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目的分析带状疱疹后脑卒中患者的临床表现,提高对带状疱疹后脑卒中临床特征的认识。方法回顾性分析1 663例带状疱疹患者中发生带状疱疹后脑卒中的21例患者的临床特点,包括发病率、性别、年龄、疱疹部位、脑卒中类型、与带状疱疹发生的时间关系、临床表现、影像学检查以及其他脑卒中高危因素等资料。结果1 663例住院带状疱疹患者中发生21例(1.3%)带状疱疹后脑卒中。其中男11例,女10例,年龄59~88(73.90±8.39)岁。头面部发病率为2.08%(9/432),非头面部发病率为0.97%(12/1231)。其中缺血性脑卒中15例,短暂性脑缺血发作4例,出血性脑卒中2例。脑卒中发生于带状疱疹后2~50(11.95±10.89)d。结论中老年带状疱疹发病后1个月需注意脑卒中的筛查。其中头面部带状疱疹更易引起脑卒中,以缺血性脑卒中常见。
Objective To analyze the clinical manifestations of patients with post-herpetic stroke and to improve their understanding of the clinical features of stroke after shingles. Methods The clinical features of 21 patients with post-herpetic stroke in 1 663 patients with herpes zoster were analyzed retrospectively, including incidence, gender, age, herpes site, stroke type, time to shingles, Clinical manifestations, imaging studies and other risk factors for stroke and other information. Results Twenty-one (1.3%) post-herpetic strokes occurred in 1 663 hospitalized shingles. Including 11 males and 10 females, aged 59 to 88 (73.90 ± 8.39) years of age. The incidence of head and face was 2.08% (9/432) and that of non-head and face was 0.97% (12/1231). Including ischemic stroke in 15 cases, 4 cases of transient ischemic attack, hemorrhagic stroke in 2 cases. Stroke occurred after shingles 2-50 (11.95 ± 10.89) d. Conclusion Middle-aged and elderly herpes zoster should pay attention to the screening of stroke one month after onset. One head and face shingles more likely to cause stroke to ischemic stroke common.