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一项关于农村三级医疗保健中心绝经后患者皮肤病的横断面研究。

A Cross-Sectional Study on the Dermatoses in Postmenopausal Patients at a Rural-Based Tertiary Health Care Center.

作者信息

Pariath Kira, Nair Pragya A

机构信息

Department of Dermatology and Venereology, Pramukhswami Medical College, Karamsad, Gujarat, India.

出版信息

Indian J Dermatol. 2019 Sep-Oct;64(5):360-365. doi: 10.4103/ijd.IJD_204_19.

Abstract

CONTEXT

There is still a dearth of knowledge regarding the types of dermatoses occurring in postmenopausal women. The common disorders occurring in postmenopausal women and the probable effects of hormonal fluctuations on the skin have to be considered while treating postmenopausal women.

AIMS

To study clinical patterns of dermatosis in menopausal women.

SETTINGS AND DESIGN

It was a cross-sectional study conducted in the dermatology department from May 2017 to June 2018 after approval from ethical committee.

MATERIALS AND METHODS

All postmenopausal patients having dermatoses were included in the study after taking their written consent in vernacular language.

STATISTICAL ANALYSIS USED

All findings were analyzed using STATA (14.2).

RESULTS

The study included 150 postmenopausal women. Most of the patients belonged to the age group of 61-70 years (38.67%) with a mean age of 61.52 years. The age of menopause was most commonly achieved between 40 and 50 years (57.33%). The genital dermatoses were found in 90 (60%) subjects and included atrophic vaginitis (21, 33.33%), lichen sclerosus et atrophicus (14, 15.55%), lichen simplex chronicus (14,15.55%) and tinea cruris (10,11.11%) among others. The extragenital dermatoses were found in 96 (64%) cases and common ones were dermatophytosis (16, 16.33%), lichen planus (11, 11.22%), psoriasis (9, 9.18%) and eczema (8,8.16%).

CONCLUSION

This study is useful in understanding the various clinical patterns of postmenopausal dermatoses and thereby help the physician, dermatologist, and gynecologist to effectively manage the conditions.

摘要

背景

关于绝经后女性发生的皮肤病类型,目前仍缺乏相关知识。在治疗绝经后女性时,必须考虑该群体中常见的疾病以及激素波动对皮肤可能产生的影响。

目的

研究绝经后女性皮肤病的临床模式。

设置与设计

这是一项横断面研究,于2017年5月至2018年6月在皮肤科进行,经伦理委员会批准。

材料与方法

所有患有皮肤病的绝经后患者在以当地语言获得其书面同意后纳入研究。

所用统计分析方法

所有研究结果均使用STATA(14.2)进行分析。

结果

该研究纳入了150名绝经后女性。大多数患者年龄在61 - 70岁之间(38.67%),平均年龄为61.52岁。绝经年龄最常见于40至50岁之间(57.33%)。90名(60%)受试者存在生殖器皮肤病,其中包括萎缩性阴道炎(21例,33.33%)、硬化性苔藓(14例,15.55%)、慢性单纯性苔藓(14例,15.55%)和股癣(10例,11.11%)等。96例(64%)患者存在生殖器外皮肤病,常见的有皮肤癣菌病(16例,16.33%)、扁平苔藓(11例,11.22%)、银屑病(9例,9.18%)和湿疹(8例,8.16%)。

结论

本研究有助于了解绝经后皮肤病的各种临床模式,从而帮助内科医生、皮肤科医生和妇科医生有效管理这些病症。

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Extragenital Lichen Sclerosus et Atrophicus.生殖器外硬化性苔藓及萎缩性苔藓
Indian J Dermatol. 2015 Jul-Aug;60(4):420. doi: 10.4103/0019-5154.160516.

本文引用的文献

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Diabetes in Menopause: Risks and Management.更年期与糖尿病:风险与管理。
Curr Vasc Pharmacol. 2019;17(6):556-563. doi: 10.2174/1570161116666180625124405.
3
Study of pruritus vulvae in geriatric age group in tertiary hospital.三级医院老年女性外阴瘙痒症的研究
Indian J Sex Transm Dis AIDS. 2017 Jan-Jun;38(1):15-21. doi: 10.4103/0253-7184.192632.
7
Dermatosis associated with menopause.与更年期相关的皮肤病
J Midlife Health. 2014 Oct;5(4):168-75. doi: 10.4103/0976-7800.145152.

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