慢性酒精中毒性肌病的临床观察  

Clinical investigation of chronic alcoholic myopathy

作　　者：刘勇[1] 郑健[1] 肖道弘[1] 邹永琴[1] 肖燕[1] 

机构地区：[1]第三军医大学新桥医院神经内科,重庆400037

出　　处：《重庆医学》2004年第6期813-816,共4页Chongqing medicine

摘　　要：目的　探讨慢性酒精中毒性肌病患者的临床表现特点。方法　对 6 0例慢性酒精中毒患者进行详细询问病史、查体 ,并记录酒精摄入量、测定酒精依赖程度和完成相关辅助检查。结果　 (1 )酒精中毒性肌病的主要临床表现为肢带肌的无力、肌肉疼痛和萎缩 ,肌病的症状和体征往往先于周围神经的损害。 (2 ) 4 6 .9%的酒精中毒性肌病患者合并周围神经损害 ,4 6 .2 %的患者同时有心肌损害的表现。结论　 (1 )酒精中毒性肌病的主要临床表现为肢带肌的无力、肌肉疼痛和萎缩。 (2 )Objective To investigate the clinical characteristics of chronic alcoholic myopathy.Methods A detailed medical record including individual life history,alcohol consumption,alcohol dependency level,clinical symptoms and physical signs were collected in 60 patiens with chronic alcoholic neuromuscular disorders.Results (1)The main clinical manifestations of the patients with chronic alcoholic myopathy were weakness,muscle pain and muscle atrophy,usually in the proximal parts of the limbs symmetrically.Symptoms resulted from injuried muscles were priority to that caused by peripheral nerve injury.(2)46.9% of the patients with chronic alcoholic skeletal muscle myopathy had peripheral nerve injury,and 46.2% had cardiac disorders.Conclusion (1)The main clinical manifestations of chronic alcoholic myopathy are weakness,muscle pain and muscle atrophy,in the proximal parts of the limbs symmetrically.(2)The patients with chronic alcoholic myopathy are usually complicated with lesions of peripheral nerve and heart.Key words:alcohol toxication;skeletal muscle;clinical investigation

关 键 词：酒精中毒 骨骼肌 临床研究 

分 类 号：R7469[医药卫生—神经病学与精神病学]