重症肌无力性上睑下垂三种试验性诊断的应用观察

The use of ice test on diagnose the myasthenia gravis

目的观察冰试验等三种不同试验在区别重症肌无力性上睑下垂与非重症肌无力性上睑下垂的诊断作用。方法对21例患者(重症肌无力性上睑下垂10例、非重症肌无力性上睑下垂11例)分别应用冰试验、新斯的明试验、休息试验进行对比观察,并对其效果进行评估。结果三种试验对重症肌无力性上睑下垂的改善及提高有效,对非重症肌无力性上睑下垂的有效改善和提高无作用。结论三种试验均可用于鉴别重症肌无力性上睑下垂与非重症肌无力性上睑下垂,但冰试验更安全、快速、便利、有效。

Objective To observe the distinguish effect between ptosis of myasthenia gravis and ptosis of nonmyasthenia gravis using ice test, neostigmine test, and rest test, and compare the diagnose effect of the three tests to ptosis of myasthenia gravis. Methods 21 patients(10 ptosis of myasthenia gravis and 11 ptosis of nonmyasthenia gravis subjects) were examined by ice test, neostigmine test, and rest test, and the effect were evaluated. Results Ice test, neostigmine test, and rest test can all improve the ptosis of myasthenia gravis, no effects were found to ptosis of nonmyasthenia gravis. Conclusion Ice test, neostigmine test, and rest test can all distinguish to ptosis of myasthenia gravis and ptosis of nonmyasthenia gravis, otherwise, ice test is more safety, celerity, advantage and efficiency.