首页> 中文期刊> 《临床和实验医学杂志》 >全国多中心横断面调查:神经性皮炎的发病及相关因素分析

全国多中心横断面调查:神经性皮炎的发病及相关因素分析

         

摘要

Objective To explore the situation of neurodermatitis in patients with eczema dermatitis in China,and to analyze its correla-tion with age,sex,degree of pruritus,localities and types of skin lesions,allergic history and dry skin history. Methods A total of 6 208 pa-tients with eczema or dermatitis were surveyed in dermatological clinics in 31 hospitals in China. Results 6. 1%(379 / 6028)of patients with ec-zema or dermatitis were neurodermatitis,its morbidity ranking was 6;and its incidence was 6. 4%(203 / 3183). Most of patients with eczema or dermatitis were males,the difference in incidence of neurodermatitis in males(6. 4% ,203 / 3183)compared with that(5. 8% ,176 / 3025)of fe-males was not significant(Chi - square test,P > 0. 05). Their age range was 1 - 85 years with average of 41. 6 ± 15. 7 years old,17 cases(4. 5% ,17 / 379)were under the age of 18,and 362 cases(95. 5% ,362 / 379)were 18 or older. Elder persons were more vulnerable to this disease (Logistic regression,β = 0. 012). The increment in probability of neurodermatitis with increase of age in one year was 1. 2% . Napex(26. 9% ) and lateral neck(20. 6% )were the localities most likely to be happened,and crisum(14. 7% )and axilla(4. 5% )were least to be happened, in comparison with females,males were more likely to happen skin lesions in chest,thigh and hip(Chi - square test,P 0.05);年龄1~85岁,平均年龄(41.6±15.7)岁,其中18岁以下患者17例(4.5%,17/379),18岁及以上患者362例(95.5%,362/379),年龄越大,越容易患病(logistic 回归,β=0.012),年龄每增加1岁,患神经性皮炎的概率增加1.2%;累及最多的两个皮损部位为项部(26.9%)和颈侧(20.6%),累及最少的两个皮损部位为肛周(14.7%)和腋部(4.5%),男性与女性相比,更容易累及胸部、大腿和臀部(卡方检验,P <0.05);最常见的皮损类型是苔藓样变(64.4%,244/379),男性与女性相比,更容易出现丘疱疹、斑块(卡方检验,P <0.05);98.4%(373/379)有痒感,25.6%(97/379)为轻度瘙痒,58.8%(223/379)为中度瘙痒,14.0%(53/379)为严重瘙痒;神经性皮炎患者中13.2%有过敏史,低于非神经性皮炎的湿疹、皮炎患者(21.8%,卡方检验,P <0.001);神经性皮炎患者9.5%有皮肤干燥史,低于非神经性皮炎的湿疹、皮炎患者(21.6%,卡方检验,P <0.001)。结论我国神经性皮炎在湿疹、皮炎中很常见,患病率无明显性别差异,发病以成人为主,年龄越大,患病风险越高,最多累及项部、颈侧,最常见皮损类型是苔藓样变,瘙痒为最常见的症状,且以中度瘙痒为主,与其它湿疹、皮炎患者相比,较少出现过敏史和皮肤干燥史。

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