我国特应性皮炎、银屑病、痤疮和荨麻疹的患病率及危险因素  

Prevalence and risk factors of atopic dermatitis,psoriasis,acne,and urticaria in China

作　　者：陈丽萍 黄晓燕[1] 肖易[1] 粟娟[1] 沈敏学 陈翔[1] CHEN Liping;HUANG Xiaoyan;XIAO Yi;SU Juan;SHEN Minxue;CHEN Xiang(Department of Dermatology,Xiangya Hospital,Central South University,Changsha 410008;Department of Dermatology,Yongzhou Central Hospital,Yongzhou Hunan 425000;Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078,China)

机构地区：[1]中南大学湘雅医院皮肤科,长沙410008 [2]永州市中心医院皮肤科,湖南永州425000 [3]中南大学湘雅公共卫生学院社会医学与卫生事业管理学系,长沙410078

出　　处：《中南大学学报（医学版）》2020年第4期449-455,共7页Journal of Central South University ：Medical Science

基　　金：科技部科技基础性工作专项(2015FY111100);科技部国家重点研发计划(2016YFC0900802);湖南省重点研发计划项目(2018SK2086)。

摘　　要：通过检索中国知网、万方、PubMed数据库文献,发现特应性皮炎、银屑病、痤疮、荨麻疹的患病率及危险因素的调查相对较多,是目前皮肤病流行病学研究较受关注的疾病。1998年、2002年和2014年3次全国大规模流行病学调查显示:我国特应性皮炎的患病率从0.69%,3.07%增加到12.94%。1984年和2008年两次全国调查发现银屑病的患病率从0.123%增加到0.47%。2008年全国性调查发现痤疮的患病率为8.1%。荨麻疹尚缺乏全国性调查。各疾病的危险因素不同,其中特应性皮炎、银屑病和荨麻疹与环境、精神紧张等有关,痤疮则与皮肤类型、饮食等有关。但我国皮肤病流行病学调查所采用的诊断方法不同,其中有较多研究以患者自报作为诊断。各研究的结果可靠性不一、可比性不足,且均缺乏随访数据;因此有必要建立我国自然人群皮肤病的队列研究。By searching the database of CNKI,Wanfang and PubMed,the prevalence and risk factors of atopic dermatitis,psoriasis,acne,and urticaria were relatively more investigated,which were the skin diseases of more concern in the current epidemiological study of skin diseases.Three national epidemiologic surveys reported that the prevalence of atopic dermatitis increased from 0.69%in 1998,to 3.07%in 2002,and 12.94%in 2014,respectively.The prevalence of psoriasis increased from 0.123%in 1984 to 0.47%in 2009 according to 2 national surveys.The prevalence of acne was 8.1%in a national investigation in 2008.Representative national prevalence data of urticaria is not available.Risk factors for these skin diseases are distinct.Atopic dermatitis,psoriasis,and urticaria are more related to environment and mental stress,while acne is more related to skin type and dietary factors.Owing to the heterogeneities in diagnostic methods used in the dermatoepidemiologic surveys(some of the diagnoses were self-reported)and a lack of follow ups,the reliability of data remained questionable,and the comparability across the surveys was difficult.As a result,it is necessary to conduct population-based cohort studies on skin diseases in China.

关 键 词：皮肤病 皮肤病流行病学 患病率 危险因素 

分 类 号：R751[医药卫生—皮肤病学与性病学]