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目的:分析慢性多发性肌炎与急性多发性肌炎的区别与联系。方法:选择2014年2月至2016年5月遵义市务川县昇辉医院收治的74例急慢性多发性肌炎患者作为研究对象,其中慢性多发肌炎37例为甲组,急性多发性肌炎患者37例为乙组,对两组患者的临床生化检测结果进行对比分析。结果:乙组的肌酸激酶同工酶(CK–MB)以及乳酸脱氢酶(LDH)系数明显高于甲组,其他两项系数明显低于甲组,组间比较,差异具有统计学意义(P<0.05)。甲组32例患者治疗有效,治疗总有效率为86.5%,乙组33例患者治疗有效,治疗总有效率为89.2%,两组患者治疗效果比较,差异无统计学意义(P>0.05)。结论:慢性多发性肌炎与急性多发性肌炎存在高共同点和差异,需要做好疾病的后续诊断工作,及时采取针对性措施进行治疗,满足患者的具体要求。
Objective: To analyze the relationship between chronic polymyositis and acute polymyositis. Methods: From February 2014 to May 2016, 74 patients with acute and chronic myositis treated in Shenghui Hospital, Zuanyi County, Zunyi City were selected as the research object. Among them, 37 cases of chronic polymyositis were Group A, acute multiple myocutaneous Thirty-seven cases of inflammatory patients were Group B, and the clinical biochemical test results were compared between the two groups. Results: The coefficient of creatine kinase (CK-MB) and lactate dehydrogenase (LDH) in group B were significantly higher than that in group A, and the other two coefficients were significantly lower than those in group A. The difference was statistically significant (P <0.05). A group of 32 patients with effective treatment, the total effective rate was 86.5%, 33 patients in group B effective treatment, the total effective rate was 89.2%, the two groups of patients treated with no significant difference (P> 0.05). Conclusion: There is high commonality and difference between chronic polymyositis and acute polymyositis. It is necessary to do a good job in the follow-up diagnosis of the disease and take timely and targeted measures to meet the specific requirements of the patients.