某院校学员浅部真菌病调查分析  

Investigation of superficial mycoses in military academy cadets

作　　者：唐人杰 王瑞娜 王智[1] 刘海燕 刘旭[1] 李红磊 刘佳存 张大志 阎澜 TANG Renjie;WANG Ruina;WANG Zhi;LIU Haiyan;LIU Xu;LI Honglei;LIU Jiacun;ZHANG Dazhi;YAN Lan(Beijing South Medical District of Chinese PLA General Hospital, Beijing 100072, China;School of Pharmacy, Navy Medical University, Shanghai 200433, China)

机构地区：[1]解放军总医院京南医疗区,北京100072 [2]海军军医大学药学系,上海200433

出　　处：《中国真菌学杂志》2022年第2期120-123,共4页Chinese Journal of Mycology

基　　金：国家自然科学基金资助项目(82173867);上海市科技创新行动计划国际科技合作项目(21430713000);上海市浦江人才计划(21PJD081);上海市创新行动计划生物医药领域科技支撑项目(19431901300)。

摘　　要：目的了解华北某部队院校学员浅部真菌性皮肤病患病及诊治情况。方法采取浅部真菌病体检筛查、真菌镜检和问卷调查方式。结果回收1733份有效问卷,结果显示:①学员入校后确诊患浅部真菌性皮肤病186例,发病率为10.73%,足癣(147例)发病率最高,总体发病率低于南方地区。②夏、秋季浅部真菌性皮肤病的发病率显著高于冬、春季。③不同服役年限的浅部真菌性皮肤病发病率差异有统计学意义。④70.87%患者使用外用药物治疗,6.80%患者使用外用和口服药物联用,咪唑类药物使用率最高。患者对抗真菌药物的治疗效果满意度50.62%,复发率为51.46%。结论院校学员浅部真菌病发病率较高,加强健康宣教、合理用药指导意义重大。Objectives To investigate the incidence and treatment of superficial mycoses in cadets of a military academy.Methods A questionnaire survey was carried out during the physical examination.The cases of superficial mycoses were further examined by microscopy.Results A total of 1733 cadets were examined clinically and submitted the questionnaire.There were 186(10.73%)cadets diagnosed with superficial mycoses after entering the military academy.The incidence of tinea pedis(n=147)was higher than any other superficial fungal infections.The prevalence rate of superficial mycoses in summer and autumn was significantly higher than that in winter and spring(P<0.001).Statistic analysis demonstrated that the incidence of dermatophytosis was significantly different in different period of military service(P<0.001).In this survey,70.87%of patients took topical antifungal drugs,while 6.80%received the combination of topical and systematic therapy.The azoles were highest administered.It was 50.62%on patients’satisfaction of treatment with antifungal agents.The relapse rate of superficial fungal infections was 51.46%.Conclusions The incidence of superficial mycoses was high in cadets in a military academy.Attention should be paid to enhance the health publicity and education and to promote the rational use of drugs for cadets in military academies.

关 键 词：浅部真菌病 真菌感染 抗真菌药物 院校学员 

分 类 号：R756[医药卫生—皮肤病学与性病学]