《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (2): 164-170.doi: 10.3969/j.issn.1006-9771.2021.02.007

• 专题 • 上一篇    下一篇

脊髓损伤患者皮肤病情况回顾性分析

徐志莉1,袁媛2,赵俊英3()   

  1. 1.中国康复研究中心北京博爱医院,皮肤科,北京市 100068
    2.中国康复研究中心北京博爱医院,脊髓损伤康复科,北京市 100068
    3.首都医科大学附属北京友谊医院皮肤科,北京市 100050
  • 收稿日期:2020-09-02 修回日期:2020-10-14 出版日期:2021-02-25 发布日期:2021-02-26
  • 通讯作者: 赵俊英 E-mail:zjy63014411@aliyun.com
  • 作者简介:徐志莉(1985-),女,汉族,浙江宁波市人,硕士,主治医师,主要研究方向:皮肤病的治疗与康复|赵俊英(1955-),女,汉族,北京市人,主任医师、教授,硕士生导师,主要研究方向:真菌性皮肤病、脱发、医学激光美容。

Dermatological Condition after Spinal Cord Injury: A Retrospective Study

Zhi-li XU1,Yuan YUAN2,Jun-ying ZHAO3()   

  1. 1.Department of Dermatology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    2.Department of Spinal Cord Injury Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
    3.Department of Dermatology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2020-09-02 Revised:2020-10-14 Published:2021-02-25 Online:2021-02-26
  • Contact: Jun-ying ZHAO E-mail:zjy63014411@aliyun.com

摘要: 目的

探讨脊髓损伤患者皮肤病发病特点。

方法

通过医院信息系统(HIS)搜集2012年1月至2016年12月全部脊髓损伤住院患者,筛选出由皮肤科医生介入处置的脊髓损伤患者,统计一般人口学特征、皮肤病变出现时脊髓损伤时间、脊髓损伤节段、脊髓损伤水平,皮肤病变分布部位、皮肤病诊断,统计每例患者皮肤疾病种数。

结果

共纳入3152例住院脊髓损伤患者,554例由皮肤科医生介入,检出皮肤疾病785例次。男性患者皮肤科介入比例显著高于女性(χ2 = 13.284, P < 0.001);18~35岁组和36~50岁组高于< 18岁组和> 50岁组(χ2 = 15.994, P < 0.01);脊髓损伤病程6个月内患者显著高于6个月以上患者(χ2= 123.725, P < 0.001);颈段脊髓损伤患者明显高于胸段、腰骶段患者(χ2= 10.482, P < 0.01);四肢瘫患者明显高于截瘫患者(χ2 = 9.172, P < 0.01)。检出1种皮肤病者385例,2种及以上者169例,其中男性(χ2 = 6.108, P < 0.05)、颈段脊髓损伤(χ2 = 8.592, P < 0.05)和四肢瘫(χ2 = 8.182, P < 0.01)患者更易患2种及以上皮肤疾病。变态反应性皮肤病(252例)、感染性皮肤病(186例)、皮脂腺相关性皮肤病(169例)是高发的皮肤疾病。

结论

男性、颈段脊髓损伤和四肢瘫患者皮肤科介入比例较高,更易出现2种及以上皮肤疾病。需加强对脊髓损伤患者高发皮肤病的预防。

关键词: 脊髓损伤, 住院患者, 皮肤疾病, 皮肤科

Abstract: Objective

To investigate the characteristics of skin diseases in patients with spinal cord injury (SCI).

Methods

From January, 2012 to December, 2016, all the inpatients with SCI were collected through hospital information system, in which, the patients with skin problems referred to the dermatologists were screened. Their general demographic characteristics, the time of skin onset since SCI, segment of SCI, level of SCI, the distribution of skin lesion, and the dermatological diagnosis were all recorded. The number of skin diseases in each SCI patient was counted.

Results

A total of 3152 inpatients with SCI were included, out of whom, 554 patients were referred to the dermatologists, and 785 person-times dermatological conditions were diagnosed. Among the 554 patients, the consultation rate of male patients was significantly higher than females (χ2 = 13.284, P < 0.001); the consultation rate of aged 18~35 years and aged 36~50 years groups was higher than aged less than 18 years and aged more than 35 years groups (χ2 = 15.994, P < 0.01); the appearence of the skin lesions within six months post-SCI was significantly higher than more than six months post-SCI (χ2= 123.725, P < 0.001); the consultation rate of patients with cervical SCI was higher than those with thoracic and lumbosacral SCI (χ2= 10.482, P < 0.01), and the consultation rate of tetraplegic patients was higher than paraplegia patients (χ2 = 9.172, P < 0.01). A total of 385 patients suffered one dermatological condition, while 169 patients suffered two or more dermatological conditions. Among them, men (χ2 = 6.108, P < 0.05), patients with cervical SCI (χ2 = 8.592, P < 0.05) and tetraplegic patients (χ2 = 8.592, P < 0.05) were more likely to suffer two or more dermatological conditions. Allergic (252 cases), infectious (186 cases) and sebaceous gland related (169 cases) skin diseases were the most common skin problems.

Conclusion

Male, cervical SCI and tetraplegic patients are more likely to suffer two or more skin diseases. It is necessary to strengthen the prevention of skin diseases common in SCI patients.

Key words: spinal cord injury, inpatient, skin disease, dermatology

中图分类号: