92 cases of herpes zoster in elderly care.docVIP

 PAGE \* MERGEFORMAT 6 92 cases of herpes zoster in elderly care [Keywords:] herpes zoster aged care Herpes zoster is varicella - zoster virus involved the nerve caused by a viral skin disease and skin in order to move toward a cluster of small blisters along the nerve, unilateral showed zonal distribution, characterized with obvious pain. The elderly due to physical function decline, low immunity and the predilection of this disease, compounded by slow response, caused by clinical symptoms not typical, easy to delay treatment, complications, treatment and care to bring to the difficulty. Now in our hospital from 2005 to 2008 were treated 92 cases of elderly patients with herpes zoster following summary report of the nursing experience. A clinical data The group of 92 cases in men and 54 cases, female 38 cases, aged 58 to 82 years, an average of 68 years. Parts of the distribution of skin lesions: 14 cases of head and face, chest and back in 28 cases, 34 cases of waist and abdomen, limbs in 12 cases, perianal and vulva in 4 cases. 21 cases complicated with hypertension, 7 cases were complicated with diabetes mellitus, 2 cases of concomitant hypertension and diabetes. After symptomatic treatment and careful nursing, the 81 cases of herpes crusts fall off, neuralgia disappeared, no scarring and complications, 11 patients with PHN, disappeared after treatment. 2 nursing 2.1 primary care ① to keep the air fresh and wards, circulation, timing window ventilation and disinfected once a day with ultraviolet radiation. ② the timely replacement sheets, quilt cover, the patient’s underwear to replace disinfected every day. ③ strict aseptic operation, protect the skin, improve public health missionary work, Zhu Huanzhe position to take the healthy side, wearing loose and comfortable cotton underwear, do not scratch blisters to prevent secondary infection. 2.2 Skin Care ① a view to ulceration of the blisters blisters keep its integrity, blisters too large, ster