扬州地区青少年原发性手汗症患病情况调查分析

发布时间：2018-04-13 19:00

  本文选题：原发性手汗症 + 流行病学　； 参考：《扬州大学》2017年硕士论文

【摘要】：目的:原发性多汗症是一种身体汗液分泌过度超出机体正常需要量为特征的疾病,一般不存在器质性病因,出汗部位以手掌、足底、颅面部和腋窝多见。根据机体出汗增多部位可分为原发性手汗症、原发性头汗症、原发性腋汗症等。目前已有部分文献报告了原发性手汗症相关流行病学资料,在我国全国范围内已经进行了一项针对青少年原发性手汗症的流行病学调查。本次调查研究的目的旨在针对扬州地区青少年进行相关调查研究,以了解扬州地区青少年人群中原发性手汗症的患病率及相关因素。方法:1.调查研究前,确定调查对象,设计调查问卷,对所有参与调查的人员进行专门培训,明确相关手汗症诊断标准及注意事项。2.正式调查前,在小范围内抽取样本进行预调查,验证调查方法、调查问卷的可行性和可信度。3.采用随机抽样,以班级为单位随机抽取扬州地区大中学校各两所部分班级全部学生进行现场问卷调查。并且向每个学生交代调查目的、意义、及问卷填写方式,取得其知情同意。调查人员将问卷分发给在校学生,现场指导其填写问卷,填写完整后问卷由调查人员统一收回。录入调查数据,根据诊断标准筛选出其中可疑手汗症患者,再由专门人员对疑似患者进行问诊,以排除其他疾病继发手掌出汗增多,并作出诊断和严重程度分级。4.结合问卷调查资料及诊断,汇总调查资料,对其进行统计整理,分析原发性手汗症患病率及相关因素,得出实验结论。结果:本次调查研究共随机抽取扬州地区青少年3504例,其中男性1577例,女性1927例,根据诊断标准筛选出手汗症患者共107例,原发性手汗症的患病率为3.05%。男性患病率为3.87%(61例/1577例),女性患病率为2.39%(46例/1927例),男性患病率高于女性。初中生905例,患病率3.00%;高中生785例,患病率2.97%;大学生1927例,患病率3.12%,各就学阶段手汗症患病率差异无统计学意义。首次发病年龄主要集中于10-20岁(73.56%)。男性手汗症患病率高于女性,但严重手汗症患者中女性数量多于男性。原发性手汗症患者常常伴随足底、腋窝等部位出汗增多,且女性更容易存在除手掌以外身体其他部位多汗。36.45%的患者有家族史,病变严重者其家族遗传倾向更加明显。结论:扬州地区青少年手汗症患病率为3.05%,男性患病率高于女性,患者常于青少年时期发病,存在一定程度的性别差异,常合并身体其他部位多汗症状,且具有较为明显的遗传倾向。
[Abstract]:Objective: primary hyperhidrosis is a disease characterized by excessive secretion of sweat over the normal amount of body. There is generally no organic etiology and perspiration is common in palm, plantar, craniofacial and axillary.According to the site of hyperhidrosis can be divided into primary palmar hyperhidrosis, primary head sweat, primary axillary hyperhidrosis and so on.At present, some literatures have reported the epidemiological data of primary palmar sweatosis, and an epidemiological survey has been carried out in China.The purpose of this study is to investigate the prevalence and related factors of primary palmar sweat in young people in Yangzhou.Method 1: 1.Before investigation and research, determine the survey object, design the questionnaire, conduct special training for all the personnel involved in the investigation, and clarify the diagnostic criteria and precautions of the related palmar hyperhidrosis. 2.Before the formal investigation, samples are collected in a small area for pre-investigation to verify the survey method, the feasibility and credibility of the questionnaire. 3.Random sampling was used to select randomly all the students in each of the two middle and high schools in Yangzhou.And to explain to each student the purpose, significance, and manner of filling the questionnaire, to obtain their informed consent.The questionnaire was distributed to the students and instructed them to fill out the questionnaire.Input the survey data, screen out the suspected palmar sweat patients according to the diagnostic criteria, and then examine the suspected patients by specialized personnel to exclude the increase of palmar sweating secondary to other diseases, and make the diagnosis and severity grade. 4.Based on the data of questionnaire and diagnosis, the data of investigation were collected, and the prevalence rate of primary palmar sweat and related factors were analyzed, and the experimental results were obtained.Results: a total of 3504 adolescents in Yangzhou were randomly selected, including 1577 males and 1927 females. According to the diagnostic criteria, 107 cases of palmar sweat were selected. The prevalence rate of primary palmar hyperhidrosis was 3.05%.The prevalence rate of male was 3.87 / 1577 and that of female was 2.399.46 / 1927. The prevalence of male was higher than that of female.There were 905 junior high school students with a prevalence rate of 3.00; 785 high school students with a prevalence rate of 2.97; 1927 college students with a prevalence rate of 3.122.There was no significant difference in the prevalence of palmar hyperhidrosis in each stage of schooling.The age of the first onset was mainly in the age of 10-20 years old.The prevalence of palmar hyperhidrosis in males is higher than that in females, but the number of females in patients with severe palms is higher than that in males.Patients with primary palmar hyperhidrosis were often accompanied by increased sweating in the plantar, armpit and other parts, and women were more likely to have a family history of sweating in other parts of the body other than the palms, and the family genetic tendency was more obvious if the lesions were serious.Conclusion: the prevalence of palmar hyperhidrosis is 3.05 in Yangzhou area, the prevalence rate of male is higher than that of female, the patients often develop in adolescence, there is a certain degree of gender difference, often combined with hyperhidrosis in other parts of body.And has obvious genetic tendency.
【学位授予单位】：扬州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R758.74
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本文编号：1745786