CAJ | 학술논문

目的了解南昌地区皮肤科门诊真菌感染性疾病的构成情况.方法统计我院门诊2006-2008年期间诊断的所有皮肤和黏膜真菌病,分析病种和致病菌种与年龄、性别和发病季节的关系.结果皮肤和黏膜真菌病共7251例,男女比为2.3∶1.股癣2702例占37.3%、花斑糠疹1505例占20.8%,手癣727例占10.0%,分别居第1～3位.除花斑糠疹未进行培养外,培养阳性菌株4953株,优势菌为红色毛癣菌(69.9%)、念珠菌(20.4%)和紫色毛癣菌(4.5%).不同年龄段、性别及季节的病种和病原菌分布差异具有统计学意义.结论南昌地区皮肤门诊中皮肤和黏膜真菌病以股癣病例数最多,致病菌主要为红色毛癣菌,头癣致病菌主要为紫色毛癣菌,与其他地区报道不尽相同.
목적 료해남창지구피부과문진진균감염성질병적구성정황.방법 통계아원문진2006-2008년기간진단적소유피부화점막진균병,분석병충화치병균충여년령、성별화발병계절적관계.결과 피부화점막진균병공7251례,남녀비위2.3∶1.고선2702례점37.3%、화반강진1505례점20.8%,수선727례점10.0%,분별거제1～3위.제화반강진미진행배양외,배양양성균주4953주,우세균위홍색모선균(69.9%)、념주균(20.4%)화자색모선균(4.5%).불동년령단、성별급계절적병충화병원균분포차이구유통계학의의.결론 남창지구피부문진중피부화점막진균병이고선병례수최다,치병균주요위홍색모선균,두선치병균주요위자색모선균,여기타지구보도불진상동.
Objective To profile the phenotype and pathogens of cutaneous and mucous mycoses in a dermatology outpatient clinic in Nanchang region. Methods A review was performed to assess cutaneous and mucous mycoses diagnosed in the dermatology outpatient clinic of Dermatology Hospital of Jiangxi Province from 2006 to 2008. The relationship of clinical phenotype and pathogens to season, patients' age and gender was analyzed. Results A total of 7251 cases were collected, and the ratio of male to female patients was 2.3: 1. The most prevalent mycoses included tinea cruris (2702, 37.1%), pityriasis versicolor (1505, 20.8%) and tinea manus (727, 10.0%). In total, 4953 fungal strains were isolated from all the patients except for those with pityriasis versicolor, of them, Trichophyton rubrum accounted to 69.9%, Candida to 20.4%, and Trichophyton violaceum to 4.5%. Season, patients' age and gender were found to be associated with clinical phenotypes and pathogens of mycoses. Conclusions In the dermatology outpatient clinic of Nanchang region, tinea cruris is the most common superficial fungal disease, with the predominant pathogen being Trichophyton rubrum. Trichophyton violaceum is the primary pathogen of tinea capitis, which is different from other reports.