某院校学员浅部真菌病影响因素分析

中国真菌学杂志　 2022, Vol. 17 　Issue (3): 205-212.

某院校学员浅部真菌病影响因素分析

唐人杰¹, 王瑞娜², 王旭³, 汪洋¹, 李志勇², 刘佳存², 吴林¹, 张大志², 阎澜²

1. 解放军总医院京南医疗区, 北京 100072;
2. 海军军医大学药学系, 上海 200433;
3. 32377部队, 北京 100041

收稿日期:2021-07-23 出版日期:2022-06-28 发布日期:2022-07-02
通讯作者: 阎澜,E-mail:ylan20001228@sina.com;张大志,E-mail:13386272621@163.com E-mail:ylan20001228@sina.com;13386272621@163.com
作者简介:唐人杰,女(汉族),博士,主管药师.E-mail:renjietang18@163.com
基金资助:
国家自然科学基金资助项目(82173867);上海市科技创新行动计划国际科技合作项目(21430713000);上海市浦江人才计划(21PJD081);上海市创新行动计划生物医药领域科技支撑项目(19431901300)

Risk factors for superficial mycoses in military academy cadets

TANG Renjie¹, WANG Ruina², WANG Xu³, WANG Yang¹, LI Zhiyong², LIU Jiacun², WU Lin¹, ZHANG Dazhi², YAN Lan²

1. Beijing South Medical District of Chinese PLA General Hospital, Beijing 100072, China;
2. School of Pharmacy, Navy Medical University, Shanghai 200433, China;
3. 32377 Troops, Beijing 100041, China

Received:2021-07-23 Online:2022-06-28 Published:2022-07-02

摘要/Abstract

摘要： 目的了解华北某部队院校学员浅部真菌性皮肤病患病影响因素。方法采取浅部真菌病体检筛查、镜检和调查问卷方式,当前或曾经患有浅部真菌病的学员现场填写问卷。卡方检验和二元logistic回归用于浅部真菌病的影响因素分析。结果回收1 733份有效问卷,学员入校后浅部真菌病总患病率为10.73%(186例),足癣患病率最高,占比79.03%。单因素分析结果显示:1人口学特征及家族史:年龄、服役年限、是否有家族真菌病病史、入校前是否曾患真菌性皮肤病4个因素的浅部真菌病患病率差异有统计学意义。2生活习惯因素:是否与他人互换床铺被褥、饭前便后洗手习惯、换洗袜子频率、睡眠质量4个因素的浅部真菌病患病率差异有统计学意义;3训练因素:患病前是否因训练有其他身体损伤、是否经常大汗淋漓、训练用运动鞋数、运动出汗量4个因素对浅部真菌性皮肤病患病差异有统计学意义。多因素分析结果显示,服役年限、家族真菌性疾病病史、入学前浅部真菌性皮肤病病史、是否经常大汗淋漓4个因素是浅部真菌病患病风险因素,换洗袜子频率、睡眠质量2个因素为浅部真菌病的保护因素。建立二元logistic回归模型用于预测院校学员浅部真菌病患病情况。结论院校学员浅部真菌病发病率较高。了解学员患病影响因素,对于普及防病知识及制定科学有效的防治措施具有重要意义。

关键词: 浅部真菌病, 影响因素, 院校学员

Abstract: Objectives To explore the influencing factors of superficial mycoses in cadets of a military academy. Methods Cadets were screened with a physical and microscopic examination. A questionnaire survey was carried out during the examination. The cadets who were suffering from or had a history of superficial fungal infections completed the questionnaire on site. Chi-square tests and binary logistic regression were used to analyze the risk factors of superficial mycoses. Results A total of 1733 valid questionnaires were retrieved. The overall prevalence of superficial mycoses was 10.73%(n=186) in cadets after enrolment. Tinea pedis accounted for the highest proportion (79.03%). Univariate analyses showed that the prevalence of superficial mycoses was correlated with age, the length of military service, family history of fungal diseases, whether suffering from superficial mycoses before enrolment. There were significant differences in the prevalence of superficial mycoses varied with the lifestyle factors, which were whether exchanging beddings with others, the habit of washing hands before and after meals, the frequency of changing socks, and the quality of sleep. The incidence of superficial mycoses was also correlated with the military training factors, which were whether having any other physical injuries due to training before the skin illness, whether excessive sweating frequently, the number of training shoes, and the amount of sweating during exercise. A multivariate analysis demonstrated that the length of military service, family history of fungal diseases, whether suffering from the superficial mycoses before enrolment and whether excessive sweating frequently were risk factors of superficial mycoses. Nevertheless, the frequency of changing socks and the quality of sleep were found to be protective against superficial fungal infections. A binary logistic regression model was established to predict the probability of superficial mycoses in cadets. Conclusions The incidence of superficial fungal infections was high in military cadets. It is of great significance to understand the influencing factors for popularizing knowledge of disease prevention and formulating scientific and effective treatment measures.

Key words: superficial mycoses, risk factors, cadets

中图分类号:

R756

唐人杰, 王瑞娜, 王旭, 汪洋, 李志勇, 刘佳存, 吴林, 张大志, 阎澜. 某院校学员浅部真菌病影响因素分析[J]. 中国真菌学杂志, 2022, 17(3): 205-212.

TANG Renjie, WANG Ruina, WANG Xu, WANG Yang, LI Zhiyong, LIU Jiacun, WU Lin, ZHANG Dazhi, YAN Lan. Risk factors for superficial mycoses in military academy cadets[J]. Chinese Journal of Mycology, 2022, 17(3): 205-212.

参考文献

[1] 费帆,严华成,周志坚,等.南部战区官兵皮肤病现状调查及影响因素分析[J].解放军医学杂志, 2019, 44(8):701-705.
[2] 张楠,李凯,李文哲,等.某军事比赛中皮肤病发病情况及相关危险因素调查研究[J].解放军预防医学杂志, 2020, 38(11):58-60.
[3] 郭运达,孙风清,冷玉新,等.某沿海执勤部队官兵夏季皮肤病患病情况调查[J].人民军医, 2019, 62(2):111-114.
[4] 郭蓉,朱红梅.某部长远航舰员真菌等感染性皮肤病调查[J].中国真菌学杂志, 2019, 14(3):169-170.
[5] 杨道秋,李振明.驻海岛部队浅部真菌性皮肤病发病情况调查[J].解放军预防医学杂志, 2018, 36(8):1095.
[6] GREGORY J F, TAYLOR E A, LIU Y E, et al. The burden of skin disease on deployed servicemembers[J]. Mil Med, 2019, 184(11-12):889-893.
[7] 姜锐.某船艇部队战士常见皮肤病患病及影响因素分析[J].中国卫生产业, 2016, 13(14):42-44.
[8] INGORDO V, NALDI L, FRACCHIOLLA S, et al. Prevalence and risk factors for superficial fungal infections among Italian Navy Cadets[J]. Dermatology, 2004, 209(3):190-196.
[9] KINTSURASHVILI N, KVLIVIDZE O, GALDAVA G. Prevalence and risk factors of tinea pedis in Georgian Defense Forces[J]. BMJ Mil Health, 2021,167(6):433-436.
[10] SASAGAWA Y. Internal environment of footwear is a risk factor for tinea pedis[J].J Dermatol, 2019, 46(11):940-946.
[11] ONGSRI P, BUNYARATAVEJ S, LEEYAPHAN C, et al. Prevalence and clinical correlation of superficial fungal foot infection in Thai Naval Rating Cadets[J]. Mil Med, 2018, 183(9-10):e633-e637.
[12] 陈勇,荆随宁,赵静雅,等.某潜艇部队真菌性皮肤病及相关因素调查分析[J].解放军预防医学杂志, 2014, 32(1):25-27.
[13] COHEN A D, WOLAK A, ALKAN M, et al. Prevalence and risk factors for tinea pedis in Israeli soldiers[J]. Int J Dermatol, 2005, 44(12):1002-1005.
[14] GNAT S, LAGOWSKI D, NOWAKIEWICZ A. Genetic predisposition and its heredity in the context of increased prevalence of dermatophytoses[J]. Mycopathologia, 2021, 186(2):163-176.
[15] HAVLICKOVA B, CZAIKA V A, FRIEDRICH M. Epidemiological trends in skin mycoses worldwide[J]. Mycoses, 2008, 51(s4):2-15.
[16] LEITE D J, AMADIO J V, SIMOES S A, et al. Dermatophytosis in military in the central-west region of Brazil:literature review[J]. Mycopathologia, 2014, 177(1-2):65-74.
[17] 杨雪琴.降低军事训练中皮肤病患病率的综合措施[J].人民军医, 2009, 52(12):777-779.