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目的探讨糖尿病并发带状疱疹的临床特点。方法采用回顾性病例对照研究,比较糖尿病并发带状疱疹43例和非糖尿病性带状疱疹60例的临床表现及治疗反应。结果在疱疹面积、出疹部位和继发细菌感染方面两组无显著差异,在前驱症状、出疹时间、疱疹后神经痛和治疗反应方面两组有显著差异。结论糖尿病并发带状疱疹以老年人多见,前驱症状较轻,出疹时间较早,疱疹后神经痛较重,对治疗的反应较差。
Objective To investigate the clinical features of diabetic complicated herpes zoster. Methods A retrospective case-control study was conducted to compare the clinical manifestation and treatment response of 43 cases of diabetic complicated herpes zoster and 60 cases of non-diabetic herpes zoster. Results There were no significant differences in herpes area, rash site, and secondary bacterial infection between the two groups, with significant differences in prodromal symptoms, rash times, postherpetic neuralgia, and treatment response. Conclusions Diabetes complicated with shingles is more common in the elderly, less prodromal symptoms, earlier rash times, heavier post-herpetic neuralgia, and poor response to treatment.