| 鲁笳,夏修蛟.全科签约医生视角下的老年社区居民足癣现状与分析杭州市拱墅区半山街道社区卫生服务中心 鲁笳 杭州市第三人民医院皮肤科 夏修蛟[J].浙江中西医结合杂志,2022,32(9): |
| 全科签约医生视角下的老年社区居民足癣现状与分析杭州市拱墅区半山街道社区卫生服务中心 鲁笳 杭州市第三人民医院皮肤科 夏修蛟 |
| Current situation and analysis of tinea pedis in elderly community residents from the general practitionerHangzhou Gongshu District Banshan Street Community Health Service Center Jia Lu |
| 投稿时间：2022-03-15 修订日期：2022-08-15 |
| DOI： |
| 中文关键词: 老年人 足癣 皮肤癣菌 全科医生 |
| 英文关键词:the Elderly Tinea pedis Dermatophytes General Practitioner |
| 基金项目: |
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| 中文摘要: |
| 目的:了解杭州市社区老年人足癣患病情况,探讨影响因素,为对社区老年居民足癣预防提供科学依据。方法:采用问卷调查、临床检查和真菌学检查相结合的方法,对与我中心签约的部分老年患者进行足癣患病情况调查。结果：共有32.13%的老年居民患有足癣,其中鳞屑角化型占68.05%,61.12%的患者没有诊疗意愿。皮肤癣菌是足癣的主要病原菌,其中红色毛癣菌最常见,其次是絮状表皮癣菌和须癣毛癣菌。结论：老年居民足癣发病率较高,且以鳞屑角化型为主,老年人不重视足癣,全科医生应加强对社区老年居民预防足癣的健康宣教,以提高患者的就诊意愿和依从性。 |
| 英文摘要: |
| Objectives:The aim of this study was to To understand the prevalence of tinea pedis among the elderly, as well as to provide information for the prevention of tinea pedis in elderly residents in community.Methods:A crosssectional study was conducted on 2104 residents aged over 65 who answered the survey from July 2019 to April 2021.Demographic and clinical features,underlying disease,patients" attitudes, behaviors, and opinions about treatments related to tinea pedis were evaluated.Tinea pedis was diagnosed by mycological examination and clinical examination. Results:32.13% of the elderly residents suffered from tinea pedis,among them, scale keratosis accounted for 68.05%,and 61.12% of the residents had no willingness of seeking doctor. Dermatophyte was the main pathogen,Trichophyton rubrum was the most common fungal species,followed by Epidermophyton floccosum and Trichophyton interdigitale. Conclusions:The incidence rate of tinea pedis in elderly people is high, and the keratosis is the main feature,most of the elderly do not pay attention to tinea pedis,general practitioner should be strengthened the health education on the prevention of tinea pedis for the elderly residents in the community,aimed to improve the treatment willingness and compliance of patients. |
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