CAJ | 학술논문

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.
목적 탐토파산성대상포진환자림상특점이급영향예후적위험인소.방법 2005-2012년,76례파산성대상포진주원환자진행회고성분석,대수거진행통계학분석화비교.결과 발병전3위적년령시70 ～ 79세、30～39세、60～ 69세.59.21％환자출현병발증,44.74％환자출현후유신경통.회귀분석현시:년령、세포면역공능강저여시부출현병발증현저상관;년령、세포면역공능강저、유무기출병여시부출현대상포진후유신경통현저상관.결론 파산성대상포진병발증발생솔고,세포면역공능강저가능시영향예후적인소지일.
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 postherpetic neuralgia.Logistic regression analysis showed that the occurrence of complications was significantly associated with age and impaired cellular immune function,and the incidence of postherpetic 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.