摘要
目的通过对我院门诊寻常型银屑病患者进行调查分析，总结描述寻常型银屑病的临床流行病学特征。方法利用我院医院信息系统（HIS）中的门诊寻常型银屑病患者数据库资料，对4523例患者进行临床流行病学调查。利用SPSS17．0软件对数据进行统计学分析。结果患者中男女比例为1．43：1；平均首次发病年龄26．99±13．74岁；早发型占83．53％，晚发型占16．47％；平均病程7．43±8．65年。患者下肢受累最常见，占89．74％；皮损形态以斑块状47．29％为主；稳定期患者最多见，占57．42％；有家族史的患者占24．23％，早发型患者中26．18％有家族史，13．83％的晚发型患者有家族史，两者差异有统计学意义（P〈0．05）。最常见的诱发因素为生物因素（43．99％）和季节因素（31．43％）；发病或加重季节以冬季（占47．88％）、春季（占47．31％）为主。14．87％的患者有关节症状，5．81％确诊关节病型银屑病。结论寻常型银屑病患者中男性多于女性，早发型患者多于晚发型患者；多数银屑病患者病程较长；受累部位以下肢最常见；皮损形态以斑块状居多；稳定期患者占多数；诱发因素以生物因素和季节因素最常见；有关节症状的寻常型银屑病患者需要警惕合并关节病型银屑病的可能。
Objective To investigate and summarize the epidemiological characteristics of patients with psoriasis vulgaris in the clinic of a hospital for skin diseases. Methods A epidemiology investigation was performed on 4 523 patients with psoria- sis vulgaris in a Hospital Information System （HIS） data base of a hospital for skin diseases. SPSS 17. 0 were used for statistical analysis. Results The ratio of male to female in the group was 1.43 ： 1. The average of the first onset ages was 26.99±13.74. 83.53% patients had early age onset while 16.47% had late age onset. The average course of all the patients with psoriasis was 7.43±8.65 years. The most common affected parts were lower limbs 89.74%. The most common lesion shape was plaque type 47.29%. 57.42% patients were in the stable stage. 24.23% patients had a family history of psoriasis. 26.18% early-onset pa- tients and 13.83% late-onset patients had a family history. Statistic analysis showed that there was significant differences between the two groups （P〈0.05）. The most common inducing factor was biological factor （43.99%）. Most patients suffered from the disease in winter （47.88%） or spring（47.31% ） ;14.87% patients had joint symptoms and 5.81% patients were confirmed with psoriasis arthritis. Conclusion Male patients were more than female ones in the group. The number of early-onset patients was more than that of the late-onset patients. Most patients had a long course. The most common affected parts were hmbs. Chronic plaques psoriasis was the most common. Most patients were in the stable stage and were mild and moderate. The rate of the family history in the early-onset patients was more than that of late-onset patients~ Biological factor and season factor were the most common inducing factors in the group. Patients with joint symptoms may have a probability combined with psoriasis arthritis.
出处
《中国医院统计》
2015年第4期276-279,共4页
Chinese Journal of Hospital Statistics
关键词
寻常型银屑病
流行病学
家族史
Epidemiology
Psoriasis vulgaris
Family history
