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肾上腺糖皮质激素治疗成人全身型重症肌无力21例疗效观察
引用本文:张可真,王言飞,闫丙川.肾上腺糖皮质激素治疗成人全身型重症肌无力21例疗效观察[J].中国实用神经疾病杂志,2006,9(6):44-45.
作者姓名:张可真  王言飞  闫丙川
作者单位:河南漯河市中心医院神经内科,漯河,462000;河南漯河市中心医院神经内科,漯河,462000;河南漯河市中心医院神经内科,漯河,462000
摘    要:目的 观察肾上腺糖皮质激素治疗成人全身型重症肌无力(MG)的疗效、疗程及不良反应。方法 对21例患者用大剂量激素递减法治疗。结果 激素治疗有效率100%,激素起效时间:胸腺异常组迟于胸腺正常组(P〈0.01);严重全身型迟于轻度全身型(P〈0.01)。结论 对未能用抗胆碱酯酶药及胸腺切除术得到良好控制的MG患者,可首选肾上腺糖皮质激素。

关 键 词:重症肌无力  糖皮质激素  疗效
文章编号:1673-5110(2006)06-0044-02
收稿时间:2006-06-28
修稿时间:2006年6月28日

Observation of the efficacy of adreno-corticosteroid in 21 adult patients with generalized myasthenia gravis
Zhang Kezhen,Wang Yanfei,Yan Bingchuan.Observation of the efficacy of adreno-corticosteroid in 21 adult patients with generalized myasthenia gravis[J].Chinese Journal of Practical Neruous Diseases,2006,9(6):44-45.
Authors:Zhang Kezhen  Wang Yanfei  Yan Bingchuan
Abstract:Objective To observe the efficacy,course and side effects of adreno-corticosteroid therapy in adult patients with generalized myasthenia gravis(MG).Methods Using large-dose steroids,and slowly tapering to the lowest maintainencedose,21 patients were treated.Results Steroid was effective for 100% of the patients,In initiation of steroid effects,abnormal thymus group was later than normal thymus group(P<0.01);severe generalized group was later than that of mild generalized group(P<0.01).Conclusion Adreno-corticosteroid can be used as first line drug in patients that were poorly controlled by cholinesterase inhibitors and thymectomy.
Keywords:Myasthenia gravis  Glucocorticosteroid  Efficacy
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