神经损伤与功能重建2012，Vol.7Issue(3)：204-209,6.DOI:10.3870/sjsscj.2012.03.014
60例炎症性肌病患者的预后及影响因素的分析
Analysis of Prognosis and Influencing Factors of 60 Patients with Idiopathic Inflammatory Myopathies
李悦 1陈博 1林婧 1罗璇 1桂梦翠 1卜碧涛1
作者信息
- 1. 华中科技大学同济医学院附属同济医院神经内科,武汉,430030
- 折叠
摘要
Abstract
Objective: To assess the long-time outcomes of idiopathic inflammatory myopa-thies patients and to evaluate the prognostic factors. Methods: The clinical data of 60 patients with idiopathic inflammatory myopathies were documented and followed up. Results: In this study, 39 patients were female and 21 were male. The patients showed the symptoms of muscle weakness (60/60), dysphagia (23/60), and chest tightness (19/60). The clinic improvement rate was 68% , the relapse rate was 18% , and mortality rate wasl0%. The Logistic regression a-nalysis showed that chest tightness (OR =13. 20), dysphagia (OR value=3. 36), limb muscle strength (OR=2. 12~3. 78) , and the ADL score (OR value = l. 06) were significantly related to prognosis. Conclusion: The majority of patients undergo good prognosis. Complications occur most commonly in patients with cancer, heart disease or lung disease. More attention should be paid to acute onset of severe symptoms, the complications such as chest tightness and dysphagia, which are associated with poor outcomes.关键词
炎症性肌病/临床转归/预后因素Key words
idiopathic inflammatory myopathies/ outcomes/ prognostic factors分类
医药卫生引用本文复制引用
李悦,陈博,林婧,罗璇,桂梦翠,卜碧涛..60例炎症性肌病患者的预后及影响因素的分析[J].神经损伤与功能重建,2012,7(3):204-209,6.
