Reid J Stewart, Ah Wong Brendon
Ropata Medical Centre, 577 High St, Lower Hutt 5010, New Zealand.
N Z Med J. 2014 Dec 19;127(1407):56-60.
The objective of this study, in a large group practice in Lower Hutt with a stable population of around 19,000 patients, was to describe the retrospective incidence of shingles over a 5-year period so that it could be compared to international data.
The practice database was interrogated for patients whose disease code indicated they suffered shingles, herpes zoster, or post herpetic neuralgia between January 1 2009 and December 31 2013. The charts of the identified patients were reviewed to assess whether the diagnosis was confirmed, to ascertain that onset occurred within the specified time period, to describe the site of the rash and the age, sex and ethnicity of the patients. Rates of disease were calculated using a denominator derived from a comparison of patients registered during the 5 years studied.
The results indicate that incidence of shingles rose with age, females were more frequently affected than males and that the thorax was the commonest site.
The incidence at this New Zealand medical centre was similar to that reported internationally.
在惠灵顿下哈特一个约有19000名稳定患者群体的大型团体诊所开展本研究，目的是描述5年期间带状疱疹的回顾性发病率，以便与国际数据进行比较。
查询诊所数据库，找出2009年1月1日至2013年12月31日期间疾病编码显示患有带状疱疹、疱疹病毒或带状疱疹后神经痛的患者。查阅确诊患者的病历，评估诊断是否得到证实，确定发病是否发生在指定时间段内，描述皮疹部位以及患者的年龄、性别和种族。使用从所研究的5年期间登记患者的比较中得出的分母计算疾病发生率。
结果表明，带状疱疹的发病率随年龄增长而上升，女性比男性更易受影响，胸部是最常见的发病部位。
该新西兰医疗中心的发病率与国际报道的发病率相似。
