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本文报道了50例小舞蹈症,以冬春季发病为多(72%)。发病高峰年龄为10~14岁(68%),女性为男性2.3倍。32%患儿以肢体乏力、持物不稳为首发症状,舞动表现以面部表情异常最常见(80%)。平均住院29.4天,治疗有效率为100%,治愈率为60%,男女疗效无明显差异(P>0.05)。其中合用激素治疗组30例,治愈率66.7%;未用激素组20例,治愈率50%;两者差异有显著性意义(P<0.05)。本组结果表明,起病形式缓急与疗效无关;本病与急性感染特别是链球菌感染有关;复发患儿易并发心脏病变。
In this paper, 50 cases of small chorea were reported, with more incidence in winter and spring (72%). The peak age of onset was 10 to 14 years old (68%) and 2.3 times that of men. 32% of children with limb weakness, unstable objects as the first symptom, galloping performance of facial expression abnormalities are the most common (80%). The average length of hospital stay was 29.4 days. The effective rate was 100% and the cure rate was 60%. There was no significant difference between men and women (P> 0.05). Among them, 30 cases were treated with hormonal therapy, the cure rate was 66.7%. In 20 cases without hormones, the cure rate was 50%. There was a significant difference between the two groups (P <0.05). This group of results show that the onset of the disease has nothing to do with the efficacy of this disease and acute infections, especially Streptococcus infection; children with recurrent complicated with heart disease.