目的 总结分析甘肃河西地区712例银屑病患者的临床特点,为临床预防和诊治银屑病提供参考.方法 采用问卷调查的方式对确诊的银屑病患者进行临床研究,并进行统计分析.结果 712例银屑病患者中男398例,女314例,男女比例1.27:1 ;平均发病年龄(21.15 ±13.26)岁,发病高峰20～49岁.皮损的初发和分布以头皮和四肢伸侧为主,银屑病类型以寻常性最多见,红皮病性次之;227例(31.88%)有诱发因素,伴发疾病中以代谢性疾病最常见.病情加重因素受季节影响403例(56.60%).结论 本地区银屑病男女发病比例相近,初发部位以头皮为主,本病复发加重受季节影响明显,感染、饮食、嗜酒为常见诱因,伴发率最高的疾病为代谢性疾病,预防为主、心理疏导和规范治疗能取得较好疗效.%Objective To summarize and analyze the clinical features of 712 cases with psoriasis in Hexi region of Gansu, and provide a reference for clinical prevention and treatment of the disease. Methods The clinical investigation of psoriasis patients was carried out in the form of questionnaire, and the SPSS 19 software package was used for statistical analysis. Results In the 712 patients with psoriasis, 398 were males and 314 were females, the ratio of male to female was 1.27:1, with the average age of 21.15±13.26 years, 20~49 years of age was the peak period of incidence, and there were 403 patients(56.60%) who had recurrence and aggravation factors affected by season. The distribution and location of the primary psoriatic lesions were mainly on scalp and extensor aspect of extremities, the most common subtype of psoriasis was psoriasis vulgaris, followed by psoriatic erythroderma, 227 cases(31.88%) had inducing factors, the most common associated diseases were metabolic diseases. Conclusion The incidence of psoriasis in male and female was similar in Hexi region of Gansu, and scalp is the main part of the initial site. The recurrence and aggravation of the disease is significantly influenced by season, and infections, dietary and alcohol abuse were common causes, the most common associated diseases were metabolic diseases. Effective preventive measures, psychological counseling and standardized treatment may achieve better effects.
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