摘要
目的:探讨吉兰-巴雷综合征(Guillaiu-Barreaynelrem,GBS)疼痛的临床意义。方法:回顾性分析59例GBS患者临床资料。结果:有73%(43/59)伴有疼痛,28%(12/43)于发病前3～6d出现,发病同时和发病后出现疼痛分别占40%(17/43)和33%(14/43);近一半患者疼痛剧烈;部位以肌肉疼痛最多,神经痛次之,其中腰腿痛多见,其次为颈肩臂痛和胸背痛,关节痛占第3位;多数疼痛随着肌无力的改善而逐渐减轻,93%(14/43)于4～6周得以缓解或消失。结论:疼痛是GBS的常见症状,且发生率较高,结合其他临床征象有利于该病的早期诊断和治疗。
AIM:To study the clinical significance of Guillain Barré syndrom(GBS) pain. METHODS:The clinical data of fifty nine patients with GBS were reviewed retrospectively. RESULTS:Of all patients, 73%(43/59) had accompanying pain. The pain could appear in 3-6 days preceding [28%(12/43)], simultaneous[40% (17/43)]and posterior[33%(14/43)]course of GBS.Nearly half of them had severe pain,and the pain could be found in the following position appearing sequence:muscle ache, neuralgia which was expressed most by waist leg pain,followed by cervical,humeral,brachial,thoracic and dorsal pain, and arthralgia. Most of the pain could be relieved gradually with the myasthenia improving. 93%(40/43) pain was relieved or faded away in 4-6 weeks. CONCLUSION: Pain is the common symptom of GBS, which is very easy to occur. Pain, together with other clinical symptoms, is helpul in the early diagnosis and treatment of GBS.
出处
《中国临床康复》
CSCD
2004年第20期3948-3949,共2页
Chinese Journal of Clinical Rehabilitation
