住校学生疥疮患者152例分析

目的分析学校住宿生疥疮流行情况和感染因素,评价临床治疗效果。方法入选病例均为本中心皮肤科门诊收治的住校学生疥疮患者,填写《住校生疥疮感染情况调查表》;外用林旦乳膏均匀擦全身,擦药后24 h洗澡,同时更换衣物,首次治疗1周后,未愈,按同方法重复治疗,疥疮结节外用氟芬那酸丁酯软膏。治疗后观察2周,记录皮损改善程度、治疗效果、不良反应,调查患者疥疮防治知识知晓率。结果共纳入152例疥疮患者,其中男119例,年龄10~21岁,平均(15.59±2.58)岁;女33例,年龄12~20岁,平均(15.97±1.74)岁,男女比例3.61:1。病程1~8周,平均(3.75±1.45)周。规范治疗2疗程,患者治愈率96.71%。患者治疗前对疥疮传播途径和用药方式的知晓率较低,通过健康教育,疥疮防治知识知晓率普遍提高。结论疥疮传染性强,学生集体生活易于传播,应加强学生卫生健康教育,及时规范治疗。

Analysis of prevalence state and infection factors of 152 residential students with scabies

Objective To analyze the prevalence state and infection factors of 152 residential students with scabies, and evaluate the clinical treatment effect. Methods All selected scabies cases were school residential students who were diagnosed according to the diagnostic criteria for scabies by a dermatology clinic. The "resident school scabies infection questionnaire" was filled in by the students with scabies. The entire body of the patients was wiped evenly with Lindan cream and 24 hours after the wiping, they took a bath and changed the clothes. One week after the initial treatment, no patient was healed. The same treatment was repeated and the butyl flufenamate ointment was used for nodules of scabies. Two weeks after the treatment, the improvement of damaged skin, the treatment effect, and adverse reactions were investigated and recorded, the knowledge of scabies prevention and control was also investigated. Results A total of 152 patients with scabies were included according to the diagnostic criteria, including 119 males aged 10-21 years with an average age of (15.59±2.58) years, and 33 females aged 12-20 years with an average age of (15.97±1.74) years. The ratio of male to female was 3.61:1. The course of the disease was 1 to 8 weeks, with the average of (3.75±1.45) week. After 2 standard treatment courses, the cure rate was 96.71%. The survey showed that the cognitive rate in the transmission of scabies and the way of medication were lower, and after the health education, the cognitive rate of knowledge of scabies prevention and control generally improved. Conclusion Scabies is highly contagious, so it is easy to spread among students. Therefore, we should strengthen the health education and take the standard treatment in time.