论文部分内容阅读
目的探讨眼型重症肌无力的中西医结合治疗方案,观察临床治疗效果。方法将45例眼型重症肌无力患者分为轻、中、重3组,应用激素治疗,采用下楼法(即大剂量突击-渐减-小剂量维持),并每周应用环磷酰胺1 000 mg静滴1次,同时口服中药益气聪明汤加减。结果轻度患者2周痊愈,中度患者3周痊愈,重度患者4周痊愈。患者痊愈后继续口服中药1～2个月。随访0.5～5年,3例复发,其中2例经治疗痊愈,另1例未再痊愈,经手术矫正上睑下垂。结论应用激素联合中药治疗眼型重症肌无力,恢复快,不易复发,有较好的临床效果。
Objective To investigate the treatment of ocular myasthenia gravis combined with traditional Chinese and western medicine and to observe the clinical effect. Methods Forty-five patients with ocular myasthenia gravis were divided into three groups: light, moderate and severe. Hormone therapy was used to treat 45 patients with ocular myasthenia gravis. The downstairs method (high-dose surprise-descending-small dose maintenance) 000 mg intravenously 1 time, while oral Chinese medicine qi clever decoction. Results Mild patients recovered 2 weeks, moderate patients recovered 3 weeks, severe patients recovered 4 weeks. Patients recovered after oral administration of traditional Chinese medicine 1 to 2 months. Follow-up 0.5 to 5 years, 3 cases of recurrence, of which 2 cases recovered after treatment, and the other did not heal again, surgery to correct the ptosis. Conclusion Hormone combined with Chinese medicine treatment of ocular myasthenia gravis, rapid recovery, not easy to relapse, have a good clinical effect.