本文選題：脾氣虛證 + 重癥肌無力　； 參考：《中華中醫(yī)藥雜志》2017年10期

【摘要】：目的:以95例重癥肌無力(MG)脾氣虛證患者為研究對象,回顧性研究其臨床特點和中醫(yī)用藥規(guī)律,為MG臨床診療方案的優(yōu)化提供指導(dǎo)意見。方法:病例來源于2010年1月至2015年2月廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院明確診斷為脾氣虛證MG住院患者95例,分析其臨床特點和中醫(yī)用藥規(guī)律。結(jié)果:脾氣虛證MG住院患者中,發(fā)病年齡(40.15±17.24)歲,21到30歲之間為發(fā)病高峰;病程最短1年,最長30年,平均(6.34±5.82)年;臨床改良Osserman分型以Ⅱb型多見;伴隨疾病以胸腺瘤最為多見,其次為胸腺增生;MG常見主癥為眼瞼下垂,其次為四肢乏力、吞咽困難、構(gòu)音障礙等;常見中醫(yī)癥狀及舌脈有倦怠乏力、吞咽無力、精神疲乏,舌淡、苔薄白、脈細(xì);中藥處方中以黃芪、黨參、白術(shù)、五指毛桃等補氣健脾之品頻率最高。結(jié)論:MG脾氣虛證患者從脾胃論治,補氣健脾,輔以補腎益精、化濕行氣中藥,符合對MG主要病機的分析。
[Abstract]:Objective: to study the clinical characteristics of 95 patients with MG- deficiency syndrome of myasthenia gravis and to provide guidance for the optimization of clinical diagnosis and treatment of MG. Methods: the cases were collected from January 2010 to February 2015 in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. 95 cases of MG with deficiency of temper syndrome were definitely diagnosed. The clinical characteristics and the regularity of drug use in TCM were analyzed. Results: the onset age of MG patients with deficiency of temper syndrome was 40.15 鹵17.24 years old, the onset peak was between 21 and 30 years old, the course of disease was the shortest one year, the longest 30 years, the average was 6.34 鹵5.82 years, the clinical modified Osserman type 鈪，

本文編號：1985277