中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2008年
9期
565-567
,共3页
徐峰%盛友渔%楼玮%周静%任永涛%齐思思%杨勤萍%王侠生%付朝伟%沈晔%蔡伟俊%蔡民强%沈斌杰
徐峰%盛友漁%樓瑋%週靜%任永濤%齊思思%楊勤萍%王俠生%付朝偉%瀋曄%蔡偉俊%蔡民彊%瀋斌傑
서봉%성우어%루위%주정%임영도%제사사%양근평%왕협생%부조위%침엽%채위준%채민강%침빈걸
秃发%患病率%数据收集%上海
禿髮%患病率%數據收集%上海
독발%환병솔%수거수집%상해
Alopecia%Prevalence%Data collection%Shanghai
目的 了解上海地区雄激素源性秃发(AGA)的患病率、脱发类型.方法 采用整群抽样的方法.按照统一制定的表格,对上海市长宁区北新泾社区居民进行问卷调查,并由皮肤科医生进行诊断确认,对雄激素源性秃发患者采用Norwood-Hamilton和Ludwig标准分级.所有数据录入EpiData数据库,运用SPSS11.5软件进行统计学分析.结果 本次调查回收有效问卷7056份(男3519份,女3537份),应答率72.5%.确诊AGA患者809例,其中男701例,平均年龄(64.16±11.98)岁,年龄范围19～91岁,女108例,平均年龄(70.46±18.89)岁,年龄范围35～91岁.总标化患病率为9.47%,男性和女性标化患病率分别为15.73%和2.73%,两者间差异有统计学意义(χ2=356.00,P<0.001).52.7%的患者有AGA家族史,其中男为55.78%,女为32.41%.男性AGA患者70岁以上年龄脱发类型以Ⅵ级最多,而20～70岁年龄脱发类型以Ⅲv级最多.女性AGA脱发类型以Ⅰ级和Ⅱ级最多.结论 上海地区男性雄激素源性秃发患病率显著高于女性,男性和女性雄激素源性秃发的患病率随年龄增长而增加.
目的 瞭解上海地區雄激素源性禿髮(AGA)的患病率、脫髮類型.方法 採用整群抽樣的方法.按照統一製定的錶格,對上海市長寧區北新涇社區居民進行問捲調查,併由皮膚科醫生進行診斷確認,對雄激素源性禿髮患者採用Norwood-Hamilton和Ludwig標準分級.所有數據錄入EpiData數據庫,運用SPSS11.5軟件進行統計學分析.結果 本次調查迴收有效問捲7056份(男3519份,女3537份),應答率72.5%.確診AGA患者809例,其中男701例,平均年齡(64.16±11.98)歲,年齡範圍19～91歲,女108例,平均年齡(70.46±18.89)歲,年齡範圍35～91歲.總標化患病率為9.47%,男性和女性標化患病率分彆為15.73%和2.73%,兩者間差異有統計學意義(χ2=356.00,P<0.001).52.7%的患者有AGA傢族史,其中男為55.78%,女為32.41%.男性AGA患者70歲以上年齡脫髮類型以Ⅵ級最多,而20～70歲年齡脫髮類型以Ⅲv級最多.女性AGA脫髮類型以Ⅰ級和Ⅱ級最多.結論 上海地區男性雄激素源性禿髮患病率顯著高于女性,男性和女性雄激素源性禿髮的患病率隨年齡增長而增加.
목적 료해상해지구웅격소원성독발(AGA)적환병솔、탈발류형.방법 채용정군추양적방법.안조통일제정적표격,대상해시장저구북신경사구거민진행문권조사,병유피부과의생진행진단학인,대웅격소원성독발환자채용Norwood-Hamilton화Ludwig표준분급.소유수거록입EpiData수거고,운용SPSS11.5연건진행통계학분석.결과 본차조사회수유효문권7056빈(남3519빈,녀3537빈),응답솔72.5%.학진AGA환자809례,기중남701례,평균년령(64.16±11.98)세,년령범위19～91세,녀108례,평균년령(70.46±18.89)세,년령범위35～91세.총표화환병솔위9.47%,남성화녀성표화환병솔분별위15.73%화2.73%,량자간차이유통계학의의(χ2=356.00,P<0.001).52.7%적환자유AGA가족사,기중남위55.78%,녀위32.41%.남성AGA환자70세이상년령탈발류형이Ⅵ급최다,이20～70세년령탈발류형이Ⅲv급최다.녀성AGA탈발류형이Ⅰ급화Ⅱ급최다.결론 상해지구남성웅격소원성독발환병솔현저고우녀성,남성화녀성웅격소원성독발적환병솔수년령증장이증가.
Objective To investigate the prevalence and pattern of androgenetic alopecia (AGA) in Shanghai through a community-based survey. Methods A cluster sampling survey was done among the residents in Beixinjing Community, Changning District, Shanghai. All the subjects were asked to fill a questionnaire to provide their general information, including sex, age, native place, physical status, life habit, family history, etc. The diagnosis of AGA was made by dermatologists. To determine the pattern of hair loss,Norwood-Hamilton classification system and Ludwig classification system were used for male AGA and female AGA, respectively. All the data were statistically analyzed by EpiData and SPSS11.5 software. Results Totally, 7056 subjects completed the questionnaire, including 3519 males and 3537 females, and the response rate was 72.5%. AGA was diagnosed in 809 patients, consisting of 701 males aging from 19 to 91 years (mean 64.16±11.9 years) and 108 females aging from 35 to 91 years (mean 70.46±18.89 years). The standardized prevalence (SP) was 9.47% in total, 15.73% in males and 2.73% in females; the difference was significant between males and females (χ2=356.00, P<0.001). A family history of AGA was observed in 52.7% of all subjects including 391 (55.78%) males and 35 (32.41%) females. Type Ⅲ vertex involvement was the most common type in men aging from 20 to 70 years old, and type Ⅵ in those over 70 years old. Grade Ⅰ and Ⅱ predominated in female AGA. Conclusions The results of this survey indicate that the prevalence of AGA is remarkably higher in men than that in women. Furthermore, the prevalence is steadily increased with advancing age in Shanghai.
