中华皮肤科杂志 ›› 1987, Vol. 20 ›› Issue (2): 77-80.

• 论著 • 上一篇    下一篇

80例SLE的精神神经障碍的临床分析

施守义1, 冯树芳1, 朱蓟芬1, 李顺碧1, 武三卯1, 秦芝九2   

  1. 1. 上海医科大学皮肤病学教研室;
    2. 上海医科大学神经病学教研室
  • 收稿日期:1986-04-23 修回日期:1986-09-02 出版日期:1987-04-15 发布日期:1987-04-15

Psycho-neurological manifestation in SLE

shi shouyi1   

  • Received:1986-04-23 Revised:1986-09-02 Online:1987-04-15 Published:1987-04-15

摘要: 本文报导80例SLE伴有精神神经障碍,由SLE病变直接累及中枢神经系统发病者占88.9%,间接的3,9%,皮质激素引起的1.3%,感染的6.2%.前者中表现精神症状者占19.7%,精神神经症状者占56.3%,神经症状者占24%;精神和神经症状表现多种多样,从实验室检测与其他临床症状分析提示精神神经障碍是SLE病情活动的一种表现.脑脊液ANA阳性和脑电图异常不仅有助干确诊,且可作为与其他脑病鉴别的方法之一.本系列死亡率达48.8%,约1/3病例死于SLE疾病本身.其余死于激素并发症和感染.作者采用皮质激素(强的松或相当剂量的制剂)剂量60-80mg/日效果好,合并免疫抑制剂较单独应用为佳.

Abstract: This article reports the clinical analysis of psychoneurological disturbances in 80 cases of SLE. The central nervous system manifestation caused by the SLE disease occurring 88.9%, indirectly 3.9%, corticosteroid 1.3%, and infection 6.2%. In the former, the psychiatric symptoms accounted for 19.7%, psychoneurological symptoms 56.3% and neurologic symptoms 24%. The psycho-neurological symptoms were multi-form. From the results of laboratory examination and other symptoms accompanied indicated that the psycho-neurological symptom was one of the active manifestation of the disease. The positive Al/TA test of CSF and abnormality of EEG were the index not only helpful to the disease but also useful for the differential diagnosis to the other cerebral diseases. The mortality rate in this series reached 48.8%, among which, about 1/3 cases died from the SLE disease itself while the others from the complications. The dosage of cortico-steroid (Prednisone or its equivalents) treated in the series was 60-80 mg/d with encouraging effect. The therapeutic effect of immunosuppressives in combination with cortico-steriods seemed better than cortico-steriod used alone.