中国六城市斑秃患病率调查  

Alopecia areata in China： a survey on prevalence in 6 cities

作　　者：王婷琳[1] 沈佚葳[1] 周城[1] 王晓燕[1] 丁晓岚[1] 田珊[1] 刘盈[1] 彭光辉[1] 薛树旗 周俊娥 王仁利[4] 孟雪梅[5] 裴广德[6] 白云花 刘青 李航 陈捷[2] 张建中[1] 

机构地区：[1]北京大学人民医院皮肤性病科,100044 [2]北京大学人民医院流行病学室,100044 [3]山西省太钢总医院迎新医院皮肤科 [4]四川省西昌市凉山州第一人民医院皮肤科 [5]中国石油天然气集团公司中心医院皮肤科 [6]河南省焦作煤业集团中央医院皮肤科 [7]内蒙古呼伦贝尔市人民医院皮肤科 [8]山东省淄博市淄川区医院皮肤科 [9]山东省淄博市齐鲁石化医院集团中心医院皮肤科

出　　处：《中华皮肤科杂志》2009年第10期668-670,共3页Chinese Journal of Dermatology

摘　　要：目的通过多地区人群调查获得我国斑秃患病率等基本数据。方法采用整群抽样调查方法，统一设计调查表，在我国6个省各选一个城市进行社区人口斑秃流行病学调查。结果共调查19974人，收回有效问卷17345份，应答率为86．84％。发现斑秃患者47例，总患病率为0．27％，标化患病率为0．24％。男性患病率为0．38％，女性患病率为0．18％，男性显著高于女性（X^2=6．53，P〈0．05）。在47例斑秃患者中，脱发面积〈1／3头皮面积者占70．21％，〉1／3占29．79％，全秃占2．13％，普秃占2．13％；有阳性家族史者8．51％。太原地区斑秃患病率为0．45％，西昌为0．33％，廊坊为0．28％，焦作为0．22％，淄博为0．17％，海拉尔为0．19％，各地区患病率差异无统计学意义（P〉0．05）。结论中国6城市斑秃患病率为0．27％。男性患病率显著高于女性。Objective To estimate the prevalence of alopecia areata in China's Mainland by a survey of multi-regional populations. Methods A community-based survey was conducted in 6 cities from 6 provinces in China's Mainland. Cluster sampling method was used. Subjects were required to fulfill a self-reported questionnaire and to receive physical examination by dermatologists. EpiData and SPSS 10.0 analysis system were used for statistical analysis. Results Totally, 19 974 questionnaires were delivered, and 17 345 valid questionnaires were returned with the response rate being 86.84%. Alopecia areata was diagnosed in 47 subjects in total, yielding a prevalence of 0.27% and standardized prevalence of 0.24%. In males, the prevalence of alopecia areata was 0.38%, which was significantly higher than that in females （0.18%） （X^2 = 6.53, P 〈 0.05）. Of these 47 patients, 33 （70.21%） had less than 1/3 scalp involvement, 14 （29.79%） more than 1/3 scalp involvement, 1 （2.13%） alopecia totalis, and 1 （2.13%） alopecia universalis. Family history was found in 4 （8.51% ） patients. The prevalence of alopecia areata was 0.45% （12/2680） in Taiyuan,0.33% （9/2756） in Xichang, 0.28% （10/3597） in Langfang,0.22% （6/2721） in Jiaozuo, 0.17% （5/3000） in Zibo and 0.19% （5/2591） in Hailaer. There was no statistical difference between these regions （P 〉0.05）. Conclusion Based on this survey, the overall prevalence of alopecia areata is 0.27% in the 6 Chinese cities. Also, men have a higher prevalence of alopecia areata than women do.

关 键 词：斑秃 患病率 研究 

分 类 号：R758.71[医药卫生—皮肤病学与性病学]