Skin lesion, neuralgia and blood pressure before and after early formal treatment on herpes zoster of the head and face inadults: a quantitative study
10.3760/cma.j.issn.1671-0290.2019.06.014
- VernacularTitle: 成人头面部带状疱疹早期治疗前后皮损、神经痛及血压变化研究
- Author:
Jing ZHANG
1
;
Wenge FAN
;
Ling WANG
;
Mei WEI
;
Jun ZHAO
;
Xiaoyu TAO
;
Qiao XUE
;
Hao DING
Author Information
1. Department of Dermatology, Changshu No.1 People's Hospital, Changshu Hospital Affiliated to Soochow University, Changshu 215500, China
- Publication Type:Clinical Trail
- Keywords:
Herpes zoster;
Skin manifestations;
Hypertension;
Neuralgia;
Treatment
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2019;25(6):491-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the changes of skin lesion, neuralgia and blood pressure in hypertension patients and non-hyperension patients before and after the early formal treatment on herpes zoster in the head and face.
Methods:Clinical data were collected from June 2015 to May 2018 in the Department of Dermatology, the First People's Hospital, Changshu, Jiangsu province. In 104 cases of hospitalized patients with herpes zoster, 46 cases had high blood pressure (hypertension group); 58 cases did not have high blood pressure (non-hypertension group). The skin lesion, numerical rating scale (NRS) and blood pressure changes were compared between the two groups before and after treatment.
Results:A total of 99 patients completed treatment; 45 cases in the hypertensive group included 25 males, 20 females, aged 35 to 71 (52.40±12.51) years; 54 cases in the non-hypertensive group included 30 males and 24 females, aged 36 to 75 (52.62±12.67) years. There was no statistically significant difference in the time of control, improving and healing of skin lesion (t=-0.457, -0.607 and 1.399, P>0.05) . There was no statistically significant difference in NRS between the two groups before treatment (t=-0.009, P=0.993 >0.05). After treatment, the NRS of both groups decreased compared with those before treatment, and the difference was statistically significant (F=151.130, 181.444, P<0.05). There was no significant difference in NRS between the two groups after treatment (Z=-0.032, -0.154, -0.149 and -0.426, P>0.05). In the hypertension group, the rate of blood pressure increase before treatment was 62.22%, and the blood pressure decreased after treatment compared with that before treatment. The difference was statistically significant (P<0.05). In the non-hypertension group, the rate of increase of blood pressure before treatment was 5.56%, and the blood pressure after treatment was lower than before treatment. The difference was not statistically significant before and after treatment (P>0.05).
Conclusions:Blood pressure can be increased when herpes zoster occurs. After early formal treatment of herpes zoster, skin lesion healed, neuralgia reduced and blood pressure can return to normal. The history of hypertension and the increase of blood pressurd before treatment has no effect on the recovery of skin lesion and neuralgia.