Schein J R, Gause D, Stier D M, Lubeck D P, Bates M M, Fisk R
Novartis Pharmaceuticals Corp, East Hanover, NJ 07936, USA.
J Am Podiatr Med Assoc. 1997 Nov;87(11):512-9. doi: 10.7547/87507315-87-11-512.
The investigators present an analysis of baseline quality-of-life and patient-management approaches from an observational study of 150 patients being treated by podiatric physicians and dermatologists for onychomycosis. The majority (73%) made the initial office visit specifically because of their onychomycosis. Both men and women indicated that they had substantial physical discomfort as well as concerns related to appearance. Women reported significantly more problems than did men as a result of their onychomycosis. Physicians reported that 54% of patients suffered from toenail discomfort, 36% had pain while walking, 40% reported that their condition limited wearing of shoes, and 67% were embarrassed by the condition. The results of this study suggest that the treatment approach of podiatric physicians is more likely to address the palliative concerns of patients with onychomycosis, while the approach of dermatologists is more likely to attempt a definitive cure.
研究人员对150名接受足病医生和皮肤科医生治疗甲癣的患者进行了一项观察性研究，分析了其基线生活质量和患者管理方法。大多数患者（73%）首次到诊所就诊明确是因为甲癣。男性和女性均表示他们有明显的身体不适以及对外表的担忧。女性因甲癣报告的问题明显多于男性。医生报告称，54%的患者有脚趾甲不适，36%的患者走路时疼痛，40%的患者表示病情限制了鞋子的穿着，67%的患者因病情而感到尴尬。这项研究的结果表明，足病医生的治疗方法更有可能解决甲癣患者的姑息治疗问题，而皮肤科医生的方法更有可能尝试彻底治愈。
