许淑珍ll03例健康人群及面部皮肤疾病患者蠕形螨商继科.docVIP

l l 03例健康人群及面部皮肤疾病患者蠕形螨 调查分析 商继科，许淑珍，姜桂艳，马 颖，乔正君，张艳 [摘要] 目的 调查健康人群 和 痤疮、 酒渣鼻、 脂溢性皮炎、 类固醇皮炎 等患者 面部 蠕 形螨 的检出情况，为临床治疗提供依据。方法 用挤压法采集标本并镜下计数。结果 95例健康成 人和1008例面部疾病患者蠕形螨的总检出率分别为65．26％和77．38％；健康成人检出的蠕形螨 均在50条以内；痤疮、酒渣鼻、脂溢性皮炎、类固醇皮炎患者的蠕形螨检出率分别为74．9l％、 9l.93％、81．43％和89．5 8％，分别与正常对照组蠕形螨的检出率比较，差异有统计学意义 (x2=3．921 P0．05，x2=14．548 P0．005，x2=7．8655 P0．01和x2=16．189 PO．005)。结论 痤 疮、酒渣鼻、脂溢性皮炎、类固醇皮炎患者的蠕形螨检出率高于健康成人。 『关键词1，蠕形螨；痤疮；酒渣鼻；脂溢性皮炎 ， 『中图分类号】R157_3 [文献标识码]A 【文章编号] 1674-1293(2010)Ol一0013一03 Investigation and analysis of 1103 cases with healthy adults and the facial demodex mites SHANG Ji-ke，XU Shu-zhen，JIANG Gui-yan，et al Department of Laboratory Beijing JingCheng Skin Diseases Hospital,Beijing 100192，China [Abstract]Objective To investigate healthy adults and the detection circumstances of facial demodex mites among patients with acne．rosacea．seborrheic dermatitis．This article provides the basis for clinical treatment．Methods Skin and mites specimens were collected by squeezing method and counted under microscope．Results The total detection rates of mites were 65．26％and 77．38％ in 95 cases of healthy adults and 1008 cases of patients respectively.The count of demodex mites was within 50 among the 95 healthy adults．The detection rates of demodex mites were 74．9 1％,9 1．93％,8 1．43％and 89 58％in acne．rosacea，seborrheic dermatitis and steroid dermatitis patients．The demodex detection rate was significant difference between the four categories of diseases and healthy adults group，respectively(x2=3．921 P0．05，x2=14．548 P0．005，x2=7．8655 P0．01和x2=16．189 PO．005)．Conclusion The detection rates of demodex mites of patients with acne，rosacea，seborrheic dermatitis，steroid dermatitis are higher than those of Healthy adults． [Key words] Demodex mite；Acne；Rosacea；Seborrheic dermatitis [J Pract Dermatol，2010，3(1)：13—15] 蠕形螨在不同的人群中携带率和数量分布有所 不同。关于蠕形螨与痤疮、酒渣鼻、脂溢性皮炎和 类、固醇皮炎等面部疾患是否存在相关性，一直是讨 论和研究的焦点，由于其影响到人体的健康与美容， 因而越来越受到重视。为进一步了解蠕形螨与面部 疾病的关系，我们调查了健康成人和面部皮肤疾病 患者蠕形螨携带率和数量分