皮肤科医师关于斑秃治疗的问卷调查

发布时间：2019-04-16 12:58

【摘要】：目的:了解川渝地区皮肤科医师在实践中对各型斑秃治疗的不同观点,为规范斑秃的管理治疗提供依据。方法:采用现场调研和信件邮寄结合的方式,对2012年和2013年川渝地区医学会注册的皮肤科医师进行匿名问卷调查。采用SPSS18.0软件进行统计分析,组间比较采用卡方检验或者Fisher精确概率法。结果:共有212例皮肤科医师有效完成问卷调查。研究显示:不论儿童斑秃还是成人斑秃,皮肤科医师推荐斑秃患者治疗的等级随疾病严重程度的增加而增加。与儿童斑秃相比,成人单灶性斑秃和多灶性斑秃推荐治疗等级均高于儿童。皮肤科医师最常推荐治疗斑秃的方法包括口服复方甘草酸苷、局部外用糖皮质激素和米诺地尔、皮损内注射糖皮质激素。结论:皮肤科医师对儿童和成人斑秃以及不同严重程度斑秃的治疗观点不完全一致,皮肤科医师在工作中应将斑秃按年龄进行分类管理,并按疾病的严重程度分级管理。
[Abstract]:Aim: to understand the different views of dermatologists in Sichuan and Chongqing areas on the treatment of alopecia areata in practice, and to provide evidence for regulating the management and treatment of alopecia areata. Methods: an anonymous questionnaire was conducted among dermatologists registered by Sichuan-Chongqing Medical Association in 2012 and 2013 by means of on-the-spot investigation and mail. SPSS18.0 software was used for statistical analysis and chi-square test or Fisher exact probability method was used for comparison between groups. Results: a total of 212 dermatologists effectively completed the questionnaire survey. Studies have shown that dermatologists recommend alopecia areata patients with alopecia areata as the severity of the disease increases, regardless of whether they are children with alopecia areata or adult alopecia areata. Compared with children with alopecia areata, the recommended treatment grades of adult and multifocal alopecia areata are higher than those of children. The most recommended treatments for alopecia areata include oral administration of compound glycyrrhizin, topical use of corticosteroids and minodil, and intracorporeal injection of glucocorticoids. Conclusion: dermatologists have different views on the treatment of alopecia areata in children and adults. Dermatologists should classify alopecia areata according to age and grade management according to the severity of disease in their work.
【作者单位】：重庆三峡医药高等专科学校附属医院皮肤科;第三军医大学西南医院皮肤科;
【分类号】：R758.71

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