成人带状疱疹住院患者临床特点分析

Clinical Features of Herpes Zoster Cases in Hospitalized Adults

目的探究带状疱疹患者的年龄、性别、发病部位、发病时皮疹及疼痛的临床特点及治疗情况。方法回顾性分析带状疱疹住院患者246例的临床资料。结果带状疱疹住院患者中以50~70岁者居多,初发年龄是(61.3±13.1)岁,女性患者较男性略高;41.1%的患者发生于头颈部,发生于头面部的患者中30.7%发生结膜炎;皮损分型79%为经典型,疼痛以中重度疼痛为主,疼痛程度在男女及部位之间差异无统计学意义,而50岁以上患者较年轻患者更易发生中重度疼痛。78%患者应用了中西医结合的治疗方法。结论带状疱疹在中老年人中住院率较高;患者的发病年龄、性别、部位、皮疹表现、疼痛状况、平均住院日等基本上与国外报道的基本一致;发生于头面部的患者住院率高,结膜炎是常见的并发症。

Objective In order to describe the clinical characteristics of herpes zoster in hospitalized adults by age, sex,location, and to investigate the features of lesions, associated neuralgia and treatment. Methods Clinical data of 246 herpes zoster patients in department of dermatology were analyzed retrospectively. Results The mean onset age of the herpes zoster among adults was（ 61.3±13.1） years, mostly occurring in those 50 to 70 years old and with a slightly high numbers of women.The parts of head and neck involved 41.1% people, with approximately 30.7 % of which was conjunctivitis. The type of lesions was mostly classic and the degree of pain was mostly moderate to severe. The degree of pain showed obvious difference on age and without significant differences on gender and location. 78% patients was treated with the combination of traditional Chinese and western medicine. Conclusion The majority of herpes zoster patients are middle-aged and elderly people. The clinical features of age, sex, rash, pain, and average days of herpes zoster in hospitalized adults are basically consistent with that of foreign reports. Patients with lesions on the head and face have a high rate of hospitalization, and conjunctivitis is the mostly common complication.