不同亚型玫瑰痤疮毛囊蠕形螨感染情况及危险因素分析
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杨曦(1991.3-),女,陕西宝鸡人,本科,主治医师,主要从事皮肤美容方面工作

通讯作者:

冯义国(1970.7-),男,陕西白水县人,博士,副研究员,主要从事遗传性皮肤病方面研究

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R758.73+4

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Analysis of Demodex Folliculorum Infection and Risk Factors in Different Subtypes of Rosacea
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    摘要:

    目的 分析不同亚型玫瑰痤疮毛囊蠕形螨(Df)感染情况及危险因素。方法 选取2023年6月-2025年6月于西安交通大学第二附属医院皮肤科确诊的130例玫瑰痤疮患者为研究对象,其中,红斑毛细血管扩张型(ETR)57例、丘疹脓疱型(PPR)53例、肥大增生型(PHR)20例,统计不同亚型玫瑰痤疮患者的Df感染情况,根据Df镜检结果分为Df阳性组与Df阴性组,通过单因素及多因素Logistic回归分析Df感染的独立危险因素。结果 130例玫瑰痤疮患者的Df阳性率为64.62%,其中,PPR型患者Df阳性率高于其他亚型(P<0.05);Df阳性组与Df阴性组年龄、病程、面部皮肤肤质、睡眠质量比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,PPR亚型、年龄>31岁、病程>3年及油性皮肤是导致玫瑰痤疮患者Df感染的独立危险因素(P<0.05)。结论 Df感染与玫瑰痤疮的发生发展密切相关,各亚型间Df感染情况分布不同,PPR型玫瑰痤疮患Df阳性率较高;临床针对PPR亚型、年龄>31岁、病程>3年及油性皮肤此类高风险人群应重视Df感染的筛查与早期干预,可能有助于提高治疗效果、改善预后。

    Abstract:

    Objective To analyze the infection status of Demodex folliculorum (Df) and its risk factors in different subtypes of rosacea. Methods A total of 130 patients with rosacea diagnosed in the Department of Dermatology, the Second Afffliated Hospital of Xi'an Jiaotong University from June 2023 to June 2025 were selected as the research subjects, including 57 patients with erythematotelangiectatic rosacea (ETR), 53 patients with papulopustular rosacea (PPR), and 20 patients with phymatous rosacea (PHR). The Df infection status in patients with different subtypes of rosacea was statistically analyzed. According to the results of Df microscopic examination, the patients were divided into Df-positive group and Df-negative group. Univariate and multivariate Logistic analyses were performed to identify the independent risk factors for Df infection. Results The Df positive rate of 130 patients with rosacea was 64.62%, among which the Df positive rate of PPR patients was higher than that of other subtypes (P<0.05). There were statistically signiffcant differences in age, disease duration, facial skin type and sleep quality between Df-positive group and Df-negative group (P<0.05). Logistic regression analysis showed that PPR subtype, age >31 years, disease duration >3 years and oily skin were independent risk factors for Df infection in patients with rosacea (P<0.05). Conclusion Df infection is closely related to the occurrence and development of rosacea, and the distribution of Df infection varies among different subtypes, with a higher Df positive rate in PPR rosacea. In clinical practice, early screening and intervention for Df infection should be emphasized in high-risk populations, including patients with the PPR subtype, age >31 years, disease duration >3 years, and those with oily skin, which may help improve the therapeutic effect and prognosis.

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杨 曦 ,冯义国.不同亚型玫瑰痤疮毛囊蠕形螨感染情况及危险因素分析[J].医学美学美容,2026,35(9):41-45.

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  • 在线发布日期: 2026-06-11
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