中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (8): 719-722.doi: 10.35541/cjd.20201097

• 调查报告 • 上一篇    下一篇

COVID-19流行期间武汉某医院皮肤科门诊患者流行病学特点及疾病谱分析

胡枫1    陈柳青1    王巍2    郑芳2   

  1. 1武汉市第一医院皮肤科  430022；2武汉市第一医院信息中心  430022
  • 收稿日期:2020-11-16 修回日期:2021-06-04 发布日期:2021-08-02
  • 通讯作者: 陈柳青 E-mail:chlq35@126.com
  • 基金资助:
    国家自然科学基金（81974474）

Epidemiological characteristics and disease spectrum analysis of outpatients in the dermatology department of a hospital in Wuhan during the COVID-19 epidemic

Hu Feng1, Chen Liuqing1, Wang Wei2, Zheng Fang2   

  1. 1Department of Dermatology, Wuhan No.1 Hospital, Wuhan 430022, China; 2Information Center, Wuhan No.1 Hospital, Wuhan 430022, China
  • Received:2020-11-16 Revised:2021-06-04 Published:2021-08-02
  • Contact: Chen Liuqing E-mail:chlq35@126.com
  • Supported by:
    National Natural Science Foundation of China（81974474）

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摘要： 【摘要】 目的 了解COVID-19流行期间皮肤科门诊患者流行病学特点及疾病谱。方法 回顾性比较COVID-19流行期间（2020年1月23日至2020年4月15日）及2019年同期武汉市第一医院皮肤科门诊人次、性别、年龄以及病种等。计数资料采用Pearson χ2检验统计分析。结果 COVID-19流行期间，本院皮肤科门诊量大幅下降，日均门诊量（236人次/d）仅为2019年同期（2 678人次/d）的8.81%；男女患者比值由2019年的1∶1.37逆转为2020年的1.16∶1；0 ~ 6岁、7 ~ 12岁、13 ~ 17岁、18 ~ 45岁患者比例较2019年下降（均P＜0.001），46 ~ 69岁及＞69岁患者比例上升（均P＜0.001）。COVID-19疫情期间皮肤科门诊病种171种，较2019年同期（442种）减少；变态反应性皮肤病、红斑丘疹鳞屑性皮肤病、病毒感染性皮肤病及细菌感染性皮肤病患者就诊人次占比较2019年同期增多（均P＜0.001），皮脂腺及汗腺疾病、色素性皮肤病及物理性皮肤病患者占比减少（均P＜0.001）。结论 与2019年同期相比，COVID-19流行期间皮肤科门诊患者数量、性别比、年龄分布、病种等均出现较大变化，本研究为皮肤科医务人员今后应对各种疫情流行、自然灾害提供了参考数据。

关键词: 皮肤疾病, 肺炎, 病毒性, 冠状病毒属, 流行病学研究, 武汉, 新型冠状病毒肺炎

Abstract: 【Abstract】 Objective To investigate epidemiological characteristics of outpatients and disease spectrum in the dermatology department during the COVID-19 epidemic Methods A retrospective comparison of outpatient visits, gender, age and disease types in the dermatology department of Wuhan No.1 Hospital was performed between COVID-19 epidemic period （from 23th January 2020 to 15th April 2020） and the same period in 2019. Enumeration data were analyzed by Pearson′s chi-square test. Results During the COVID-19 epidemic, the number of outpatient visits to the dermatology department of the hospital decreased markedly, and the average daily number of outpatient visits （236 visits/day） was only 8.81% of that during the same period in 2019 （2 678 visits/day）; the ratio of male to female patients was reversed from 1∶1.37 in 2019 to 1.16∶1 in 2020; the proportions of patients aged 0 - 6, 7 - 12, 13 - 17 and 18 - 45 years significantly decreased compared with those in 2019 （all P < 0.001）, and the proportions of patients aged 46 - 69 and > 69 years significantly increased （both P < 0.001）. During the COVID-19 epidemic, there were 171 types of skin diseases in the dermatology outpatient department, and the number of disease categories decreased compared with that during the same period in 2019 （442 types）; the number of patient visits for allergic skin diseases, erythematous papulosquamous skin diseases, viral infectious skin diseases and bacterial infectious skin diseases significantly increased compared with that during the same period in 2019 （all P < 0.001）, while the number of patient visits for sebaceous and sweat gland disorders, pigmented skin diseases and physical skin diseases significantly decreased （all P < 0.001）. Conclusion Compared with the same period in 2019, the number of outpatient visits, patient sex ratio, age distribution and disease types in the dermatology department have undergone marked changes during the COVID-19 epidemic, and this study provides a reference for healthcare workers in dermatology department to respond to various epidemics and natural disasters in the future.

Key words: Skin diseases, Pneumonia, viral, Coronavirus, Epidemiologic studies, Wuhan, COVID-19