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本文利用ABC-ELISA法检测了97例MG病人血清内三种抗体:AchRab、Pr-Mab、CAEab。结果发现:(1)全身型AchRab、pr-Mab阳性率明显高于眼肌型(P<0.01);AchRab与Pr-MabP/N值呈线性正相关(r=0.797P<0.01)。(2)合并胸腺异常者CAEab阳性率为84.2%,明显高于对照组(P<0.01);此组病人AchRab与CAEabP/N值呈显著正相关,Pr-Mab与CAEabP/N值呈非常显著正相关。(r=0.512和r=0.598P<0.01)。(3)8例病人作了治疗前后抗体检测。激素治疗后或切除异常胸腺后,抗体滴度多数下降或有转阴趋势。
In this paper, ABC-ELISA was used to detect the serum levels of three antibodies in 97 MG patients: AchRab, Pr-Mab and CAEab. The results showed that: (1) The positive rate of AchRab and pr-Mab was significantly higher than that of ocular muscle (P <0.01); AchRab was positively correlated with Pr-MabP / N (r = 0.797P < 01). (2) The positive rate of CAEab in patients with abnormal thymus was 84.2%, which was significantly higher than that in the control group (P <0.01). There was a significant positive correlation between AchRab and CAEabP / N in this group. Pr-Mab and CAEabP / N The value was a very significant positive correlation. (R = 0.512 and r = 0.598P <0.01). (3) Eight patients were tested for antibody before and after treatment. After hormone therapy or removal of abnormal thymus, the majority of antibody titers decreased or negative trend.