临床经验

兰州地区浅部真菌病及病原菌种类分析

牛桃香1,骆志成1,石磊2,武三卯1,李文竹1,周晓黎1,薛晓云1

 

摘 要] 目的 了解兰州地区浅部真菌病发病情况及病原菌菌种分布特点。
方法 对临床拟诊为浅部真菌病的患者1 443例,取标本行10%KOH涂片镜检、分离培养及菌种鉴定。登记镜检阳性患者的相关临床资料,分析浅部真菌病的发病特点。
结果 真菌镜检阳性594例(41.2%),主要为足癣230例(38.7%)、甲真菌病165例(27.8%)、手癣80例(13.5%);分离菌株221株,其中红色毛癣菌97株(43.9%)、须癣毛癣菌65株(29.4%)、念珠菌31株(14.0%),其他菌种28株(12.7%)。
结论 兰州地区浅部真菌病中足癣最常见;致病菌以红色毛癣菌占首位,须癣毛癣菌位于第二,念珠菌居第三。

[关键词] 浅部真菌病;病原真菌

[中图分类号] R 756
[文献标识码] B
[文章编号] 1001-7089(2004)04-0219-02


 Analysis of Superficial Mycoses and Pathogenic Fungi in Lanzhou

 NIU Tao-xiangLUO Zhi-chengSHI Lei,et al

(Department of Dermatologythe Second Affiliated Hospital of Lanzhou Medical CollegeLanzhou 730030,China)

 Abstract: Objective  To investigate the prevalence and pathogenic fungi species of superficial mycoses in Lanzhou district.
 Methods  1 443 specimens of clinically suspected patients with dermatomycoses were examined for causative fungi,the clinical materials of each patient with KOH positive were recorded and analyzed.
 Results  Among 1443 cases,594 cases were KOH positive,221 strains of pathogenic fungi were isolatedin which the most frequently isolated fungus was Trichophyton rubrum (43.9%),followed by Trichophyton mentagrophytes(29.4%) and Candida species (14.0%).Of all dermatomycoses,the frequencies of tinea pedis,onychomycosis and tinea manuum were 38.7%,27.8%,13.5 respectively.
 Conclusion  In Lanzhou district,tinea pedis is mostly seen,and Trichophyton rubrum is the most frequent pathogen of dermatomycoses,followed by Trichophyton mentagrophytes and yeasts.

 Key words  Superficial mycoses; Pathogenic fungi 

 

[作者单位] 1 兰州医学院第二附属医院皮肤科,甘肃 兰州 730030
             2
兰州医学院第二附属医院检验科,甘肃兰州 730030
[作者简介] 牛桃香(1970-),女,甘肃省人,医学硕士,住院医师,主要从事真菌病的研究。

 

 

临床经验目录

 

  通信地址:陕西省西安市西五路36号
邮政编码
:710004
收信单位:中国皮肤性病学杂志编辑部
传    真:029-87217312
E-mail:
pifucjdv@pub.xaonline.com
版权所有(C) 1999 [中国皮肤性病学杂志编辑部]保留所有权利。
修订日期: 2001年3月18日。
网址1:http://unit.xjtu.edu.cn/xjnet/xb/cjdv/
网址2:httP://www.2yuan.org/cjdv