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目的分析成人及儿童水痘的临床特点及治疗方法。方法回顾分析199例水痘患者的临床资料,其中成人157例,儿童42例,将二者进行比较。157例成人水痘中,集体生活者126例,占80.25%(学生109例、军人17例)。所有成人患者均采用了静脉滴注更昔洛韦,全部患者均用阿昔洛韦软膏局部外涂于水痘处,并辅以板蓝根颗粒、抗病毒口服液口服,55例有并发症者针对性治疗。结果 186例治愈;12例好转出院;1例因严重并发症死亡。结论成人水痘传染性强,与儿童水痘相比,出疹时间、发热时间、最高体温、病程等差异有统计学意义(P<0.05);且成人并发症多、病情重,但二者比较差异无统计学意义(P>0.05)。
Objective To analyze the clinical characteristics and treatment of chickenpox in adults and children. Methods The clinical data of 199 patients with chickenpox were retrospectively analyzed. Among them, 157 were adults and 42 were children, and the two were compared. Of 157 adult chickenpox, 126 were group-living, accounting for 80.25% (109 students, 17 military). All adult patients were treated with intravenous ganciclovir, all patients were topical application of acyclovir ointment at the Department, supplemented with Banlangen granules, oral anti-viral oral, 55 cases of complications were targeted treatment. Results 186 cases were cured; 12 cases were better discharged; 1 case died of serious complications. Conclusions The adult chickenpox is highly contagious. Compared with the chickenpox in children, the rash time, the fever time, the highest body temperature and the course of disease were significantly different (P <0.05). There were more adult complications and serious illness, but the difference was significant No statistical significance (P> 0.05).