首页|视神经脊髓炎谱系疾病31例临床特点分析

视神经脊髓炎谱系疾病31例临床特点分析

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目的 分析水通道蛋白4-免疫球蛋白G(AQP4-IgG)阳性与AQP4-IgG阴性的视神经脊髓炎谱系疾病(NMOSD)在临床特点的差异。方法 收集就诊于郑州市第九人民医院、河南中医药大学第一附属医院确诊NMOSD 31例患者临床资料,根据AQP4-IgG结果分为AQP4-IgG阳性组(23例)和AQP4-IgG阴性组(8例)。结果 两组患者均是女性居多,差异无统计学意义(P>0。05);两组在起病前有无诱因方面比较,差异无统计学意义(P>0。05);AQP4-IgG阳性组合并自身免疫性疾病发生率高于AQP4-IgG阴性组,差异有统计学意义(P<0。05)。结论 NMOSD患者中女性居多,AQP4-IgG阳性患者居多,AQP4-IgG阳性组与阴性组在性别分布方面均是女性居多,AQP4-IgG阳性NMOSD患者合并自身免疫性疾病发生率均高于AQP4-IgG阴性NMOSD患者,两组在起病前有无诱因、性别分布方面均无差异。
Analysis of clinical characteristics of 31 cases with neuromyelitis optica spectrum disorders
Objective To analyze the differences of clinical symptoms and characteristics between aqua-porin 4-immunoglobulin G(AQP4-IgG)positive and AQP4-IgG negative neuromyelitis optica spectrum disor-der(NMOSD).Methods The clinical data of 31 patients with confirmed NMOSD in Zhengzhou Ninth People's Hospital and the First Affiliated Hospital of Henan University of Traditional Chinese Medicine were collect-ed.According to AQP4-IgG results,the patients were divided into AQP4-IgG positive and AQP4-IgG negative groups,including 23 cases in AQP4-IgG positive group and eight cases in AQP4-IgG negative group.Results Most of the patients in the two groups were women,and the difference was not statistically signifi-cant(P>0.05).There was no significant difference in the inducement before onset between the two groups(P>0.05).The incidence of autoimmune diseases in AQP4-IgG positive group was higher than that in AQP4-IgG negative group,and the difference between the two groups was statistically significant(P<0.05).Conclu-sion The majority of NMOSD patients are female,the majority of AQP4-IgG positive patients.AQP4-IgG positive group and negative group are mostly female in terms of gender distribution.The incidence of autoim-mune diseases in AQP4-IgG positive NMOSD patients are higher than those in AQP4-IgG negative NMOSD patients.There is no difference in the presence or absence of incentives before onset and gender distribution between the two groups.

Neuromyelitis optica spectrum disorderAquaporin 4-immunoglobulin GClinical fea-tures

范鹏、马韶薇

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郑州市第九人民医院神经内科,河南郑州 450000

河南中医药大学第一附属医院脑病科,河南 郑州 450000

视神经脊髓炎谱系疾病 水通道蛋白4-免疫球蛋白G 临床特点

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(7)
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