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中国真菌学杂志 2016, Vol. 11  Issue (2): 108-110.

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不同驻地海军官兵足癣近3年流行病学调查分析

刘启方1, 孙涛1, 方伟2, 杨润平1, 李晓鹏1   

  1. 1. 北京市海军总医院皮肤科, 北京 100032;
    2. 上海市长征医院皮肤科, 上海 200003
  • 收稿日期:2015-12-21 出版日期:2016-04-28 发布日期:2016-04-28
  • 通讯作者: 孙涛,E-mail:drsuntao1@163.com E-mail:drsuntao1@163.com
  • 作者简介:刘启方,男(汉族),硕士,主治医师.E-mail:50540690@qq.com
  • 基金资助:

    全军医药卫生科研项目(CHJ11J017)

Epidemiological investigation of tinea pedis in naval soldiers coming from different stations in recent 3 years

LIU Qi-fang1, SUN Tao1, FANG Wei2, YANG Run-ping1, LI Xiao-peng1   

  1. 1. The naval general hospital, Beijing 100032;
    2. The Changzheng hospital, Shanghai 200003
  • Received:2015-12-21 Online:2016-04-28 Published:2016-04-28

摘要:

目的 分析不同驻地海军官兵足癣近3 a患病率、临床分型和致病菌种的分布情况。方法 分别于2013、2014、2015年在4个海军驻地:北京、大连、宁波、三亚,随机选取600名官兵,对其足癣患病率、致病菌菌种及临床类型进行调查。结果 4个驻地海军官兵足癣的患病率仅在2013年具有统计学意义(P<0.05),其中三亚驻地患病率为18.0%,高于其他3处;近3 a北京、大连足癣患病率呈升高趋势(P<0.05)。各驻地足癣致病菌菌种分布均以红色毛癣菌为主,须癣毛癣菌、犬小孢子菌、白念珠菌、絮状表皮癣菌其次。三亚、宁波驻地红色毛癣菌检出率70.1%、70.9%,高于北京、大连驻地的62.8%、56.5% (P<0.05),而须癣毛癣菌检出率分别为12.9%、16.1%,低于北京、大连驻地的26.4%、26.3% (P<0.05),絮状表皮癣菌检出率在三亚最高(P<0.05),为1.9%。4个驻地官兵中水疱鳞屑型足癣患者构成比差异无统计学意义,三亚驻地浸渍糜烂型患者构成比为23.0%,高于其他3处(P<0.05),而角化过度型患者构成比为20.3%,低于其他3处(P<0.05)。结论 北京、大连近3 a足癣患病率呈升高趋势,4个驻地海军官兵足癣致病菌、临床类型有明显的差异。

关键词: 海军官兵, 足癣, 患病率, 致病菌, 临床类型

Abstract:

Objective To analyze the prevalence of tinea pedis of naval soldiers coming from different stations in recent 3 years.Methods From 2013 to 2015, survey was preformed yearly to investigate theincidence rate, clinical type and pathogenic fungi of tinea pedis of 600 naval soldiers selected randomly from 4 stations including Beijing, Dalian, Ningbo, Sanya.Results Only in 2013 there was a statistical significant difference in the prevalence of tinea pedis of naval soldiers between 4 stations (P<0.05), the incidence rate of tinea pedis in Sanya station is 18.0%, higher than other 3 stations.In recent 3 years the incidence rateof tinea pedis are elevated annually in Beijing, Dalian stations (P<0.05).In 4 stations, Trichophyton rubrum was themost common pathogenic fungi followed by Trichophyton mentagrophytes, Microsporum canis, Candida albicans, Epidermophyton floccosum.In Sanya, Ningbo stations the detection rates of Trichophyton rubrum were respectively 70.1%, 70.9%, higher than in Beijing, Dalian stations which were respectively 62.8%, 56.5% (P<0.05);but the detection rates of Trichophyton mentagrophytes were respectively 12.9%, 16.1%, lower than in Beijing, Dalian stations which were respectively 26.4%, 26.3% (P<0.05).In Sanya stations the detection rate of Epidermophyton floccosum was the highest among all stations (P<0.05), accounting for 1.9%.In 4 stations there was not statistical significance difference in the constituent ratios of blister-scale tinea pedis.But in Sanya station the constituent ratio of infusion-erosion tinea pedis is 23.0%, which was the highest among all stations (P<0.05);and the constituent ratio of hyperkeratotic cases was the lowest (P<0.05), accounting for 20.3%.Conclusion In recent 3 years the incidence rate of tinea pedis of naval soldiers were elevated annually in Beijing, Dalian stations, and clinical type and pathogenic fungi of tinea pedis between 4 stations carried a significant difference.

Key words: naval soldiers, tinea pedis, case rate, pathogenic fungi, clinical typing

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