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以复视为首发症状的重症肌无力患者改良新斯的明试验的判断及研究

发布时间:2019-05-14 04:12
【摘要】:目的针对首发症状仅表现为复视的重症肌无力(MG)患者,改良原有新斯的明试验方法,为提高这类患者诊断准确率及减少误诊提供参考。方法收集首发症状表现为复视的MG患者32例,疾病对照组10例,对受试者均进行经典新斯的明和改良新斯的明试验检测,并对结果进行统计分析。结果 (1)9例MG患者经典新斯的明试验结果为阳性(28%,9/32),26例MG患者改良新斯的明试验结果为阳性(81%,26/32);(2)疾病对照组在两种试验中阳性率均为0(0,0/10)。结论改良新斯的明试验对以复视为首发症状的MG患者辅助诊断价值较高,辅助诊断MG有一定临床意义。
[Abstract]:Objective to improve the original neostigmine test method for (MG) patients with myasthenia gravis whose first symptom is only amblyopia, so as to provide reference for improving the diagnostic accuracy and reducing the misdiagnosis of these patients. Methods 32 patients with MG and 10 patients with disease control were collected. The classical neostigmine test and modified neostigmine test were performed in all the subjects, and the results were statistically analyzed. Results (1) the results of classical neostigmine test in 9 patients with MG were positive (28%, 9 鈮,

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