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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宝鸡市中心医院 皮肤科

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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 以2023年6月-2025年6月于我院皮肤科确诊的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,通过单因素及多因素Logistic分析,总结玫瑰痤疮患者发生Df感染的独立危险因素。结果 本次130例玫瑰痤疮患者的Df阳性率为64.62%(84/130),其中,PPR型患者Df阳性率高于其他亚型(P<0.05)。Df阳性与Df阴性患者在年龄、病程、面部皮肤肤质、睡眠质量方面,存在统计学差异(P<0.05)。经Logistic回归分析,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 不同亚型玫瑰痤疮患者的Df感染情况存在明显差异,其亚型种类、年龄、病程及肤质均是导致患者Df感染的影响因素。

    Abstract:

    Abstract: Objective To analyze the Demodex folliculorum (Df) infection status and risk factors in different subtypes of rosacea. Methods A total of 130 patients with rosacea diagnosed in the Dermatology Department of our hospital from June 2023 to June 2025 were enrolled in the study, including 57 patients with erythematoteleangiectatic rosacea (ETR), 53 patients with papulopustular rosacea (PPR), and 20 patients with hypertrophic rosacea (PHR). The Df infection status of patients with different subtypes of rosacea was statistically analyzed. Univariate and multivariate logistic regression analyses were conducted to summarize the independent risk factors for Df infection in rosacea patients. Results The Df positivity rate among the 130 rosacea patients was 64.62% (84/130), with a higher rate in PPR patients compared to other subtypes (P<0.05). There were statistically significant differences in age, disease duration, facial skin type, and sleep quality between Df-positive and Df-negative patients (P<0.05). Logistic regression analysis revealed that PPR subtype, age >31 years, disease duration >3 years, and oily skin were independent risk factors for Df infection in rosacea patients (P<0.05). Conclusion There are significant differences in Df infection status among patients with different subtypes of rosacea, and subtype type, age, disease duration, and skin type are all influencing factors for Df infection in patients.

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  • 收稿日期:2026-04-13
  • 最后修改日期:2026-04-17
  • 录用日期:2026-04-23
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