星收集数据,SPSSAU行统计分析。结果共收集有效寻常型银屑病患者资料375份。银屑病患者男性比例更大(67.73%)。女性比男性发病早(P=0.004),病程长(P=0.021)。85%以上的男女患者均在40岁前发病。皮损初发部位以头皮和四肢居多,感受以瘙痒和干燥为主,冬季发病最多,夏季最少。女性患者有家族史的比例更大(P=0.025)。两性家族史以一级居多,伴发病以高血压、血脂异常居多。男性患者受教育程度较女性高(P=0.002),其余临床特征差异无统计学意义。超重或肥胖、饮酒、吸烟男性比例更高(P<0.01)。结论寻常型银屑病患者男性居多,女性发病早、病程长。大部分患者在40岁前发病。冬季发病多,感受以瘙痒和干燥为主。伴发病以高血压、血脂异常为主。超重或肥胖、饮酒、吸烟是男性患者更为重要的危险因素。

Objective To explore the differences in clinical characteristics and risk factors of patients with psoriasis vulgaris of different genders. Methods The cases were investigated by the questionnaire star. The data were statistically processed and analyzed by SPSSAU. Results There were 375 valid questionnaires. The proportion of men with psoriasis was greater(67.73%) than that of women. Women had earlier first-onset-age than men(P=0.004) and had a longer course of disease(P=0.021). More than 85% of male and female patients had onset before the age of 40. The initial site of skin lesions was mostly scalp and extremities. The patients mainly felt itching and dryness,and most of the lesions occurred in winter while the least occurred in summer. Female patients had a greater proportion of family history(P=0.025). The family history of both sexes was mostly at first grade.Associated diseases were mainly hypertension and dyslipidemia. Male patients were more educated than females(P=0.002),and there was no significant difference in other clinical characteristics. The proportion of men who were overweight or obesity,drinking and smoking was higher(P<0.01). Conclusion There are more men than women in psoriasis vulgaris patients. Females have an earlier first-onset age and long course of disease. Most patients get sick before the age of 40. There are many cases in winter,and itching and dryness are the main feelings.Associated diseases are mainly hypertension and dyslipidemia. Overweight or obesity,alcohol consumption,and smoking are more important risk factors for male patients.