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目的探讨森林脑炎患者致呼吸肌麻痹的相关因素。方法选取2000-2010年确诊为森林脑炎的患者2 586例,其中合并呼吸肌麻痹的重症森林脑炎患者188例,探讨森林脑炎疫苗接种、肢体瘫痪、癫痫以及延髓麻痹与呼吸肌麻痹之间的关系。结果 2 586例患者中接种疫苗者1 090例、未接种疫苗者1 496例,呼吸肌麻痹的188例重症森林脑炎患者中接种森林脑炎疫苗者39例、未接种森林脑炎疫苗者149例(P<0.05);肢体瘫痪者共495例,其中102例发生呼吸肌麻痹(P<0.05);有癫痫发作者403例,发生呼吸肌麻痹共34例(P>0.05);延髓麻痹者387例,其中91例发生呼吸肌麻痹(P<0.05)。结论疫苗接种史、肢体瘫痪、延髓麻痹与呼吸肌麻痹相关。
Objective To explore the related factors of respiratory muscle paralysis caused by patients with forest encephalitis. Methods A total of 2 586 cases of forest encephalitis diagnosed between 2000 and 2010 were selected. Among them, 188 cases of severe encephalitis with respiratory paralysis were enrolled in this study. Encephalitis vaccination, limb paralysis, epilepsy, bulbar palsy and respiratory muscle paralysis Relationship between. Results Among the 586 patients, there were 1 090 cases of vaccination, 1 496 cases of unvaccinated persons, 188 cases of respiratory muscle paralysis, 39 cases of vaccination against forest encephalitis and 39 cases of unvaccinated forest encephalitis vaccine (P <0.05). There were 495 cases of limb paralysis, including 102 cases of respiratory muscle paralysis (P <0.05), 403 cases of epilepsy, respiratory paralysis occurred in 34 cases (P> 0.05) 387 cases, of which 91 cases of respiratory muscle paralysis (P <0.05). Conclusions Vaccination history, limb paralysis, bulbar paralysis and respiratory muscle paralysis related.