痤疮后遗皮损严重程度的影响因素分析  

Analysis of Factors Influencing the Severity of Post-acne Lesions

作　　者：管宁 陈文静 万月 李建红[1] GUAN Ning;CHEN Wenjing;WAN Yue;LI Jianhong(Department of Dermatology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院皮肤科,北京100700

出　　处：《中国美容医学》2024年第12期100-106,共7页Chinese Journal of Aesthetic Medicine

基　　金：北京中医药大学东直门医院横向课题(编号:HX-DZM-202248)。

摘　　要：目的:探讨影响痤疮后遗皮损严重程度的相关因素。方法:选取2023年10月-2023年12月就诊于东直门医院皮肤科门诊的痤疮后遗皮损患者为研究对象,通过调查表方式收集一般情况、相关病史、生活方式及皮肤科专科检查等资料。采用单因素分析、多重线性回归及相关性分析评价上述因素与痤疮后遗皮损严重程度的关系。结果:本研究共纳入符合条件的患者110例,多重线性回归显示洗脸频率与痤疮后色素沉着严重程度之间存在显著相关性;后遗皮损分布于下颌与痤疮后红斑严重程度之间存在显著相关性;后遗皮损分布于颞部、针清、化妆及一级亲属痤疮愈后遗留萎缩性瘢痕与患者本人萎缩性瘢痕严重程度之间存在显著相关性(均P<0.05)。痤疮病程长短与萎缩性瘢痕严重程度呈正相关,摄入咖啡的频率与痤疮后红斑严重程度呈正相关(均P<0.05)。结论:痤疮后色素沉着严重程度受洗脸频率影响。痤疮后红斑严重程度受分布部位和摄入咖啡频率的影响。萎缩性瘢痕严重程度受较长的痤疮病程、既往针清治疗、化妆频繁、一级亲属痤疮愈后遗留萎缩性瘢痕分布部位的影响。Objective The aim of this study was to investigate the factors associated with the severity of post-acne lesions.Methods Patients with post-acne lesions who attended the dermatology outpatient clinic of Dongzhimen Hospital from October 2023 to December 2023 were selected as study subjects,and information on general condition,relevant medical history,lifestyle,and dermatological special examination was collected by questionnaire.One-way analysis,multiple linear regression and correlation analysis were used to evaluate the relationship between the above factors and the severity of post-acne lesions.Results A total of 110 eligible patients were included in this study,and multiple linear regression showed significant correlations between frequency of face washing and severity of post-acne hyperpigmentation;between distribution of posterior lesions on the jaw and severity of post-acne erythema;and between distribution of posterior lesions on the temporal area,pin clearing,make-up and first-degree relatives with atrophic scar remaining after acne healing and severity of atrophic scar.correlation(all P<0.05).There was a significant correlation between the distribution of residual lesions on the temporal area,pin clearing,make-up and first-degree relatives with residual atrophic scarring after acne healing and the severity of atrophic scarring in the patients themselves(all P<0.05).Conclusion The severity of post-acne hyperpigmentation is influenced by the frequency of face washing.The severity of post-acne erythema severity was influenced by site of distribution and frequency of coffee consumption.The severity of atrophic scar was influenced by longer duration of acne,previous needling treatments,frequency of make-up application,first-degree relatives with atrophic scarring remaining after acne healing,and site of distribution.

关 键 词：痤疮后遗皮损 痤疮后色素沉着 痤疮后红斑 萎缩性瘢痕 严重程度 影响因素 

分 类 号：R758.733[医药卫生—皮肤病学与性病学]