摘要
目的分析急性脊髓炎(acute transverse myelitis,ATM)复发的危险因素。方法回顾性分析从2009年1月~2014年1月在南充市中心医院住院的原发性急性脊髓炎(idipothic acute transvers myelitis,iATM)患者的临床资料,对入选病例按ATM复发与否分为ATM组及复发性急性脊髓炎(recurrent acute transverse myelitis,rATM)(rATM组),比较两组间的资料以探讨引起ATM复发的危险因素。结果与ATM组相比,rATM组女性、CSF细胞数增多、头MRI异常率显著增高,多因素Logistic分析发现,头MRI异常为ATM复发的独立危险因素。结论 ATM大多数为单相病程,头MRI异常是ATM复发的独立危险因素。
Objective This study sought to identify factors that increased the risk of recurrence following an initial acute transverse myelitis(ATM)presentation.Methods Retrospective cohort study of inpatients initially presenting with ATM of unknown etiology in the Nanchong central hospital between January 2009 and January 2014.According to whether they had a relapse after an initial ATM presentation the patients were divided into the acute transvers myelitis group and the recurrent transverse myelitis group.The related risk factors were analyzed.Results Compared with ATM group,female sex,pleocytosis,brain MRI lesions in rATM group were significantly increased.Multivariate Logistic analysis showed that brain MRI lesions were independent risk factors for ATM to raplse.Conclusion ATM remained a monophasic event in the most of patients,Brain MRI lesions were independent risk factors for ATM to raplse.
作者
卢柳
邹燕
庞月珊
Lu Liu;Zou Yan;Pang Yueshan(Nanchong central Hospital,Geriatics,Nanchong,Sichuang,637000,China)
出处
《当代医学》
2018年第24期77-80,共4页
Contemporary Medicine
关键词
急性脊髓炎
复发
危险因素
Acute transverse myelitis
Recurrence
Risk factors
