播散性带状疱疹76例临床分析  

Clinical analysis of 76 cases of disseminated herpes zoster

作　　者：刘蔚[1] 胡白[1] 赵政龙[1] 张思平[1] 蒋法兴[1] 刘琼[1] 

机构地区：[1]安徽医科大学附属安徽省立医院皮肤科 ,合肥230001

出　　处：《中华皮肤科杂志》2014年第1期38-41,共4页Chinese Journal of Dermatology

摘　　要：目的探讨播散性带状疱疹患者临床特点以及影响预后的危险因素。方法2005--2012年，76例播散性带状疱疹住院患者进行回顾性分析，对数据进行统计学分析和比较。结果发病前3位的年龄是70—79岁、30—39岁、60～69岁。59．21％患者出现并发症，44．74％患者出现后遗神经痛。回归分析显示：年龄、细胞免疫功能降低与是否出现并发症显著相关；年龄、细胞免疫功能降低、有无基础病与是否出现带状疱疹后遗神经痛显著相关。结论播散性带状疱疹并发症发生率高，细胞免疫功能降低可能是影响预后的因素之一。Objective To analyze the clinical feature and prognostic predictors of disseminated herpes zoster. Methods A retrospective study was carried out on 76 patients with disseminated herpes zoster collected from 2005 to 2012 in the Department of Dermatology, Anhui Provincial Hospital. Statistical analysis and comparisons were done. Results The incidence rate of disseminated herpes zoster was highest in the three age groups： 70 - 79 years, 30 - 39 years, and 60 - 69 years. Of these patients, 59.21% suffered from complications, and 44.74% from postherpetie neuralgia. Logistic regression analysis showed that the occurrence of complications was significantly associated with age and impaired cellular immune function, and the incidence of posthcrpetic neuralgia with age, impaired cellular immune function and presence of underlying diseases. Conclusions There is a high incidence of complications in patients with disseminated herpes zoster, and impaired cellular immune function may be an important factor affecting its prognosis.

关 键 词：带状疱疹 回归分析 危险因素 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]