青少年痤疮473例临床分析

目的探讨青少年痤疮的临床病因及防治措施。方法对473例青少年痤疮患者作相关病原体检查,并作出有无合并脂溢性皮炎的临床诊断。合并有病原体感染的作抗病原体治疗(A组),无合并感染的按痤疮常规治疗(B组)。结果检出糠秕孢子菌349例,占73.8%;检出毛囊虫62例,占13.3%;合并脂溢性皮炎243例,占51.1%。A组与B组的有效率分别为86.3%、63.1%,有非常显著性差异(P<0.01)。结论热带、亚热带地区青少年痤疮患者常合并脂溢性皮炎,糠秕孢子菌的感染率较高,在治疗中应对病原体进行针对治疗,才会收到满意效果。

Clinical Analysis of 473 Cases of Teenagers with Acne

Objective To explore the pathogenesis and therapies of the acne in teenagers.Methods 473 cases of teenagers with acne were diagnosed for the related pathogen and dermatitis seborrhea. The pathogen positive cases were treated with antipathogen (Group A), while the pathogen negative cases were received routine treatment (Group B). Results Within 473 cases, Pityrosporum furfur was isolated in 349 cases (73.8%); Demodex folliculorum was isolated in 62 cases (13.3%); 243 cases (51.1%) were combined with dermatitis seborrhea. The curing effective rate of group A was 86.3%, while group B was 63.1%, and showed significant difference (P< 0.01). Conclusions The teenagers with acne in tropical and subtropical areas often suffer from dermatitis seborrhea, and the infection rate of Pityrosporum furfur was high. Antipathogen therapy has significant effect in treating acne.