云南省文山州2013-2022年新发麻风患者残疾情况及影响因素分析  

Analysis of Disability and Influencing Factors in Newly Diagnosed Leprosy Patients from 2013 to 2022 in Wenshan Prefecture,Yunnan Province

作　　者：甘丽平 陶思铮 杨溪[1] 张春雨 尹丽娇 罗红叶 李玉叶[1] GAN Liping;TAO Sizheng;YANG Xi;ZHANG Chunyu;YIN Lijiao;LUO Hongye;LI Yuye(Department of Dermatology,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China;Department of Dermatology,Wenshan Institute of Dermatology,Wenshan 663000,China)

机构地区：[1]昆明医科大学第一附属医院皮肤性病科,云南昆明650032 [2]文山壮族苗族自治州皮肤病防治所皮肤性病科,云南文山663000

出　　处：《中国皮肤性病学杂志》2024年第9期994-999,共6页The Chinese Journal of Dermatovenereology

基　　金：云南省“兴滇英才支持计划”云岭学者;云南省皮肤与免疫性疾病临床医学中心。

摘　　要：目的了解文山州新发麻风病例残疾情况及其影响因素,为减少麻风残疾发生、减小麻风危害提供理论依据。方法以云南省文山州2013—2022年确诊的所有麻风患者为研究对象,收集患者的流行病学信息及病例资料。建立Excel数据库,采用SPSS26.0软件对数据进行分析。结果共收集366例新发麻风病例资料,其中64例发生残疾,残疾率为17.49%,1级残疾率6.28%,2级残疾率11.20%。目前皮肤科门诊发现仍为麻风患者的主要发现方式(49.80%),诊断延迟期>2年、少菌型麻风(PB)是麻风患者发生残疾的危险因素(P<0.05)。结论诊断延迟期>2年及PB患者有更高的残疾发生风险,医疗机构应加强对麻风疑似症状的筛查,早发现、早诊断、早治疗,减少麻风延迟诊断,降低新发麻风发生残疾比例,提高麻风患者生活质量。Objective To investigate the disability and influencing factors of newly diagnosed leprosy cases in Wenshan Prefecture,and to provide theoretical basis for reducing the incidence of disability in leprosy and reducing the harm of leprosy.Methods All leprosy patients diagnosed in Wenshan Prefecture,Yunnan Province from 2013 to 2022 were selected as the research subjects,and the epidemiological information and case data of the patients were collected.An excel database was established and SPSS26.0 software was used to analyze the data.Results A total of 366 newly diagnosed leprosy cases were collected,of which 64 cases develop disability,with disability rate of 17.49%,the rate of disability grade 1 of 6.28%,and the rate of disability grade 2 of 11.20%.Currently,leprosy is mainly detected in dermatology clinics(49.80%),and diagnosis delayed>2 years and paucibacillary leprosy(PB)were the risk factors for the development of disability in leprosy patients(P<0.05).Conclusion Delay of diagnosis>2 years and PB in leprosy patients have a higher risk of developing disability.Medical institutions should strengthen the screening of suspected symptoms of leprosy,perform early detection,early diagnosis and early treatment,reduce the delayed diagnosis of leprosy,reduce the proportion of newly diagnosed leprosy patients with disability,and improve the quality of life of leprosy patients.

关 键 词：云南 文山 麻风 残疾 影响因素 

分 类 号：R755[医药卫生—皮肤病学与性病学]