83例带状疱疹临床分析

Clinical Analysis of 83 Cases with Herpes Zoster

目的:分析门诊带状疱疹患者的临床特点。方法:回顾性分析83例带状疱疹患者人口学资料,临床表现及体格检查。结果:83例患者中男40例,女43例,发病年龄13～87岁,平均发病年龄48.82岁;病程1天～8周,平均为14.29天;少年发病占3.61%,青年发病占26.51%;中年发病占37.35%;老年发病占32.53%。临床特征为单侧发生的红斑、水泡伴疼痛;三叉神经受累8例,占9.64%,脊神经受累75例,占90.36%,其中颈段受累10例,胸段受累32例,腰段受累24例,骶段受累9例。结论:带状疱疹的诊断主要依靠临床表现,好发于中老年人,最常累及为脊神经胸段和腰段。

Objective： To investigate the clinical character of outpatients with herpes zoster. Methods ： Eighty - three eases of outpatients with herpes zester were analyzed by a retrospective way. Their demographic information, physical exmamination, and clinical manifestations were analyzed. Results ： Among 83 patients, there were 40 male and 43 female in these patients, ranging in age from 13 to 87 years with an average age at onset of 48.82 years. The disease duration varied from 1 week to 8 weeks with an average disease duration of 14. 29 days. Juvenile onset, maturity onset, middle age onset and elderly onset were 3.61%, 26. 51%, 37.35% and 32.53%, respectively. The clinical manifestations presented with plaques of erythema, blisters with pain unilaterally within the distribution of trigeminus （8 eases）, spinal nerve （75 eases）, neck （10 cases）, chest （32 eases）, waist （24 cases）, sacrum （9 cases） . Conclusion： The diagnosis of herpes zester are mainly relied on the clinical manifestations. The elderly people are prone to infeet herpes zoster and often involved spinal nerve and sacrum.