95例脾气虚证重症肌无力病例回顾及用药规律探析

发布时间：2018-06-06 05:15

  本文选题：脾气虚证 + 重症肌无力　； 参考：《中华中医药杂志》2017年10期

【摘要】：目的:以95例重症肌无力(MG)脾气虚证患者为研究对象,回顾性研究其临床特点和中医用药规律,为MG临床诊疗方案的优化提供指导意见。方法:病例来源于2010年1月至2015年2月广州中医药大学第一附属医院明确诊断为脾气虚证MG住院患者95例,分析其临床特点和中医用药规律。结果:脾气虚证MG住院患者中,发病年龄(40.15±17.24)岁,21到30岁之间为发病高峰;病程最短1年,最长30年,平均(6.34±5.82)年;临床改良Osserman分型以Ⅱb型多见;伴随疾病以胸腺瘤最为多见,其次为胸腺增生;MG常见主症为眼睑下垂,其次为四肢乏力、吞咽困难、构音障碍等;常见中医症状及舌脉有倦怠乏力、吞咽无力、精神疲乏,舌淡、苔薄白、脉细;中药处方中以黄芪、党参、白术、五指毛桃等补气健脾之品频率最高。结论:MG脾气虚证患者从脾胃论治,补气健脾,辅以补肾益精、化湿行气中药,符合对MG主要病机的分析。
[Abstract]:Objective: to study the clinical characteristics of 95 patients with MG- deficiency syndrome of myasthenia gravis and to provide guidance for the optimization of clinical diagnosis and treatment of MG. Methods: the cases were collected from January 2010 to February 2015 in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. 95 cases of MG with deficiency of temper syndrome were definitely diagnosed. The clinical characteristics and the regularity of drug use in TCM were analyzed. Results: the onset age of MG patients with deficiency of temper syndrome was 40.15 卤17.24 years old, the onset peak was between 21 and 30 years old, the course of disease was the shortest one year, the longest 30 years, the average was 6.34 卤5.82 years, the clinical modified Osserman type 鈪，

本文编号：1985277