Abstract:Objective: To study the effects of interferon treatment of herpes zoster and its impact on cellular immune function in patients. Methods: 90 patients with herpes zoster treated in our hospital from December 2013 to December 2014 were randomly divided into observation group and control group, 45 cases in each. The control group was treated with valacyclovir therapy. The observation group was treated with interferon and valacyclovir therapy. The level of CD3,CD4 and CD8 were compared after 4 weeks, and pain relief time, blistering time, scab off time and crusting time were compared. The PNH rate of the two groups was compared after three monthes. Results: The total effective rate was 97.78% in the observation group patients, which were higher than 77.78% in the control group of patients, the difference was statistically significant (P <0.01). Pain relief time (2.24 ± 0.56) d, blistering time(1.56 ± 0.69) d, crusting time (4.58 ± 1.04) d and the scab off time (7.26 ± 1.48) d in the observation group of patients were shorter than pain relief time (5.69 ± 0.58) d, blistering time (3.02 ± 0.82) only d, crusting time (6.89 ± 1.07) d and the scab off time (13.65 ± 1.57) d in the control group of patients, a statistically significant difference (P <0.01). After treatment, CD3 levels (66.38 ± 7.62)× 10-2, CD4 levels (39.71 ± 7.55) × 10-2, CD8 levels (29.67 ± 7.23) × 10-2 and CD4 / CD8 levels (1.49 ± 0.16 ) × 10-2 CD3 levels in the observation group of patients were higher than CD3 levels(58.97 ± 8.36) × 10-2, CD4 levels (32.30 ± 7.69) × 10-2, CD8 levels (25.34 ± 7.22) × 10-2 and CD4 / CD8 levels (1.19 ± 0.14) × 10-2 in the control group of patients, the difference was statistically significant (P <0.01). Occur in patients with postherpetic neuralgia in the observation group was 6.67% lower than the 31.11% of patients in the observation group, the difference was statistically significant (P <0.01). Conclusion: Interferon treatment of herpes zoster can improve immune function in patients, and prevention of post-herpetic neuralgia patients
[1] 钟文英,王小波,李炜,等.加巴喷丁联合He-Ne激光治疗老年带状疱疹疗效观察[J].实用医学杂志,2013,29(3):451~453. [2] Stephen K Tyring,Jon E Stek,Jeffrey G,et al.Varicella-zoster virus-specific enzyme-linked immunospot assay responses and zoster-associated pain in herpes zoster subjects[J].Clinical and vaccine immunology:CVI,2012,19(9):1411~1415. [3] 郑桂香,张玉,余兰.伐昔洛韦联合干扰素治疗带状疱疹的疗效观察[J].广东医学,2013,34(23):3660~3661. [4] 王英,时飞,陈付强,等.神经阻滞治疗对老年带状疱疹预后及其免疫功能的影响[J].中国疼痛医学杂志,2013,19(8):498~500. [5] 黄志强.膦甲酸钠对带状疱疹的治疗作用及对B淋巴细胞亚群的影响[J].现代预防医学,2012,29(15):4040~4042. [6] Sen Nandini,Sommer Marvin,Che Xibing,et al.Varicella-Zoster Virus Immediate-Early Protein 62 Blocks Interferon Regulatory Factor 3(IRF3)Phosphorylation at Key Serine Residues:a Novel Mechanism of IRF3 Inhibition among Herpesviruses[J].Journal of Virology,2010,84(18):9240~9253. [7] 梁豪文,熊东林,肖礼祖,等.带状疱疹后遗神经痛风险因素的研究[J].中国疼痛医学杂志,2012,18(5):287~289. [8] 张晓军,钱龙江.氦氖激光联合伐昔洛韦在带状疱疹治疗中的对照研究[J].中国医学装备,2014,11(8):42~44. [9] 陈岳.伐昔洛韦联合恩再适预防带状疱疹后神经痛的临床观察[J].医学综述,2013,19(3):552~553. [10] 杨啸宇,陈年娜,牟双梦,等.皮肤原位再生复原技术治疗带状疱疹的临床研究[J].中国烧伤创疡杂志,2013,25(6):469~471. [11] 吴娟.重组人干扰素α-2b联合阿昔洛韦片治疗带状疱疹临床疗效观察[J].齐齐哈尔医学院学报,2012,33(18):2471~2472. [12] Malavige GN,Rohanachandra LT,Jones.IE63-specific T-cell responses associate with control of subclinical varicella zoster virus reactivation in individuals with malignancies[J].The British journal of cancer,2010,102(4):727~730. [13] Patrick Kleemann,Eva Distler,Eva M Wagner,et al.Varicella-zoster virus glycoproteins B and E are major targets of CD4+and CD8+T cells reconstituting during zoster after allogeneic transplantation[J].Haematologica,2012,97(6):874~882.