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目的:探讨带状疱疹的基本特征和诊治过程中的相关问题,便于临床合理诊治。方法:对在皮肤科就诊的145例带状疱疹患者的临床资料进行综合分析。结果:带状疱疹好发于中老年,好发部位为胸背、腰腹部。后遗神经痛常见于中老年患者。由于带状疱疹神经痛的发生一般早于皮损出现的时间等因素,临床上初诊时容易被误诊。结论:为减少误诊,各科临床医生均应掌握带状疱疹的临床特征和疼痛特点;治疗上,对疼痛剧烈且无激素禁忌证的中老年患者早期注射得宝松可预防和减少带状疱疹后遗神经痛的发生。
Objective: To explore the basic characteristics of shingles and related problems in the diagnosis and treatment process, to facilitate clinical diagnosis and treatment. Methods: The clinical data of 145 patients with herpes zoster treated in dermatology were analyzed comprehensively. Results: Shingles occur in middle-aged and elderly, predilection sites for chest and back, waist and abdomen. Neuralgia is common in middle-aged and elderly patients. Since the occurrence of shingles neuralgia generally earlier than the time of skin lesions and other factors, the clinical diagnosis of newly diagnosed easily misdiagnosed. Conclusion: To reduce the misdiagnosis, clinicians should learn the clinical features and pain characteristics of herpes zoster. In the treatment, early injection of Treponephra in middle-aged and elderly patients with severe pain and no hormonal contraindications can prevent and reduce herpes zoster Post-neuralgia occurs.