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目的 了解兰州地区浅部真菌病发病情况及病原菌菌种分布特点。方法 对临床拟诊为浅部真菌病的患者 14 43例 ,取标本行 10 %KOH涂片镜检、分离培养及菌种鉴定。登记镜检阳性患者的相关临床资料 ,分析浅部真菌病的发病特点。结果 真菌镜检阳性 5 94例 (4 1.2 % ) ,主要为足癣 2 3 0例 (3 8.7% )、甲真菌病 165例 (2 7.8% )、手癣 80例(13 .5 % ) ;分离菌株 2 2 1株 ,其中红色毛癣菌 97株 (4 3 .9% )、须癣毛癣菌 65株 (2 9.4% )、念珠菌 3 1株 (14 .0 % ) ,其他菌种2 8株 (12 .7% )。结论 兰州地区浅部真菌病中足癣最常见 ;致病菌以红色毛癣菌占首位 ,须癣毛癣菌位于第二 ,念珠菌居第三。
Objective To understand the incidence of superficial fungal diseases and the distribution of pathogenic bacteria in Lanzhou area. Methods A total of 1443 cases of patients with superficial mycosis were enrolled in this study. The specimens were examined with 10% KOH smear, isolation, culture and identification of strains. Registration of patients with positive clinical examination, analysis of the incidence of superficial fungal disease characteristics. Results Fungal examination was positive in 5 94 cases (4 1.2%), mainly 230 cases (37.7%) of athlete ’s foot, 165 cases (29.8%) of onychomycosis and 80 cases (19.5%) of ringworm. Among them, 21 strains were isolated, of which 97 (4.3%) were Trichophyton rubrum, 65 (24.4%) Trichophyton mentagrophytes, 31 (30.0%) Candida, 2 8 strains (12.7%). Conclusion Tinea pedis is the most common fungal disease in Lanzhou area. Trichophyton rubrum is the most common pathogen, Trichophyton mentagrophytes is second and Candida is the third.