男性系统性红斑狼疮的临床特点分析  

Clinical Characteristics of Systemic Lupus Erythematosus in Male Patients

作　　者：李广科[1] 袁耀[1] 王格[1] 赵亚伟[1] 

机构地区：[1]河南省漯河市中心医院(漯河医专第一附属医院)风湿免疫科,河南漯河462000

出　　处：《中国医药指南》2017年第16期28-29,共2页Guide of China Medicine

摘　　要：目的分析男性系统性红斑狼疮的临床特点。方法将本院2010年10月至2015年10月收治的系统性红斑狼疮患者376例选为研究对象,依据临床表现、实验室检查等指标分析男性系统性红斑狼疮的特点。结果男女性均表现为口腔溃疡、神经系统与血液系统损伤、脱发及关节疼痛等症状,其中男性多表现为多浆膜腔积液,女性多表现为面部红斑、雷诺现象及光过敏;男性肾病综合征发生率为19.5%,高于女性11.9%(P<0.05);男性误诊率为70.7%,病死率为12.2%,均高于女性20.9%、1.1%(P<0.05)。结论男性SLE病情严重,多合并肾脏损害,需及时诊治,改善预后。Objective To analyze clinical characteristics of male systemic lupus erythematosus. Method October 2010 - October 2015 were in our hospital 376 cases of patients with systemic lupus erythematosus selected as the research object, on the basis of clinical manifestation, laboratory examination indexes such as analysis of characteristics of male systemic lupus erythematosus. Results Show is oral cavity ulcer, both male and female of the nervous system and blood system damage, hair loss,and joint pain, the more performance for serous cavity effusion, women show the facial erytbema, renault and light allergies; the incidence of male nephrotic syndrome was 19.5%, 11.9% higher than that of female （P〈0.05）; Male misdiagnosis rate was 70.7%, the mortality rate of 12.2%, 20.9% of women were higher than 20.9% （P〈0.05）. Conclusion Male SLE is seriously ill, merge kidney damage,need to make a diagnosis and give treatment in time, improve the prognosis.

关 键 词：男性 系统性红斑狼疮 临床特点 分析 

分 类 号：R593.241[医药卫生—内科学]