手足癣214例流行病学调查分析

    Investigation on epidemiology of 214 cases of tinea manus and pedis

    • 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。

       

      Abstract: 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 than 90% of the patients were infected by Trichophyton rubrum(tinea manus 63.1%,tinea pedis 71.0%) and Trichophyton tonsurans(tinea manus 9.8%,tinea pedis 15.4%).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 manus 22.0%,tinea pedis 5.6%).According to the degree of skin damage,tinea manus and pedis are divided into blister type,scale type and erosion type.As of epidemiology,20-40 years old are the high risk group,which contain 69.6% and about 45% are workman.In morbidity,scale type(tinea manus 62.1%,tinea pedis 77.1%) > erosion type(tinea manus 22.9%,tinea pedis 13.1%) > blister type(tinea manus 15.0%,tinea pedis 9.8%).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.

       

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