延安地区浅部真菌病1422例临床分析  

Clinical Analysis of 1422 Cases of Superficial Mycoses in Yan'an Area

作　　者：马小娜[1] 张辉[1] 韩晓虹[1] 王宏东[1] 史龙泉[1] 任勇[1] 

机构地区：[1]延安大学附属医院皮肤科,陕西延安716000

出　　处：《中国皮肤性病学杂志》2016年第9期908-910,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的了解延安地区浅部真菌病发病情况及致病菌种分布特征和发病相关因素。方法回顾性分析延安大学附属医院皮肤科门诊2012年1月-2015年6月确诊的皮肤浅部真菌病患者发病情况，分析其致病菌种、年龄、性别和临床特征的关系。结果确诊的1422例皮肤浅部真菌病中，前三位依次是足癣471例（33．12％），甲真菌病284例（19．97％），手癣202例（14．21％）；致病菌中前三位依次是红色毛癣菌772株（54．29％），须癣毛癣菌173株（12．17％），白念珠菌147株（10．34％）；患病人数最多者为31～40岁年龄组393例（27．64％）；男女均以足癣比例最大，分别为264例（34．29％）和207例（31．75％）。结论延安地区浅部真菌病以足癣、甲真菌病和手癣较常见，致病菌以红色毛癣菌、须癣毛癣菌和白念珠菌为主，好发于中青年。Objective To investigate the infection situation of superficial mycoses, characteristics of distribution of pathogenic fungi, and pathogenesis-related factors in Yah＇ an area. Methods A retrospective analysis was performed to analyze the incidence of infection and to explore the relationship between pathogenic fungi, age, gender and its clinical features in outpatients diagnosed with superficial mycoses in the affiliated Yan＇ an university hospital between January 2012 and June 2015. Results Among the 1 422 patients, the top three infections were tinea pedis （33.12%） , onychomycosis （ 19. 97% ） and tinea manns （ 14. 21% ）. The top three pathogenic fungi were Trichophyton rubrum （54. 29% ）, Alpha fungus （12. 17% ） and Trichiophyton mentagrophytes （ 10. 34% ）. Patients aged 31 to 40 years accounted for 27.64% （393 cases）. A larger portion of patients was tinea pedis in both males （34. 29% ） and females （31.75%）. Conclusion Tinea pedis, onychomyeosis and tinea manus are common superficial mycoses in Yan＇ an area. The main pathogenic fungi are Trichophyton rubrum, Alpha fungus and Candida albicans, which mainly infect the young and the middle-aged.

关 键 词：浅部真菌病 致病真菌 临床分析 

分 类 号：R756[医药卫生—皮肤病学与性病学]