摘要
目的探讨加油站患黄褐斑女工生活质量的影响因素。方法采用调查问卷的形式,收集479名加油站女工黄褐斑患者一般情况、临床资料,完成皮肤病生活质量指数(DLQI)、黄褐斑生活质量评分(MELASQOL)、黄褐斑面积和严重程度评分(MASI)量表并计算相应得分。通过线性回归分析,寻找影响黄褐斑生活质量的影响因素。结果 97.7%的患者双颊部有皮损,90%患者皮损颜色为黄色-浅棕色,皮损形态主要为融合和散在斑片。MASI评分:轻度(0~5分)、中度(6~10分)、重度(11分以上)分别占比40.1%、37.4%、22.5%。DLQI评分(3.1±4.51)。MELASQOL评分最小值10,最大值70,四分位数P25、P75和中位数P50分别为10、18和10,认为黄褐斑对生活无影响283人(59.3%)。单因素分析:夜班、病程、皮损颜色、MASI、工作年限、年龄、情绪对MELASQOL有影响;多因素分析:情绪为MELASQOL的影响因素。结论加油站女工黄褐斑对生活质量的影响较小。夜班越多、病程越长、皮损颜色越深、黄褐斑越严重、工作年限越长、年龄越大黄褐斑对其生活质量影响越严重;情绪越佳黄褐斑对其生活质量影响越轻,其中情绪为影响黄褐斑患者生活质量的独立因素。
Objective To analyze the influence of melasma on the quality of life of the female gas station workers.Methods A questionnaire survey was conducted to collect the personal information and the clinical data from 479 female gas station workers with melasma.They completed the dermatology life quality index（DLQI）,melasma quality of life scale（MELA-SQOL） and melasma area severity index（MASI）,and the scores were calculated.Linear regression analysis was used to find the relevant factors that affected the quality of life of female gas station workers with melasma.Results Malar pattern was seen in 97.7% cases,the skin lesion color was yellow-light brown in 90% caces,and the majority of lesions was fusion and scattered patch.MASI score：Mild （0 to 5 points）,moderate （6 to 10 points）,severe （more than 11 points） accounted for 40.1%,37.4% and 40.1% respectively.MELASQOL score：Quartile P25,P75 and median P50 was 10,18 and 10,respectively.59.3% of patients think melasa has no impact on their life.Single factor analysis：Night shift,the course of the disease,color,MASI,the working years,age,emotion had correlation with MELASQOL.Multiple factors analysis：emotion had correlation with MELASQOL.Conclusions Melasma have slight effect on the quality of life of the female gas station workers.Emotion is the independent factor affecting melama patients＇ quality of life.The better mood they are in,the lighter impact melesama has on the quality of life in female gas station workers with melasma.
出处
《锦州医科大学学报》
CAS
2017年第2期75-78,共4页
Journal of Jinzhou Medical University
基金
中华医学会-欧莱雅中国人健康皮肤/毛发研究项目
项目编号:S2017140918
