246名女性皮肤老化特征及相关因素的调查分析.pdf

虫垡廛腿拄苤盍垫!!生2旦筮丝鲞筮2期￡h也』旦￡婴煎Q!，№b坐gg 2Q!!，yQl!丝，照Q：2 246名女性皮肤老化特征及相关因素的 调查分析 张洁尘 陈祥生冯素英袁柳凤侯伟 【摘要】目的探讨女性面部皱纹的发生情况及相关影响因素。方法采用问卷表调查的方法，将 研究对象根据工种及日均日晒时间分为室内组和室外组，使用图像分析仪SIA0612标准化拍照，结合 Visioscan VC98定量测量皱纹的结果，将研究对象面部皱纹分0～9级分析。利用SPSS 17．0分析防晒情 况、护肤美容、皱纹发生时间、发生部位等并对皱纹产生可能相关因素进行室内外组对比分析。结果 246名19～7l岁女性，回顾各不同年龄阶段使用防晒措施的比例是：6～11岁年龄段为1l％；12一18岁 为13．5％；19—29岁为38．5％；30～39岁为39．2％；40。59岁为44％；60～75岁为0。在近5年阶段的为 最多达44．1％。出现皱纹与色素斑时间及情况比较：目前无皱纹的占5．7％，目前无色素斑的占21．7％。发 现皱纹时间以30—35岁为最多，发现色素斑时间以25～30岁为最多。室内组人群面部皱纹发生的顺序 由多到少依次是眶下、外眦、鼻唇沟区域、眉间；室外组皱纹最多出现的依次顺序依次是：外眦、眶下、眉 间、鼻唇沟。室内人群皱纹最常发生于鱼尾纹，至少在45岁达100％。而事外人群的皱纹发生普遍早。鱼尾 纹至少在30岁就达100％。结论皱纹和色素斑均为中国女性皮肤老化的主要表现。色素斑出现时间略 早于皱纹。女性皮肤光老化的主要表现依次为肤色灰黄、皮肤干燥、粗糙、皮革样外观、显著的红血丝和 (或)严莺的色素斑、脆性增加等。室内组女性皱纹出现次序和时间都有别于室外组。 【关键词】皮肤衰老；女性；因果律；流行病学 Charactx!ristics and associated factors of skin aging：a survey of 246 femal酷ZHAjvG Jje．chen． CHEN Xiang-sheng,FENG Su-ying,YUAN Liu·feng,HOU Wei．Institute of Dermatology,Chinese Academy of Medical 5ciences and Peking Union Medical College，Nanjing 210042，China Corresponding author：HOU Wei,Emaih houweil964@hotmail．corn 【Abstract】Objective To estimate the prevalence and associated factors of facial wrinkling in females． Methods Questionnaires were designed and delivered to collect related data on volunteers．The subjects were divided into ontdoor and indoor groups．Wtinkles were classified into 9 grades based on photos taken by SIA06 l 2 image analyzer and quantification analysis via Visioscan VC 98．SPSS l 7．0 software WaS used to assess the associated factors of wrinkling，including sun—protective measures，skin care and cosmetology，onset age and location of wrinkles in these subjects．R幅uIts A total of 246 patients aged 1 9—7 1 years were recruited in this study．Sun．protective measures were applied jn 13．5％of the subjects between 12 and 18 years of age． 38．5％of those between 19 and 29 years of age，39．2％of those between 30 and 39 years of age．44％of those between 40 and 59 years of age．and in none of those between 60 and 75 years of