银屑病:发病率现状和组织措施

V. Kravchenko, Ya.A. Emchenko, A. Kravchenko, A. Dashchuk
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摘要

目的-对世界和乌克兰的牛皮癣发病率进行流行病学分析,确定其永久传播的原因,并概述皮肤性病学领域的主要任务,以改善我国的情况。材料和方法。为了进行比较分析,我们使用了流行病学研究和我们自己长期皮肤科实践的现有数据。结果和讨论。在经济发达国家,银屑病的高患病率可以被认为是现有组织卫生保健系统和高水平医疗保健的反映。关于乌克兰某些地区牛皮癣发病率的分析数据表明,即使在这些地区没有严格的疾病登记的情况下,这种皮肤病的发病率也很高。银屑病的治疗,特别是其复杂形式,目前伴随着重大困难,并没有提供长期缓解。因此,这类患者的治疗必须在专门的皮肤性病机构进行,这些机构应集中必要的人力物力和专用医疗设备。结论。为了采取有效措施防治银屑病及其后果,市属和私有财产皮肤科单位应当建立发病情况的核算和报告制度。联盟主席团应制定明确的措施计划,尽早发现、治疗和预防皮肤病的并发症,并根据国内外最新的科学成果,制定各种临床类型和形式的银屑病患者的治疗算法和方案。只有在乌克兰国家卫生局和乌克兰卫生部的领导下,皮肤科医生协会和医学界的很大一部分人(儿科医生、心脏病专家、内分泌专家、免疫学家)共同努力,才能战胜这种疾病,因为牛皮癣的流行病学和治疗方面不纯粹是皮肤病问题。
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Psorias: current status of incidence and organizational measures
Objective — to conduct an epidemiological analysis of the incidence of psoriasis in the world and in Ukraine and to determine the reasons for its permanent spread, as well as to outline the main tasks of the dermatovenerological field to improve the situation in our country. Materials and methods. In order to conduct a comparative analysis, available data from epidemiological studies and our own long-term dermatological practice were used. Results and discussion. Quite high prevalence rates of psoriasis in economically developed countries can be considered as a reflection of the existing organizational health care system and high level of medical care. Analytical data on the incidence of psoriasis in certain regions of Ukraine indicate a significant prevalence of this dermatosis, even in the absence of strict registration of diseases in the regions. The therapy of psoriatic disease, especially its complicated forms, is currently accompanied by significant difficulties and does not provide long-term remission. Therefore, the treatment of such patients must be carried out in specialized dermatovenerological institutions, in which the necessary personnel and material resources and special medical equipment should be concentrated. Conclusions. In order to carry out effective measures in the fight against psoriatic disease and its consequences, dermatological units of municipal and private property should establish accounting and reporting on the morbidity. The presidium of the UALDVK should create a clear plan of measures for the earliest possible detection, treatment and prevention of complications of dermatosis, as well as, develop algorithms and protocols for the treatment of patients with various clinical types and forms of psoriasis on the basis of the latest national and international scientific achievements. Only the joint efforts of the association of dermatologists and a significant part of the medical community (pediatricians, cardiologists, endocrinologists, immunologists) under the leadership of the National Health Service of Ukraine and the Ministry of Health of Ukraine can defeat this disease, since the epidemiological and therapeutic aspects of psoriasis are not purely dermatological problems.
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