面部瘢痕患者瘢痕瘙痒程度调查及影响因素分析OA
Investigation of Scar Itching Degree in Patients with Facial Scars and Analysis of Influencing Factors
目的 调查面部瘢痕患者瘢痕瘙痒程度,分析其影响因素,为临床制定针对性干预策略提供依据.方法 回顾性分析2022年11月至2025年6月空军军医大学第一附属医院收治的203例面部瘢痕患者的一般资料.采用瘙痒数字评价量表评估患者瘢痕瘙痒程度,统计分析瘢痕瘙痒程度分布特征,采用单因素及多因素Logistic逐步回归分析影响面部瘢痕患者瘢痕瘙痒程度的独立危险因素.结果 203例面部瘢痕患者瘙痒数字评价量表评分为(5.22±1.41)分,其中轻度瘙痒51例(25.12%),中度瘙痒122例(60.10%),重度瘙痒30例(14.78%);根据瘢痕瘙痒程度将患者分为轻度组(51例)与中重度组(152例).单因素分析显示,中重度组女性、有吸烟史、有饮酒史、辛辣饮食、瘢痕面积≥30%以及增生性瘢痕的患者比例显著高于轻度组(P<0.05).多因素分析显示,女性(OR=1.919)、有吸烟史(OR=2.106)、有饮酒史(OR=1.385)、辛辣饮食(OR=2.776)、瘢痕面积≥30%(OR=2.399)及增生性瘢痕(OR=3.404)是影响面部瘢痕患者发生中重度瘙痒的独立危险因素(P<0.05).结论 面部瘢痕患者中重度瘙痒发生率较高,且与性别、吸烟史、饮酒史、饮食习惯、瘢痕面积及瘢痕类型等多种影响因素有关.临床可针对上述危险因素筛查高危人群,制定个体化预防与干预策略,以有效缓解瘙痒症状,提升患者生活质量.
Objective To investigate the degree of scar pruritus in patients with facial scars,analyze its influencing factors,and provide a basis for formulating targeted clinical intervention strategies.Methods A retrospective analysis was performed on the general data of 203 patients with facial scars admitted to the First Affiliated Hospital of Air Force Military Medical University from November 2022 to June 2025.The degree of scar pruritus was assessed using the pruritus numeric rating scale(NRS).The distribution characteristics of scar pruritus were statistically analyzed.Univariate and multivariate logistic stepwise regression analyses were employed to identify independent risk factors influencing the degree of scar pruritus in these patients.Results The pruritus NRS score for the 203 patients with facial scars was 5.22±1.41.Among them,51 patients(25.12%)had mild pruritus,122(60.10%)had moderate pruritus,and 30(14.78%)had severe pruritus.Based on the degree of pruritus,patients were divided into a mild group(n=51)and a moderate-to-severe group(n=152).Univariate analysis revealed that the proportions of females,patients with a history of smoking,a history of alcohol consumption,a spicy diet,scar area≥30%,and hypertrophic scars were significantly higher in the moderate-to-severe group than in the mild group(P<0.05).Multivariate analysis indicated that female gender(OR=1.919),history of smoking(OR=2.106),history of alcohol consumption(OR=1.385),spicy diet(OR=2.776),scar area≥30%(OR=2.399),and hypertrophic scars(OR=3.404)were independent risk factors for moderate-to-severe pruritus in patients with facial scars(P<0.05).Conclusion The incidence of moderate-to-severe pruritus is relatively high in patients with facial scars and is associated with multiple influencing factors including gender,history of smoking and alcohol consumption,dietary habits,scar area,and scar type.Clinically,high-risk populations can be screened based on these risk factors to develop individualized prevention and intervention strategies,thereby effectively alleviating pruritus symptoms and improving patients'quality of life.
周欣娟;王俊霞;李冰;李丽;陈慧;李娜;郭宁宁;赵涛
空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032空军军医大学第一附属医院(西京医院)皮肤科,西安 710032
面部瘢痕瘢痕瘙痒程度影响因素调查分析
facial scarscar pruritus intensityinfluencing factorsurvey and analysis
《转化医学杂志》 2026 (3)
374-378,5
国家自然科学基金项目(81703113)
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