兰州地区浅部真菌病及病原菌种类分析  

Analysis of Superficial Mycoses and Pathogenic Fungi in Lanzhou

作　　者：牛桃香[1] 骆志成[1] 石磊[2] 武三卯[1] 李文竹[1] 周晓黎[1] 薛晓云[1] 

机构地区：[1]兰州医学院第二附属医院皮肤科,甘肃兰州730030 [2]兰州医学院第二附属医院检验科,甘肃兰州730030

出　　处：《中国皮肤性病学杂志》2004年第4期219-221,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的　了解兰州地区浅部真菌病发病情况及病原菌菌种分布特点。方法　对临床拟诊为浅部真菌病的患者 14 43例 ,取标本行 10 %KOH涂片镜检、分离培养及菌种鉴定。登记镜检阳性患者的相关临床资料 ,分析浅部真菌病的发病特点。结果　真菌镜检阳性 5 94例 (4 1.2 % ) ,主要为足癣 2 3 0例 (3 8.7% )、甲真菌病 165例 (2 7.8% )、手癣 80例(13 .5 % ) ;分离菌株 2 2 1株 ,其中红色毛癣菌 97株 (4 3 .9% )、须癣毛癣菌 65株 (2 9.4% )、念珠菌 3 1株 (14 .0 % ) ,其他菌种2 8株 (12 .7% )。结论　兰州地区浅部真菌病中足癣最常见 ;致病菌以红色毛癣菌占首位 ,须癣毛癣菌位于第二 ,念珠菌居第三。Objective To investigate the prevalence and pathogenic fungi species of superficial mycoses in Lanzhou district.Methods 1 443 specimens of clinically suspected patients with dermatomycoses were examined for causative fungi,the clinical materials of each patient with KOH positive were recorded and analyzed.Results Among 1443 cases,594 cases were KOH positive,221 strains of pathogenic fungi were isolated,in which the most frequently isolated fungus was Trichophyton rubrum (43.9%),followed by Trichophyton mentagrophytes (29.4%) and Candida species (14.0%).Of all dermatomycoses,the frequencies of tinea pedis,onychomycosis and tinea manuum were 38.7%,27.8%,13.5% respectively.Conclusion In Lanzhou district,tinea pedis is mostly seen,and Trichophyton rubrum is the most frequent pathogen of dermatomycoses,followed by Trichophyton mentagrophytes and yeasts.

关 键 词：兰州地区 浅部真菌病 病原菌 菌种分布 菌种鉴定 发病特点 

分 类 号：R519[医药卫生—内科学] R379[医药卫生—临床医学]