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重庆医科大学附属第一医院神经内科重庆市神经病学重点实验室
纸质出版日期:2010,
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[1]韦潋滟,秦新月.免疫吸附治疗急性炎症性脱髓鞘性多发性神经病疗效观察[J].重庆医科大学学报,2010,35(01):88-90.
WEI Lian-yan, et al. Effects of immunoadsorption therapy for acute inflammatory demyelinating polyneuropathy[J]. Journal of Chongqing Medical University, 2010,35(1):88-90.
[1]韦潋滟,秦新月.免疫吸附治疗急性炎症性脱髓鞘性多发性神经病疗效观察[J].重庆医科大学学报,2010,35(01):88-90. DOI: 10.13406/j.cnki.cyxb.2010.01.031.
WEI Lian-yan, et al. Effects of immunoadsorption therapy for acute inflammatory demyelinating polyneuropathy[J]. Journal of Chongqing Medical University, 2010,35(1):88-90. DOI: 10.13406/j.cnki.cyxb.2010.01.031.
目的:观察免疫吸附治疗(Immunoadsorption
IA)对急性炎症性脱髓鞘性多发性神经病(Acute inflammatory demyelinating polyneuropathy
AIDP)的治疗效果。方法:对36例AIDP患者进行回顾性分析
其中15例患者行IA治疗
21例患者行隔日小剂量血浆置换(Plasma exchange
PE)治疗
以Hughes评分及MRC(Medical research council)评分对神经功能缺损进行评定
观察治疗前后神经功能缺损情况、疗效及治疗副作用。结果:2组治疗均明显改善AIDP患者的神经功能缺损情况
且无统计学差异;治疗后1天IA组治疗整体有效率明显高于PE组
但治疗后1周及2周两组间差异无统计学意义;两组按临床分型及年龄分层后
有效率比较无统计学差异。结论:与隔日小剂量PE治疗相比
IA具有同样的疗效
是治疗AIDP较为有效的方法。
Objective:To evaluate the comparative efficacy of Immunoadsorption(IA) versus Low dose alternate day plasma exchange(PE) in patients with acute inflammatory demyelinating polyneuropathy(AIDP).Methods:36 patients with AIDP were studied retrospectively.15 were treated with IA
and 21
with Lowdose alternate day PE.The neurological deficits of both groups were evaluated by Hughes scale and Medical Research Council(MRC)-score
based on which the improvement of neurological deficits and clinical efficacy were observed.Results:Both therapies improved the neurological deficits of the patients with AIDP
and there was no significant difference between them.The whole effective rate was much higher in the IA group on the 1st day after the treatment
but no significant difference was found at 1 week and 2 weeks between the two groups
which showed no significant difference in effective rate between the two groups according to the clinical types and the age stratification study.Conclusion:Compared with low dose alternate day PE
IA therapy was found with approximately the same efficacy.Therefore
IA is recommended as an alternative plasmapheresis method.
急性炎症性脱髓鞘性多发性神经病免疫吸附血浆置换
Acute inflammatory demyelinating polyneuropathy(AIDP)Immunoadsorption(IA)Plasma exchange(PE)
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