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近来Guillain—Barre综合征(GBS)老年人发病率升高,然而还缺乏详细的研究比较老年人与年青人的不同。本文对GBS临床特征和年龄的关系进行回顾性研究。方法采用美国神经病、交通枝障碍和中风国家研究所(NINCDS),制订的GBS诊断标准选择病例。首先.包括电生理刺激肌肉反射减弱的病人,表示神经脱髓鞘病变;其次,包括无肢体无力的Miller—Fisher综合征病人(眼肌麻痹、共济失调和反射消失)。除外慢性多发性神经根炎患者。用医学研究委员会(MRC)等级系统,记录肢体无力情况。结果 72名病人,平均年龄44.1岁(2至85岁),其中20至59岁41名(57％)为年轻组,≥60
Recently, the incidence of elderly people with Guillain-Barre syndrome (GBS) has increased. However, there is still a lack of detailed study comparing the differences between the elderly and young people. This article retrospectively studied the relationship between GBS clinical features and age. Methods The American National Institutes of Neurology, Traffic Dysfunction and National Institute of Stroke (NINCDS) were used to select the cases of GBS diagnostic criteria. First, patients with diminished muscle reflex including electrophysiological stimulation show demyelinating nerve disease; secondly, patients with Miller-Fisher syndrome without limb weakness (ophthalmoplegia, ataxia, and reflexes). Except for chronic multiple nerve root inflammation patients. Using the Medical Research Council (MRC) rating system, limb weakness was recorded. Results 72 patients, mean age 44.1 years (range 2 to 85 years), 41 of 20 to 59 years (57%) were young, ≥60