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慢性炎性脱髓鞘性多发性神经根神经病诊断与治疗的研究进展 被引量:3

Advance in Diagnosis and Treatment of Chronic Inflammatory Demyelinating Polyneuropathy
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摘要 慢性炎性脱髓鞘性多发性神经根神经病(CIDP)是一种免疫介导的慢性进行性脱髓鞘性感觉运动性周围神经病。CIDP的变异型和伴发疾病备受关注。不同CIDP诊断标准的敏感性和特异性存在一定的差异。免疫治疗,如静脉滴注免疫球蛋白、血浆交换和类固醇有效。目前已有的研究表明,免疫抑制剂和免疫调节剂对CIDP亦有效。现就CIDP的变异型、伴发疾病、诊断以及治疗等方面的研究进展进行综述。 Chronic inflammatory demyelinating polyneuropathy(CIDP)is a chronic,acquired immune and inflammatory disorder of the peripheral nervous system.The CIDP variants and concomitant diseases have been recognized.At present,there are some diagnostic criteria and differential diagnostic criteria with various sensitivity and specificity.Immune therapies,such as corticosteroids,plasma exchange and intravenous immune globulin,are the mainstay of treatment.Now some studies indicate immunosuppressants and immunoregulants have therapeutic effects on CIDP.This review offers the current views of the variant CIDP,CIDP with concomitant disease,diagnostic criteria and the advance in the new treatment of CIDP.
出处 《医学综述》 2010年第15期2292-2295,共4页 Medical Recapitulate
关键词 慢性炎性脱髓鞘性多发性神经根神经病 诊断 变异型 治疗 Chronic inflammatory demyelinating polyneuropathy Diagnosis Variants Treatment
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参考文献32

  • 1Sanvito L,Makowska A,Mahdi-Rogers M,et al.Humoral and cellular immune responses to myelin protein peptides in chronic inflammatory demyelinating polyradiculoneuropathy[J].J Neurol Neurosurg Psychiatry,2009,80(3):333-338.
  • 2Varela H,Rubin DI.Facial and trigeminal neuropathies as the initial manifestation of chronic inflammatory demyelinating polyradiculopathy[J].J Clin Neuromuscul Dis,2009,10(4):194-198.
  • 3Rajabally YA,Nicolas G,Piéret F,et al.Validity of diagnostic criteria for chronic inflammatory demyelinating polyneuropathy:a multicentre European study[J].J Neurol Neurosurg Psychiatry,2009,80(12):1364-1368.
  • 4Sander HW,Latov N.Research criteria for defining patients with CIDP[J].Neurology,2003,60(Suppl 3):S8-S15.
  • 5Saperstein DS,Katz JS,Amato AA,et al.Clinical spectrum of chronic acquired demyelinating polyneuropathies[J].Muscle Nerve,2001,24(3):311-324.
  • 6Tsuda E,Imai T,Hozuki T,et al.Transient oculomotor palsy correlated with nerve enhancement on MRI in chronic inflammatory demyelinating polyneuropathy[J].Intern Med,2009,48(22):1985-1987.
  • 7Lyons MK.Nerve rootlet and fascicular biopsy in patients with hypertrophic inflammatory neuropathy[J].Neurologist,2009,15(1):40-41.
  • 8Ramchandren S,Lewis RA.Chronic neuropathies-chronic inflammatory demyelinating neuropathy and its variants[J].Front Neurol Neurosci,2009,26:12-25.
  • 9Rajabally YA,Chavada G.Lewis-sumner syndrome of pure upper-limb onset:diagnostic,prognostic,and therapeutic features[J].Muscle Nerve,2009,39(2):206-220.
  • 10Magda P,Latov N,Brannagan TH 3rd,et al.Multifocal acquired sensory and motor neuropathy:electrodiagnostic features[J].J Clin Neuromuscul Dis,2005,7(1):10-18.

同被引文献15

  • 1李小真,杨任民.慢性脱髓鞘性多神经根神经病及其中枢神经系统损害2例诊断探讨[J].安徽医科大学学报,1994,29(1):53-55. 被引量:2
  • 2Vucic S, Kiernan MC, Cornblath DR. Guillain-Barre syndrome : an up- date [J]. J Clin Neurosci,2009,16(6) :733 -741.
  • 3Dionne A, Nicolle MW, Hahn AF. Clinical and electrophysiological pa- rameters distinguishing acute-onset chronic inflammatory demyelina- ting polyneuropathy from acute inflammatory demyelinating polyneu- ropathy [J]. Muscle Nerve,2010,41 (2) :202 -207.
  • 4Asbury AK, Comblath DR. Assessment of current diagnostic criteria for guillain-barre syndrome [ J ]. Ann Neurol, 1990,27 (Suppl) :21 - 24.
  • 5Hughes RA, Comblath DR. Guillain-barre syndrome [ J ]. Lancet, 2005,366 (9497) : 1653 - 1666.
  • 6Saperstein DS,Katz JS, Amato AA,et al. Clinical spectrum of chronic acquired demyelinating polyneuropath ies [ J ]. Muscle Nerve,2001,24 (3) :311 -324.
  • 7Nicolas G, Maisonobe T, Le Forestier N, et al. Proposed revised elec- trophysiological criteria for chronic inflammatory demyelinating polyra- diculoneuropathy [ J ]. Muscle Nerve,2002,25:26 - 30.
  • 8Ye Y, Wang K, Deng F, et al. Electrophysiological subtypes and prog- nosis of Guillain-Barre syndrome in Northeastern China [ J ]. Muscle Nerve,2013,47( 1 ) :68 -71.
  • 9McLeod JG. Electrophysiological studies in the guillain-barre syndrome [ J ]. Ann Neurol, 1981,9:20 - 27.
  • 10无.中国慢性炎性脱髓鞘性多发性神经根神经病诊疗指南[J].中华神经科杂志,2010,43(8):586-588. 被引量:54

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