中新网广州12月21日电 (记者 蔡敏婕)带状疱疹并非老年人"专属疾病"，免疫功能受损的中青年群体同 样面临较高发病风险。 由广东省预防医学会主办的"2025年广东省疾病防控能力提升学习班"20日在广州举行，强调需重点关注 免疫缺陷人群与慢性基础病患者的疫苗接种工作，通过医防融合提升疾病防控水平。 广东省人民医院风湿免疫科主任医师李玲指出，带状疱疹的高危人群主要分为两类，一类是本身免疫监 视功能降低的患者，涵盖风湿免疫科疾病、血液肿瘤、实体瘤等人群；另一类是因治疗需要使用糖皮质 激素、免疫抑制剂、生物制剂等药物的群体，这类药物会进一步削弱人体免疫功能，提升感染风险。 "以往大家普遍认为带状疱疹是老年病，现在发现只要免疫功能受损，18岁以上的中青年群体也可能患 病。"李玲解释，带状疱疹由水痘-带状疱疹病毒再激活引发，小时候得过水痘的人，病毒会潜伏在体内 神经节中，当免疫功能下降时，病毒就可能被激活，从而引发带状疱疹。 疫苗接种是预防带状疱疹最有效的手段。不过李玲特别提醒，免疫缺陷人群在疫苗选择上有特殊要求， 风湿免疫科临床不推荐使用减毒活疫苗，建议优先选择灭活疫苗或重组疫苗，这类疫苗安全性更高，不 易诱发疾病复 ...

人民网北京12月19日电 （记者乔业琼）一些老年人认为疼痛是"老了的自然现象"而不去治疗，这 种认知是否正确？老年人中带状疱疹高发，并且容易出现带状疱疹后神经痛，针对这个有哪些预防和治 疗的好方法？在国家卫生健康委今日召开的新闻发布会上，北京大学第三医院主任医师李水清进行了解 答。 李水清表示，随着年龄的增长，有些老年人系统器官出现退变，比如脊柱关节的退变、神经的退变 等，容易引发疼痛。但并不是所有的疼痛都和年龄有关，"老了就一定会疼"这个说法不完全正确。 李水清介绍，在老年人群中，带状疱疹的发病率确实是高的，比较好的预防办法是接种疫苗，接种 疫苗可降低带状疱疹的发病风险。特别是50岁以上的人群，或者免疫低下的人群，接种完疫苗以后，即 使感染带状疱疹病毒，症状也会轻很多。 李水清说，从大的范围来看，疼痛实际上可分为急性疼痛和慢性疼痛，持续或者反复发作超过3个 月的疼痛是慢性疼痛。急性疼痛往往是疾病的症状，而慢性疼痛是独立的一大类疾病，也是许多疾病的 常见共病。针对慢性疼痛来讲，需要积极治疗，否则就可能导致焦虑、抑郁、睡眠障碍、功能障碍等问 题。慢性疼痛也会变得越来越棘手、越来越难以控制。所以对于疼痛来讲，不能 ...

Core Insights - The article discusses "memory pain," a condition that can arise after the healing of shingles, known as postherpetic neuralgia (PHN) [1][2][3] Group 1: Understanding Memory Pain - Memory pain can begin 1 to 3 months after shingles has healed, despite the virus being cleared by the immune system [1] - The damage to the nerves caused by shingles leads the brain to misinterpret normal sensations as pain, resulting in various pain types such as sharp, burning, and allodynia [1] Group 2: Risk Factors and Prevention - Individuals over 60 years old, those with severe acute rashes, and those experiencing intense pain during the acute phase are at higher risk for developing PHN [1] - The optimal time to prevent PHN is during the acute phase of shingles, where early and adequate antiviral treatment within 72 hours is crucial [1][2] Group 3: Treatment Approaches - For chronic pain, a combination of oral medications like gabapentin and pregabalin, as well as topical treatments like lidocaine patches, can be effective [2] - If medication is insufficient, minimally invasive interventions such as nerve block therapy can be employed to directly target the damaged nerves [2]

Core Insights - Recent weather changes in northern regions have led to increased joint pain among arthritis patients and headaches due to cold stimuli, migraines, and hypertension [1] Group 1: Types of Pain - Pain is categorized into acute and chronic pain, with acute pain serving as a warning signal for the body [2][3] - Chronic pain is defined as pain lasting over three months, which can lead to depression and sleep disorders if ignored [3] Group 2: Warning Signs of Serious Conditions - Persistent unexplained fever with bone pain may indicate blood system diseases or infections [3] - Pain in the throat, chest, shoulder, or abdomen could be precursors to heart disease [3] - "Cardiac toothache" is a warning signal from the heart [3] - Abdominal pain may arise from issues with the appendix, gallbladder, pancreas, or intestinal obstruction, often accompanied by nausea and vomiting [3] Group 3: Treatment and Management - Many pain conditions, such as shingles and migraines, can be effectively treated if addressed promptly [4] - The prevalence of migraines in adults is around 10%, particularly in the 20 to 40 age group, highlighting the need for early medication during attacks [4] Group 4: Pain Management and Medication - Less than 60% of chronic pain patients seek medical attention, often due to misconceptions about pain medications [5] - Non-opioid analgesics like acetaminophen and ibuprofen are safe for moderate pain when used as directed [5] - Opioid analgesics have a low risk of addiction when used at standard doses and in a regulated manner [5]

Core Viewpoint - The article highlights the increasing concern over shingles, also known as "snake around the waist," which is caused by the varicella-zoster virus and can remain dormant in the body for years, particularly affecting individuals over 50 and those with weakened immune systems [1][2][3]. Group 1: Health Impact - Shingles can cause severe and prolonged pain, often described by patients as excruciating, with 5%-30% of patients experiencing postherpetic neuralgia, which can last for months or even decades [2]. - Over 90% of adults carry the varicella-zoster virus, and approximately one-third of individuals will develop shingles in their lifetime [2]. Group 2: Vulnerable Populations - Individuals with chronic diseases, such as hypertension and cardiovascular conditions, are at a higher risk for shingles due to compromised immune systems [3]. - Diabetic patients face a 60% higher risk of developing shingles compared to the general population, which can complicate blood sugar management and increase hospitalization risks [3]. Group 3: Prevention Strategies - Vaccination is emphasized as a crucial preventive measure for individuals over 50, especially those with chronic illnesses or weakened immune systems [4]. - Evidence from both domestic and international studies supports the recommendation for older adults and those with chronic conditions to receive shingles vaccinations to reduce the incidence of infectious diseases [4].