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[杜氏肌营养不良症临床实践指南]

[Clinical practice guidelines for Duchenne muscular dystrophy].

作者信息

Tan Hu, Liang Desheng, Wu Lingqian

机构信息

Medical Genetics Research Center, Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2020 Mar 10;37(3):258-262. doi: 10.3760/cma.j.issn.1003-9406.2020.03.006.

Abstract

Duchenne muscular dystrophy (DMD) is the most common X-linked recessive disorder of the neuromuscular system. The incidence of DMD in male newborns is approximately 1 in 3500. It is caused by mutations of dystrophin (DMD) gene in Xp21.2 region. The main clinical manifestations of DMD include progressive and symmetrical myasthenia. Due to the involvement of respiratory muscles and myocardium, DMD patients usually die before the age of 30. Genetic testing can uncover the mutations in 93.1% of the patients and lay a foundation for early treatment, improving the quality of life of patients, and preventing the families from having further affected children. This guideline has combined relevant research, guideline and consensus issued at home and abroad, and summarized genetic knowledge and clinical treatment for DMD, with the aim to standardize the diagnosis, treatment and prevention for patients and their families.

摘要

杜氏肌营养不良症(DMD)是神经肌肉系统最常见的X连锁隐性疾病。男性新生儿中DMD的发病率约为3500分之一。它由Xp21.2区域的抗肌萎缩蛋白(DMD)基因突变引起。DMD的主要临床表现包括进行性和对称性肌无力。由于呼吸肌和心肌受累,DMD患者通常在30岁前死亡。基因检测可在93.1%的患者中发现突变,为早期治疗、改善患者生活质量以及防止家庭生育更多患病子女奠定基础。本指南综合了国内外发布的相关研究、指南和共识,总结了DMD的遗传学知识和临床治疗方法,旨在规范对患者及其家庭的诊断、治疗和预防。

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