337例银屑病复发相关因素分析  

Survival Factor Analysis among 337 Patients with Psoriasis on Patients

作　　者：程桃英[1] 

机构地区：[1]四川省成都市第六人民医院皮肤科,610051

出　　处：《中华全科医学》2013年第6期888-888,934,共2页Chinese Journal of General Practice

摘　　要：目的探讨影响银屑病患者复发的危险因素。方法回顾性分析有一年以上完整回访记录的462例病例报告,依照治疗后复发情况将其分为复发组和未复发组,其中复发组337例,未复发组125例。应用单因素卡方检验对两组患者的一般资料进行比较。通过Logistic回归分析确定影响银屑病患者复发的独立危险因素。结果单因素分析结果显示:患者的年龄、性别、发作次数、临床分型、伴有疾病史、吸烟饮酒等不良嗜好及盲目用药是银屑病预后的危险因素(P均<0.05);Logistic回归分析结果显示:伴有低蛋白血症、家族银屑病史、吸烟饮酒等不良嗜好及心理因素是影响银屑病患者预后复发的独立危险因素(P均<0.05)。结论银屑病患者伴有低蛋白血症、家族银屑病史、吸烟饮酒等不良嗜好及心理因素是影响预后复发的高危因素。Objective To explore the risk factors for recurrence of psoriasis patients. Methods 462 cases which had the complete return visit records for more than one year was analyzed retrospectively. All these patients were divided into recurrence group（337 cases） and non-recurrence group（ 125 cases）. The single factor chi-square test was used to compare general informa- tion between two groups. Logistic regression multivariate analysis was performed to indentify the independent risk factors of recur- rence. Results The univariate analysis results showed that age, gender, number of episodes, clinical genotyping, associated disea- ses, smoking, drinking, and blind medication were the psoriasis prognostic risk factors （ P 〈 0.05 ）, Logistic regression analysis showed that low blood lipoprotein disorders, familial psoriasis history, smoking, drinking and other bad habits, and psychological factor were independent risk factors of recurrence （ P 〈 0.05 ）. Conclusion Psoriasis patients with low blood lipoprotein disor- ders ,familial psoriasis history, smoking, drinking and psychological factor were risk factors of recurrence.

关 键 词：银屑病 预后 危险因素 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]