目的 探讨维持性血液透析患者并发带状疱疹的诊治方法.方法 回顾性分析47例维持性血液透析患者并发水痘-带状疱疹病毒感染患者的临床资料,所有患者除继续行维持性血液透析治疗外,均使用更昔洛韦注射液、外用重组人干扰素ɑ-1b乳膏、维生素B1、甲钴胺注射液、抗生素防止合并细菌感染、中药口服、止痛等综合治疗.结果 痊愈28例,显效15例,有效1例,无效3例,总有效率为91.49%(43/47).治疗过程中未见明显的不良反应.结论 维持性血液透析患者并发带状疱疹临床上并不少见,诊断也不困难,治疗上合理用药非常重要,需综合治疗方可取得良好疗效.%Objective To evaluate the diagnose method of patients with maintenance hemodialysis complicating herpes zoster. Methods The clinical data of 47 cases with maintenance hemodialysis complicating varicella-zoster virus infection. Were retrospectivey analyzed in addition to the hemodialysis treatment,all patients were given the ganciclovir,topical recombinant human interferon a-lb cream,vitamin Bl ,methylcobal-amin, antibiotics to prevent bacterial infection, oral medicine, comprehensive treatment of pain. Results Recovery 28 cases,excellence 15cases,affective 1 case,ineffective 3 cases. The total effective rate was91.49% ( 43/47 ). There was no adverse effect during treatment. Conclusion The patients with maintenance hemodialysis complicating herpes zoster was common in clinic,the diagnosis was not difficult,rational drug treatment was very important,comprehensive treatment can achieve good results.
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