246名女性皮肤老化特征及相关因素的调查分析

中华皮肤科杂志 ›› 2011, Vol. 44 ›› Issue (2): 94-98.

246名女性皮肤老化特征及相关因素的调查分析

张洁尘¹,陈祥生²,冯素英¹,袁柳凤¹,侯伟¹

1. 南京中国医学科学院北京协和医学院皮肤病研究所
2. 医科院皮研所

收稿日期:2010-05-12 修回日期:2010-09-28 出版日期:2011-02-15 发布日期:2011-02-10
通讯作者: 侯伟 E-mail:houwei1964@hotmail.com

Characteristics and associated factors of skin aging: a survey of 246 females

², YUAN LiuFeng²,

Received:2010-05-12 Revised:2010-09-28 Online:2011-02-15 Published:2011-02-10

摘要/Abstract

摘要：

目的探讨女性面部皱纹的发生情况及相关影响因素。方法采用问卷表调查的方法，将研究对象根据工种及日均日晒时间分为室内组和室外组，使用图像分析仪SIA0612标准化拍照，结合Visioscan VC98定量测量皱纹的结果，将研究对象面部皱纹分0 ~ 9级分析。利用SPSS 17.0分析防晒情况、护肤美容、皱纹发生时间、发生部位等并对皱纹产生可能相关因素进行室内外组对比分析。结果 246名19 ~ 71岁女性，回顾各不同年龄阶段使用防晒措施的比例是：6 ~ 11岁年龄段为11%；12 ~ 18岁为13.5%；19 ~ 29岁为38.5%；30 ~ 39岁为39.2%；40 ~ 59岁为44%；60 ~ 75岁为0。在近5年阶段的为最多达44.1%。出现皱纹与色素斑时间及情况比较：目前无皱纹的占5.7%，目前无色素斑的占21.7%。发现皱纹时间以30 ~ 35岁为最多，发现色素斑时间以25 ~ 30岁为最多。室内组人群面部皱纹发生的顺序由多到少依次是眶下、外眦、鼻唇沟区域、眉间；室外组皱纹最多出现的依次顺序依次是：外眦、眶下、眉间、鼻唇沟。室内人群皱纹最常发生于鱼尾纹，至少在45岁达100%。而室外人群的皱纹发生普遍早，鱼尾纹至少在30岁就达100%。结论皱纹和色素斑均为中国女性皮肤老化的主要表现。色素斑出现时间略早于皱纹。女性皮肤光老化的主要表现依次为肤色灰黄、皮肤干燥、粗糙、皮革样外观、显著的红血丝和（或）严重的色素斑、脆性增加等。室内组女性皱纹出现次序和时间都有别于室外组。

关键词: 【关键词】皱纹，分级，防晒，光老化

Abstract:

Objective To estimate the prevalence and associated factors of facial wrinkling in females. Methods Questionnaires were designed and delivered to collect related data on volunteers. The subjects were divided into outdoor and indoor groups. Wrinkles were classified into 9 grades based on photos taken by SIA0612 image analyzer and quantification analysis via Visioscan VC 98. SPSS 17.0 software was used to assess the associated factors of wrinkling, including sun-protective measures, skin care and cosmetology, onset age and location of wrinkles in these subjects. Results A total of 246 patients aged 19 - 71 years were recruited in this study. Sun-protective measures were applied in 13.5% of the subjects between 12 and 18 years of age, 38.5% of those between 19 and 29 years of age, 39.2% of those between 30 and 39 years of age, 44% of those between 40 and 59 years of age, and in none of those between 60 and 75 years of age, 44.1% of all the subjects in the latest 5 years. Wrinkles were absent in 5.7% of the subjects, and pigmentation macules absent in 21.7%. The first development of wrinkles was mainly observed in subjects aged 30 to 35 years, and that of pigmentation macules in those aged 25 to 30 years. The most common locations of facial wrinkles, in order of decreasing frequency, were infraorbital area, lateral angle of eye, nasolabial fold, glabella in the indoor group, lateral angle of eye, infraorbital area, glabella and nasolabial fold in the outdoor group. Fishtail lines seemed to be the commonest wrinkles with an earliest onset among these wrinkles, and showed a prevalence of 100% in subjects aged 45 years or older in the indoor group, and in those aged 30 years or older in the outdoor group. Conclusions Wrinkles and pigmentation macules are dominate manifestations of skin aging in Chinese females. The onset of pigmentation macules is earlier than that of wrinkles. The main manifestations of skin aging in Chinese females, in order of decreasing frequency, are yellow-grey skin, skin dryness, roughness, leather-like appearance, teleangiectasia, and (or) severe pigmentation macules, increase in skin fragility, etc. The order and age of wrinkle appearance are different between indoor and outdoor females.

Key words: [key word] wrinkle, wrinkle scale, sun-protect, photoaging

张洁尘陈祥生冯素英袁柳凤侯伟. 246名女性皮肤老化特征及相关因素的调查分析[J]. 中华皮肤科杂志, 2011, 44(2): 94-98.

YUAN LiuFeng. Characteristics and associated factors of skin aging: a survey of 246 females[J]. Chinese Journal of Dermatology, 2011, 44(2): 94-98.

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