5739例皮肤科门诊老年性浅部真菌病镜检结果分析  

Microscopic Analysis of 5739 Cases of Superficial Mycoses in Older Patients

作　　者：费实[1] 李振洁[1] 高爱莉[1] 肖常青[1] 黄茂芳[1] 朱慧兰[1] 

机构地区：[1]广州市皮肤病防治所,510095

出　　处：《中国医药指南》2010年第34期179-181,共3页Guide of China Medicine

基　　金：广州市皮肤病防治所基金资助项目

摘　　要：目的了解广州地区1999至2007年间皮肤科门诊老年性浅部真菌病发病的种类、流行病学特点及直接镜检在浅部真菌病诊断中的意义。方法采用病例回顾性统计方法分析,对1999至2007年间皮肤科门诊拟诊的老年性浅部真菌病者进行病种、构成比变化、镜检阳性率等特点进行分析。结果 5739例老年浅部真菌病病例中包括以下7个病种:手足癣(37.3%)、体癣(31.3%)、股癣(13.3%)、甲真菌病(8.2%)、头癣(3.4%)、马拉色菌毛囊炎(5.6%)和花斑糠疹(1.0%)。镜检阳性率排前3位的为:马拉色毛囊炎男72.2%、女71.7%、花斑糠疹男65.1%、女60.0%、甲真菌病男49.3%、女42.4%。结论广州地区5739例老年性浅部真菌病中以手足癣为主,其次为体股癣;1999至2007年间广州地区老年人群中浅部真菌发病的种类和构成无明显变化;直接镜检法在浅部真菌病诊断中仍为经济、简便易行的真菌学检查方法。镜检阳性率受病种、性别、年龄、取材部位等因素影响。Objective To gather the information of superficial mycosis of older people in respects of etiology and category in dermatology clinics of Guangzhou region during 1999~2007, and make more effective efforts in preventing superficial mycosis. Method Scurf specimens were collected from patients in out-patient clinics during 1999~2007, 10% KOH smears were prepared and examined under microscope. Results 7 categories of superficial mycosis were found in 5739 patients, which includ： tinea of feet and hands（37.3 %）, tinea corporis（31.3%）, tinea cruris（13.3%）, tinea unguium（8.2%）, tinea capitis（3.4%）, pityrosporum folliculitis（5.6%）, and tinea versicolor（1.0%）. The top 3 positive rates ranked by microscope were： pityrosporum folliculitis （male 72.2%, female 71.7%）, tinea versicolor （male 65.1%, female 60.0%）, tinea unguium（male 49.3%, female 42.4%）. Conclusion The most common superficial mycosis of older people in Guangzhou region is tinea of feet and hands, the next is tinea of corporis and cruris. Positive rates by microscope were effected by type of disease, gender, age, location of specimen collection, the amount of patients investigated etc.

关 键 词：老年性 真菌病 浅部 病原真菌 皮肤癣菌 

分 类 号：R756[医药卫生—皮肤病学与性病学]