CAJ | 학술논문

目的：探讨复发型吉兰-巴雷综合征（RGBS）的临床特点。方法回顾我院收治的23例复发型GBS患者，分析初发和复发时的诱发因素、临床表现、脑脊液检查、电生理检查、治疗资料。结果84%的患者发作有前驱感染史，重症患者比例比初发高(初发组60.%，复发组81.5%)，脑脊液蛋白-细胞分离、电生理异常率增加。结论 RGBS与经典GBS临床症状相似，感染是重要诱因，反复发作症状逐渐加重。
목적：탐토복발형길란-파뢰종합정（RGBS）적림상특점。방법회고아원수치적23례복발형GBS환자，분석초발화복발시적유발인소、림상표현、뇌척액검사、전생리검사、치료자료。결과84%적환자발작유전구감염사，중증환자비례비초발고(초발조60.%，복발조81.5%)，뇌척액단백-세포분리、전생리이상솔증가。결론 RGBS여경전GBS림상증상상사，감염시중요유인，반복발작증상축점가중。
Objective To evaluate clinical features in patients with recurrent Guillain-Barré syndrome (RGBS). Methods we evaluate causative factor,clinical manifestation,examination of cerebrospinal fluid (CSF),neurophysiology study and treatment of 23 patients with RGBS. Results There was infections before the onset(84%),the proportion of critical patients of RGBS group was higher than that of the initial group (81.5% vs 60.9%),albuminocytologic dissociation in CSF,electrophysiological abnormality in RGBS. Conclusion The clinical features of RGBS is similar to classical GBS,infectious factors play an important role,Recurrent symptoms aggravate gradually.