北京地区大学生不同等级痤疮症状及影响因素分析

The Analysis of the Different Brackets of the Acne Symptom of the Undergraduates in Beijing and the Influencing Factors of the Acne

摘要: 目的：了解北京大学生面部不同等级痤疮的基本状况、影响因素，探讨可能导致痤疮加重的诱因。方法：采用自行设计的调查问卷，并利用SPSS19.0软件进行统计分析。结果：共调查238例北京地区大学生痤疮患者。轻(I级)、中(II级)、中(III级)、重(IV级)痤疮患者分别占48.32%、26.89%、16.39%、8.4%，产生瘙痒疼痛感的比例依次为16%、22%、23%、60%。在P ≤ 0.05的前提下，OR表示各影响因素和痤疮等级加重的关联强度指标，其中，I级加重为II级时，生理不规律(女生)、遗传、光敏皮肤等OR值大于1；II级加重为III级时，压力、疲劳、情绪不稳定等OR值大于1；III级加重为IV级时，生理不规律(女生)、遗传等OR值大于1。患者中使用祛痤疮化妆品和医用方法的改善率分别为33.7%和41.9%。结论：痤疮越严重，对患者造成的不良影响越严重；I级加重为II级诱因较多而分散；压力大、情绪低落可能导致痤疮加重为III级，受遗传因素和生理不规律等因素影响较深，则极有可能进一步发展为IV级；统计发现，目前患者的痤疮改善效果并不理想。

Abstract: Objective: Knowing the basic situation and the influencing factors of the different brackets of fa-cial acne of undergraduates in Beijing and probing into the possible inducements that make acne more serious. Methods: Using the questionnaires that were made by the assessment team, and taking advantages of the SPSS19.0 to do the analysis. Results: The total number of undergraduate acne patients in Beijing is 238. I, II, III, IV grades are 48.32%, 26.89%, 16.39% and 8.4%, respectively. The percentages of the hurt and pruritus feeling are 16%, 22%, 23% and 60%. Under the premise that P ≤ 0.05, OR means the every influencing factor and the correlation intension index of the acne’ different brackets. When level I turns into level II, OR of the indiscipline of the period (the female), inheritance, photosensitive skin, loving the spicy food, being anxious and so on is greater than 1. When level II turns into level III, the OR of the pressure, tired and the instability of the emotion is greater than 1. When level III turns into level IV, the OR of the indiscipline of the period (the female) and inheritance is greater than 1. The acne improvement rates of the patients who use cosmetics and take medicine are 33.7% and 41.9%. Conclusion: The more serious the acne is, the worse effect of the patients is. When level I turns into level II, the inducement is more and disperse. Too much pressure or feeling down may lead to level III. When the influence of the inheritance and the indiscipline is obvious, it is very likely to turn into level IV. The statistics shows that, at present, the improving effect of the acne is unsatisfactory.