手足癣214例流行病学调查分析

目的:分析手足癣病人的流行病学及临床特点.方法:选取214例手足癣病人作为研究对象,回顾性分析手足癣的流行病学、致病菌以及临床类型及其特点.结果:手足癣大多数是由红色毛癣菌(手癣63.1％,足癣71.0％)和断发毛癣菌(手癣9.8％,足癣15.4％)感染引起,其中单纯手癣的病人均未检出絮状表皮癣菌,但相比于单纯足癣的病人其白念珠菌的检出构成比高(手癣22.0％,足癣5.6％).根据病人皮肤损伤的程度,可将手足癣分为水泡型、鳞屑型、糜烂型3种类型.在流行病学方面,20～40岁为高发人群,占69.6％;近45％的病人为工人;无论是手癣还是足癣,其患病构成均有鳞屑型(手癣62.1％,足癣77.1％)>糜烂型(手癣22.9％,足癣13.1％)>水泡型(手癣15.0％,足癣9.8％).结论:绝大多数手足癣的致病菌为同一类型,患病率与日常接触及个人卫生密切相关,无论是手癣还是足癣,其患病构成均有鳞屑型>糜烂型>水泡型的规律.

Investigation on epidemiology of 214 cases of tinea manus and pedis

Objective:To analyze the epidemiological and clinical features of tinea manus and pedis. Methods:Two hundred and fourteen patients with tinea manus and pedis were set as research object to retrospective analysis, to find out the epidemilology and clinical characteristics of tinea manus and pedis. Results:More than 90％ of the patients were infected by Trichophyton rubrum( tinea manus 63.1％,tinea pedis 71. 0％) and Trichophyton tonsurans(tinea manus 9. 8％,tinea pedis 15. 4％). All patients with purely tinea manus were not checkouted with epidermophyton floccosum. Compared to purely tinea pedis,relevance ratio of candida albicans in purely tinea manus is obviously higher(tinea manus 22. 0％,tinea pedis 5. 6％). According to the degree of skin damage,tinea manus and pedis are divided into blister type,scale type and erosion type. As of epidemiology,20-40 years old are the high risk group,which contain 69. 6％ and about 45％ are workman. In morbidity,scale type(tinea manus 62. 1％,tinea pedis 77. 1％) >erosion type(tinea manus 22. 9％,tinea pedis 13. 1％) >blister type(tinea manus 15. 0％,tinea pedis 9. 8％). Conclusions:Most of the tinea manus and pedis is caused by a minority of pathogenic bacterium. The morbidity have close relationship to what they touch and personal hygiene. Both the prevalence of tinea pedis and tinea manus have a rule of composition that is scale type >erosion type >blisters type.