重癥肌無力患者抗乙酰膽堿受體抗體的測定及意義
發(fā)布時間:2018-06-22 02:15
本文選題:重癥肌無力 + 乙酰膽堿受體 ; 參考:《延邊大學》2007年碩士論文
【摘要】: 目的:檢測重癥肌無力(myasthenia gravis,MG)患者治療前后的血清乙酰膽堿受體抗體(acetylcholine receptor antibodies,AchR-Ab),了解MG患者血清AchR-Ab含量與MG的之間關系。方法:采用酶聯免疫吸附試驗(enzyme linked immunosorbent assay,ELISA)法分別對56例MG患者治療前后的血清AchR-Ab進行了檢測。結果:MG患者治療前后的血清AchR-Ab陽性率46.4%。合并胸腺瘤的MG患者(MG with thymoma,MGT)血清AchR-Ab陽性率為85.7%,胸腺正常者的MG(MG with non-thymoma,n-MGT)的陽性率為40.8%,眼肌型MG患者血清AchR-Ab陽性率為21.4%,Ⅱ型MG患者的陽性率為52.6%,Ⅲ型MG患者的陽性率為75.0%。結論:MG患者發(fā)病年齡越大,其患者體內的AchR-Ab陽性率越高。MG患者患病時間越長,其患者體內AchR-Ab含量降低。MGT患者血清AchR-Ab陽性率明顯高于n-MGT患者。臨床分型越高,,患者血清AchR-Ab陽性率越高,其中Ⅲ型明顯高于眼肌型。
[Abstract]:Aim: to detect the serum acetylcholine receptor antibody (acetylcholine receptor antibodiesl AchR-Ab) before and after treatment in patients with myasthenia gravis (myasthenia gravis MG), and to investigate the relationship between serum AchR-Ab and MG in patients with MG. Methods: the serum AchR-Ab of 56 patients with MG before and after treatment was detected by enzyme linked immunosorbent assay (Elisa) (enzyme linked immunosorbent assay-linked immunosorbent assay (Elisa). Results the positive rate of serum AchR-Ab before and after treatment was 46.4%. The positive rate of serum AchR-Ab was 85.7 in MG with thymoma MGT, 40.8 in MG with non-thymoma n-MGT, 21.441 in ocular MG, 52.6 in type 鈪
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