CAJ | 학술논문

目的：分析青海省海南州人民医院皮肤科藏、汉族人群皮肤病构成比。方法收集我科2011年7月-2012年7月门诊初次就诊者2139例，并将藏族、汉族患者分别列项进行统计分析。结果共诊断98个皮肤病病种，其中湿疹、荨麻疹、痤疮等皮肤病的构成比位于前15位。共8种皮肤病构成比在藏族和汉族患者间存在明显差异，其中湿疹、玫瑰糠疹在汉族的构成比高于藏族（P＜0.01），而痤疮、梅毒、头癣（P＜0.01）及过敏性紫癜、多形性日光疹、尖锐湿疣（P＜0.05）在藏族患者中的构成比更高。结论湿疹、荨麻疹、痤疮等15种皮肤病在本地区构成比较高，可能与高原地区特殊的环境、气候特点有关，而湿疹、痤疮、梅毒等疾病在藏、汉族患者间构成比的差异可能与不同民族间遗传背景、生活饮食习惯等的不同有关，进一步分析其原因有利于提出针对性的防治措施。
목적：분석청해성해남주인민의원피부과장、한족인군피부병구성비。방법수집아과2011년7월-2012년7월문진초차취진자2139례，병장장족、한족환자분별렬항진행통계분석。결과공진단98개피부병병충，기중습진、담마진、좌창등피부병적구성비위우전15위。공8충피부병구성비재장족화한족환자간존재명현차이，기중습진、매괴강진재한족적구성비고우장족（P＜0.01），이좌창、매독、두선（P＜0.01）급과민성자전、다형성일광진、첨예습우（P＜0.05）재장족환자중적구성비경고。결론습진、담마진、좌창등15충피부병재본지구구성비교고，가능여고원지구특수적배경、기후특점유관，이습진、좌창、매독등질병재장、한족환자간구성비적차이가능여불동민족간유전배경、생활음식습관등적불동유관，진일보분석기원인유리우제출침대성적방치조시。
Objective To analysis the composition of skin diseases in people's hospital of Hainan prefecture in Qinghai province. Methods 2 139 out-patients had been suffering from skin diseases were collected from July 2011 to July 2012. Tibetan and Han patients were divided into two groups according to the different ethnic for statistical analysis. Results A total of 98 kinds of skin diseases were diagnosed. The proportion of 15 kinds of skin diseases were higher, such as eczema, urticaria, acne and etc. There was signiifcant difference in the proportion of 8 kinds of skin diseases between Tibetan and Han patients. The proportion of eczema and pityriasis rosea were higher in Han patients than that in Tibetans (P<0.01), however the proportion of acne, syphilis, tinea capitis (P<0.01) and allergic purpura, polymorphous light eruption, genital warts (P<0.05) were higher in Tibetan. Conclusion The 15 kinds of skin diseases with higher proportion may be due to the special environment and climate in the plateau. The signiifcant difference of the composition of skin diseases between Tibetan and Han patients may be due to the difference in genetic background and living habits.