世界中医药

作者	单位
陈鹏1 卢加庆2 王桂玲1 刘慧林1 郭静1 温雅丽1 张帆1 冯毅1	1 首都医科大学附属北京中医医院针灸中心，北京，100010； 2 济宁市中医院，济宁，272000

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中文摘要:

目的：通过中西医结合治疗Meige综合征，总结该病的诊疗特点。方法：近期收治1例Meige综合征患者，由于症状不典型，最初考虑眼肌型重症肌无力可能性大，经相关检查后明确Meige综合征诊断，并予西药口服结合中医针刺治疗，患者症状明显好转。根据本病例，从入院的诊疗思路分析，结合有关Meige综合征相关文献，对本病的难点、重点逐一分析。结果：1）诊断方面主要根据临床症状，应普及神经科医生、眼科医生、中医针灸科医生对该病的认识程度，避免漏诊、误诊。2）治疗方面，除了采用西药治疗外，还可合并中医针灸治疗。3）预后方面提示若年轻时发病，或发展到最严重症状的时间间隔较短暂，或及时治疗，预后相对较好。结论：通过临床诊治经验及文献分析，对Meige综合征诊断、鉴别诊断、病因病机、治疗方法、预后评估等方面的特点作出了总结，为今后的临床诊治工作提供了借鉴。

English Summary:

To summarize the characteristics in treating Meige syndrome with acupuncture and haloperidol. Methods：A patient with meige syndrome was admitted in our hospital recently. Because of the atypical symptom，the patient was diagnosed on ocular myasthenia gravis at first. Based on several examination results，the diagnosis of Meige syndrome was confirmed，and patient felt much better after treatment with acupuncture and haloperidol. In accordance with this special case and pertinent literature，expound the keypoint of Meige syndrome. Conclusion： 1) The diagnosis of Meige syndrome is based on the clinical symptoms，so it is very important for the doctor，in neurology，ophthalmology and Chinese medicine department，to recognize it. 2) The acupuncture treatment is a good way for this disease. 3) Ways to judge the prognosis. The Good curative effect shows on the patient，who is young，or the time from beginning of the symptoms to getting most serious is short，or treating in time. Conclusion： Based on the clinical experience and literature analysis，we summarized the features of diagnosis，differential diagnosis，etiology and pathogenesis，therapeutic method and prognosis evaluation.

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