老年人带状疱疹的临床特点

目的探讨老年人带状疱疹（ＨＺ）的临床特点。方法回顾性分析３９例老年人ＨＺ患者的临床资料。结果全数病例经痛程度剧烈，先神经痛后有疱疹３４例（８９．９％），多颅神经损害多见，尤以三叉神经受损最多（５８．５％），后遗神经痛２４例（５６％），反复发病４例，并发缺血性脑卒中２例，特殊型疱疹１５例（３８．５％），误诊２２例（５１．３％）。结论应提高对老年人ＨＺ的认识，有助于ＨＺ的早期诊治，改善预后。

The clinical characteristics of herpes zoster in the elderly

Objective To investigate the clinical characteristics of herpes zoster in the elderly.Methods The clinical materials in 39 patients with herpes zoster in elderly were analyzed retrospectively.Results The neuralgia in all patients was severe.The neuralgia was presented before rash in 34 patients (84.9%).In most patients,the mutiple cranial nerve was affected and a majority of them (58.5%) located trigeminals nerve. The left neuralgia after crust dropped was presented in 24 patients (56%). The relapse was observed in 4 patients and 2 patients were association with ischemic cerebral stroke. The special type of rash was observed in 15 patients (38.5%). 22 patients (51.3%) were misdiagnosed.Conclusion To understand the clinical characteristics of herpes zoster in the elderly is helpful to early diagnosis and treatment as well as benefit to its prognosis.