摘要
目的了解佛山市禅城区糖尿病人群甲真菌病的临床分类、菌种构成等流行情况。方法对2005年8月—2007年8月到我院内分泌科及社区医院就诊20岁以上糖尿病患者甲真菌流行病学情况进行统计分析。结果糖尿病患者甲真菌的患病率为11.8%,培养出菌株84株,病原菌主要为皮肤癣菌(75.0%),酵母菌(13.1%)和霉菌(11.9%)次之,皮肤癣菌中以红色毛癣菌多见;临床表现以远端侧位甲下型(51.6%)为主,其次全甲毁损型(36.1%)和浅表白色型(9.0%),近端甲下型(3.3%)最少见;发病率男女相同,中老年多见,占79.5%,干部和工人为多数,女性则以家庭妇女多数;甲真菌患病率随糖尿病病程延长而增加。结论佛山市禅城区糖尿病人群甲真菌病病原体的分布以皮肤癣菌为主,其次为酵母菌和霉菌,红色毛癣菌是最常见的皮肤癣菌,临床类型以远端侧位甲下型居多,其他依次是全甲毁损型、浅表白色型、近端甲下型。
Objective To investigate the message of clinical types and fungal component of onychomycosis in diabetic patients in Chaneheng District of Foshan. Methods The epidemiology data of onychomycosis in diabetic patients over the age of 20 and attending the department of endocrinology and the comnmnity hospital in our hospital were analyzed from August 2005 to August 2007. Results The case rate of onychomyeosis in diabetic patients was 11.8%. 84 strains of pathogenic fungi were isolated. The most frequently isolated fungus were demlatophytes （75.0%）, followed by were yeasts （13.1%） and saprophytic molds（11.9%）. Most of dermatophytes were trichophyton rubrum. Distolateral subungual onyehomycosis （51.6%） was the most frequently clinical types, followed by total dystrophic onychomyeosis （36.1%）, superficial white onychomycosis （9.0%） and proximal subungual onyehomycosis （3.3%）. There was no difference between male and female diabetic patients about the incidence rate of onychomycosis and the most commonly affected age group was middle and old age （79.5%）. Most of the patients were cadres and workers, and the majority of females patients were housewives. The case rate of onychomycosis was increased with the course of diabetes. Conclusion The most frequent pathogenic fungus of onychomycosis in diabetic patients in Chancheng district of Foshan are demmtophytes, yeast fungus and saprophytic molds by turns. The clinical types of onychomycosis include distolateral subungual onychomycosis, total dystrophic onychomycosis, proximal subungual onychomycosis and superficial white onychomycosis.
出处
《中国中西医结合皮肤性病学杂志》
CAS
2010年第3期155-157,共3页
Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine
关键词
糖尿病
甲真菌病
流行病学调查
diabetes
onychomycosis
epidemiological investigation
