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北京市某三甲儿童专科医院皮肤疾病谱分析

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目的 分析皮肤疾病谱的变化趋势,为儿童皮肤疾病的预防提供科学依据.方法 回顾性研究2019年1月1日-2021年12月31日北京市某三甲儿童专科医院皮肤科门诊初次就诊的323 142例患者病例资料,采用JMP17pro软件双侧检验,以P<0.05为差异有统计学意义.结果 门诊初诊患者男性多于女性,男女比例为1.15∶1.患有单一皮肤病者为主,共295 082例(91.3%).患者以学龄期儿童为主,来源主要集中在北京及周边地区,差异有统计学意义(P<0.05).皮肤病类型排名前3的为特应性皮炎和其他类型皮炎、感染性皮肤病及荨麻疹、红斑和药物反应类皮肤病.发病率前3位的病种依次为特应性皮炎、荨麻疹和丘疹性荨麻疹.各年龄段疾病谱顺位不同,由呼吸道传播的传染性皮肤病比例明显下降.结论 儿童皮肤疾病谱以特应性皮炎最常见,传染性皮肤病比例明显下降.儿童皮肤科专科医师及儿科、妇幼保健科等医师应积极应对儿童皮肤病谱的各种变化,促进儿童皮肤健康发展.
Analysis of the Spectrum of Skin Diseases in a Tertiary Pediatric Hospital in Beijing
Objectives This study aims to analyze the changing trend of skin disease spectrum and provide scientific basis for the prevention of children's skin diseases.Methods A retrospective study was conducted on the data of 323,142 patients who first visited the dermatology outpatient department of a tertiary children's specialty hospital in Beijing from January 1,2019 to December 31,2021.JMP 17 pro software was used for two-sided test,and P<0.05 was considered statistically significant.Results There were more male than female patients who were first-visited in the outpatient clinic,with a male-to-female ratio of 1.15∶1.The majority of the patients suffered from a single skin disease,totaling 295,082 cases(91.3%).The patients were mainly school-age children,and their sources were mainly concentrated in Beijing and surrounding areas,with a statistically significant difference(P<0.0).Atopic dermatitis and other types of dermatitis constituted the main diseases,followed by infectious skin diseases,urticaria,erythema and drug responsive skin diseases.The order of disease spectra varied among age groups,and the proportion of infectious skin diseases transmitted by the respiratory tract had decreased significantly.Conclusions Atopic dermatitis is the most common skin disease,and the proportion of infectious skin diseases has decreased significantly.Pediatric dermatologists and specialists in pediatrics,maternal and child health care should actively respond to various changes in the spectrum of pediatric skin diseases and promote the sustainable development of children's skin health.

Dermatological DisordersChanging trendPediatric

刘盈、王珊、王召阳、吴琼、马琳

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国家儿童医学中心首都医科大学附属北京儿童医院皮肤科,北京市,100045

皮肤病 变化趋势 儿童

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(11)