[使用合成抗疟药治疗风湿病或皮肤病无眼部症状患者的700例电生理检查(ERG)的统计结果]。

F Rigaudière, M Pizzato, E Albuisson, J F Le Gargasson, Y Grall
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引用次数: 0

摘要

在使用氯喹治疗类风湿关节炎(RA)或狼疮的患者中登记了737例适应视网膜电图。他们的眼科检查完全正常。在累积剂量方面,白、红、蓝三种刺激所产生的ERG不同波的电特性统计结果表明:a波和b波潜伏期有很大的稳定性;RA的“b”波振幅逐渐减小;对于狼疮,b波振幅逐渐增加,直到剂量水平达到800至900克,然后b波振幅下降。我们讨论了初期中毒的电生理判据。作为一种标准,对于ra来说,“b”波振幅的一定幅度的减小似乎是可以接受的,但“a”波和“b”波的潜伏期必须是非常恒定的。对于狼疮,可以允许b波振幅的超常或至少稳定,直到剂量在800 g左右,与a波和b波潜伏期的良好稳定性相关。超过这些统计上确定的限度,应该怀疑是开始中毒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Statistical results of 700 electrophysiologic tests (ERG) in patients without ophthalmologic manifestations treated with synthetic antimalarials for rheumatologic or dermatologic disease].

737 adapto-electroretinograms are registered on patients treated by chloroquine for a rheumatoid arthritis (RA) or for a lupus. Their ophthalmological examinations are completely normal. In term of the cumulative doses, the statistical results of the electrological characteristics of the different waves of the ERG issued from white, red and blue stimulations show: a great stability of the latencies of the "a" and "b" waves; a gradual decrease of the "b" wave amplitudes for the RA; a gradual increase of the "b" wave amplitudes till a level dose reached between 800 and 900 g and then a decrease of the "b" wave amplitudes, for the lupus. We discuss the electrophysiological criterions for a beginning intoxication. As a standard, for the R.A., it seems that a certain amount of "b" wave amplitude decrease could be admitted but the "a" and "b" wave latencies must be very constant. For the lupus, the hyper normality or at least stability of the "b" wave amplitude can be admitted till a dose around 800 g, associated to a good stability of the "a" and "b" wave latencies. Beyond these statistically established limits a beginning intoxication should be suspected.

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