摘要
目的探讨老年人带状疱疹的临床特点和综合治疗的疗效。方法回顾性分析了我院70例老年带状疱疹的临床特征和治疗情况。结果本组中位年龄73.5岁,59例合并基础性疾病,21例发病前有明确诱因,2例并发缺血性脑卒中。53例为单一神经受损,17例为2条或以上神经受损。83.9%(45/56)血清IgG、IgM和IgA增高及C3降低。52例于首诊时明确诊断,18例首诊时误诊。经有效正规抗病毒、镇痛、短期应用糖皮质激素,同时积极治疗原有基础病,61例完全缓解,另9例后遗神经痛。结论老年人带状疱疹相对病情重、多合并基础性疾病和易误诊。早期确诊后及时规范治疗可减轻症状,缩短病程和减少后遗症。
Objective To investigate the clinical characteristics and the comprehensive therapeutic effect of herpes zoster in the elderly, Methods The hospitalization data of 70 cases with herpes zoster were analyzed retrospectively. Results The middle age was 73.5 years. 59 cases were with underlying diseases, 21 cases were with definite incentive before the onset of herpes zoster. 2 cases complicated with cerebral arterial thrombosis. 53 cases were lesion of one strip of nerve and 17 cases were lesion of more than 2 strips. 45 cases were with the increasing of serum IgG, IgM and IgA, and the decreasing of C3 complement. 52 cases were definitely diagnosed at first consultation, but 18 cases were misdiagnosed, After the effective treatment of antivirus, reheving pain and applying glucocorticoid in short - term ,there were 61 cases got completely remission and 9 cases had remnant neuralgia. Conclusions The pathogenetic condition is usually severe in the aged, and mostly accompanied with underlying diseases which caused misdiagnosis. Early diagnosis and normative treatment can relieve pain, shorten pathogenesis and reduce complications.
出处
《实用全科医学》
2007年第9期781-782,共2页
Applied Journal Of General Practice
关键词
老年人
带状疱疹
基础疾病
并发症
The Aged
Herpes zoster
Underlying disease
Complication
