银屑病患者的复发情况及影响因素分析

The Analysis of Recurrence and Its Influencing Factors in Psoriasis Patients

目的:探讨银屑病复发的影响因素。方法:选取2018年11月—2020年5月在长春中医药大学附属第三临床医院进行治疗的银屑病患者347例,统计患者在随访期间银屑病的复发情况,探讨影响银屑病治疗后复发的危险因素。结果:本次研究纳入病例347例,完成1年随访的患者有338例,而在随访期间有153例银屑病患者出现复发情况,复发率高达45.27%。经单因素分析,银屑病复发与银屑病家族史、饮酒史、精神状态异常、感染、环境潮湿、不规范用药等有关。经多因素logistic回归分析显示,银屑病家族史、饮酒史、精神状态异常、感染、环境潮湿、不规范用药为银屑病复发的独立危险因素。结论:银屑病患者在治疗后有较高的复发率,患者的复发主要受到银屑病家族史、饮酒史、精神状态异常、感染、环境潮湿、不规范用药等危险因素的影响。

OBJECTIVE To explore the influencing factors of recurrence of psoriasis.METHODS 347 psoriasis patients who were treated from November 2018 to May 2020 were selected,the recurrence of psoriasis patients during follow-up were counted,and the risk factors affecting the recurrence of psoriasis after treatment were discussed.RESULTS 347 cases were included.338 patients completed one-year follow-up,while during the following period,153 cases of psoriasis patients recurred,and the recurrence rate was as high as 45.27%.Psoriasis recurrence was related to psoriasis family history,drinking history,abnormal mental state,infection,humid environ⁃ment,non-standard medication and so on.Logistic multiple regression analysis showed that psoriasis family history,drinking history,ab⁃normal mental state,undergone infections,humid environment and non-standard medication were independent risk factors for the recur⁃rence of psoriasis.CONCLUSION Psoriasis patients had a high recurrence rate after treatment.The recurrence of patients was mainly af⁃fected by risk factors such as psoriasis family history,drinking history,abnormal mental state,undergone infections,humid environment,non-standard medication.