首页|广西地区273例特应性皮炎患者临床特征分析

广西地区273例特应性皮炎患者临床特征分析

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目的 分析广西地区特应性皮炎(AD)患者临床特征,为个体化诊疗和长期管理提供依据.方法 采用面对面问卷调查方式获取2022年5月至11月就诊于广西医科大学第一附属医院的273例AD患者基本信息及临床特征.结果 ①基本特征.性别比例:男:女为1.07:1;就诊时年龄构成:婴儿期(0~2岁)4例,儿童期(>2岁~12岁)77例,青年及成人期(>12岁~60岁)162例,60岁以上老年期30例;民族分布:汉族:壮族为5.11∶1;居住环境:城镇:农村为26.3∶1.②临床特征.首次发病于躯干者最多见;季节交替时发作最常见;几乎全部患者主观感受为瘙痒;有食物过敏史者约占79.9%,合并过敏性鼻炎患者约27.8%;多数患者有外用糖皮质激素药物及口服抗组胺药物史.③实验室检查.273例AD患者中,完善血常规检查者199例,嗜酸性粒细胞高于正常者71例,约占35.7%;完善免疫球蛋白E(IgE)检查者193例,高于正常者134例,约占69.4%.④日常生活习惯.温水洗浴者占大多数,频率均为每天一次;62.6%患者有使用保湿霜习惯.结论 广西地区AD患者具有不同于其他地区的特点,可根据临床特征制订个体化诊疗方案,加强健康教育有助于AD患者长期管理.
Analysis of clinical characteristic of 273 patients with atopic dermatitis in Guangxi
Objective To analyze the clinical characteristics of patients with atopic dermatitis(AD)in Guangxi,so as to provide basis for personalized diagnosis,treatment,and long-term management of AD patients.Methods The basic infor-mation and clinical characteristics of 273 AD patients who visited the First Affiliated Hospital of Guangxi Medical University from May to November 2022 were obtained by face-to-face questionnaire.Results ① Basic characteristics.Gender ratio of male to female was1.07 to 1.Age composition at the time of visit:4 cases in infancy(0-2 years old),77 cases in child-hood(>2 to 12 years old),162 cases in youth and adulthood(>12 to 60 years old),and 30 cases in the elderly(over 60 years old).Ethnic distribution of Han to Zhuang was 5.11 to 1.Residential environment of urban to rural was 26.3 to 1.② Clinical characteristics.The first onset was most common in the trunk;recurrence was most common during seasonal changes;almost all patients experienced itching;about 79.9%had a history of food allergy,and about 27.8%had allergic rhinitis;most patients had a history of topical corticosteroids and oral antihistamines.③ Laboratory examination.Among the 273 AD patients,199 had complete blood routine examination,of which 71(35.7%)had elevated eosinophils above nor-mal;193 had complete immunoglobulin E(IgE)examinations,and 134 cases(69.4%)had IgE levels higher than normal.④Daily habits.The majority of people took a warm water bath once a day;62.6%of patients had a habit of using moisturiz-ing cream.Conclusion AD patients in Guangxi have characteristics different from other areas.Individualized diagnosis and treatment plans can be formulated according to clinical features,and strengthening health education is conducive to the long-term management of AD patients.

atopic dermatitis(AD)Guangxiclinical features

李秋菊、林有坤、郑文军

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广西医科大学第一附属医院皮肤性病科,广西南宁 530021

国家皮肤与免疫疾病临床医学研究中心,北京 100000

特应性皮炎 广西 临床特征

广西壮族自治区卫生健康委员会自筹课题

Z-A20220482

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(6)