摘要
目的调查分析影响痤疮发病的相关因素,为痤疮的预防和治疗提供理论依据。方法分别对来我院门诊就诊的323例痤疮病人及259例无痤疮的健康人进行饮食、生活习惯、生理特征等的问卷调查,采用单因素分析和多因素Logistic回归分析筛选痤疮发病相关影响因素。结果进食纯牛奶(95%CI=1.005~1.246,P<0.05)、甜食(95%CI=1.008~1.285,P<0.05)、辛辣食品(95%CI=1.228~1.576,P<0.05)频率高以及有痤疮遗传家族史(95%CI=2.738~5.524,P<0.05)、压力大(95%CI=1.164~1.457,P<0.05)是痤疮发生的危险因素,睡眠充足(95%CI=0.547~0.938,P<0.05)是痤疮发生的保护因素。具有痤疮家族史者上述因素的影响更明显,且排便障碍(95%CI=1.424~1.758,P<0.05)、出汗(95%CI=1.219~1.687,P<0.05)、化妆(95%CI=1.423~1.989,P<0.05)是痤疮发病额外的危险因素。结论痤疮的发生与多种因素有关,健康合理的饮食及生活习惯是防止痤疮发生发展的重要措施,特别是对有痤疮家族史者需更加注意。
Objective To survey the influencing factors related to the incidence of acne and to provide a theoretical basis for the prevention and treatment of acne. Methods A questionnaire on diet,lifestyle,and physiological characteristics was administered to 323 patients with acne and 259 healthy subjects without acne who attended the Outpatient Department of our hospital;univariate and multivariate logistic regression analyses were used to screen out the influencing factors related to the incidence of acne. Results Frequent ingestion of pure milk,sweet food,and spicy food,family history of acne,and excessive stress were risk factors for acne(95%confidence interval(CI)=1.005-1.246,1.008-1.285,1.228-1.576,2.738-5.524,and 1.164-1.457,respectively,all P<0.05);sufficient sleep was a protective factor for acne(95% CI=0.547-0.938,P<0.05).Patients with a family history of acne were more susceptible to the above factors.In addition,constipation,sweating,and applying cosmetics were extra risk factors for acne(95% CI=1.424-1.758,1.219-1.687,and 1.423-1.989,respectively,all P<0.05). Conclusion The incidence of acne is related to a variety of external factors.Developing a healthy eating habit and lifestyle is an important way to prevent the development and progression of acne,especially for those with a family history of acne.
引文
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