摘要
帶狀疱疹是中老年期常見的皮膚神經炎，併發後神經痛的風險在年長者也高，慢性疼痛嚴重威脅生活品質，原則上年齡50歲以上、發病期在50小時內及病灶面積大、疼痛嚴重，及發生在三叉神經者，均應及早給予抗病毒劑和緩和疼痛，緩和後神經痛用藥需依老人的病況、用藥史個別化而選藥，輔助性的治療可考慮應用類固醇、抗痙攣劑、抗憂鬱劑、嗎啡劑或其他輔助性藥物，老年人發生藥物副作用的風險高，故需特別審慎。在2006年美國已通過帶狀疱疹疫苗的上市和應用，建議施打對象是60歲及上的健康老年人，皮下接種一劑，接種前不需檢驗有否抗體，但目前國內仍未能取得這疫苗，故預防帶狀疱疹的重要策略仍應以控制慢性疾病、均衡飲食、充足睡眠和維護心智健康爲主。
並列摘要
Herpes zoster is a common painful dermatological problem and the risk of postherpetic neuralgia is also higher among the elderly. The intolerable chronic pain might seriously threaten elderly' health and their life quality. As a rule, age 50 or above, duration less than 50 hours, severe pain or trigeminal nerve involved, should be treated with antiviral medication and pain control. Medications for postneuraglia palliative care should be individualized. After considering risk of adverse drugs effects, steroid, anticonvulsants or antidepressants might be used as the adjuvant therapies. Zoster vaccine was approved in 2006, healthy adults aged 60 to 80 are recommended to receive a subcutaneous shot. It is not necessary to get serum test before vaccination. Since this vaccine is not available in Taiwan, control of chronic conditions, balance nutrition, well sleeping and keeping mental healthy are crucial strategies herpes zoster in the elderly.