Meyer-Rienecker H J, Hitzschke B, Buddenhagen F, Lakner K
Abteilung Neurologie, Bereiches Medizin der Wilhelm-Pieck-Universität Rostock.
Psychiatr Neurol Med Psychol (Leipz). 1988 Oct;40(10):588-97.
Basing on the diagnostic criteria, an analysis of 687 cases of multiple sclerosis (MS) is represented according to the different forms of course, their frequency and the degree of severity. For the progressive course--either secondary after attacks or primary--a higher proportion of disease with severe disturbances resp. comparatively malignant forms have been found; furthermore, a critical time of progression could be ascertained. The determination of the disability status (using the EDSS) during a longer space of time showed a more unfavourable prognosis for the males. The development of disability was more distinct at onset of disease in the elder-aged groups. The problems of uncertain factors influencing the course and prognosis of disease are pointed out in connection with the heterogeneity of MS, basing on the pathogenetic components.
基于诊断标准,对687例多发性硬化症(MS)患者按照病程的不同形式、其频率及严重程度进行了分析。对于进展型病程——无论是发作后继发的还是原发的——发现严重功能障碍的疾病比例较高,即相对恶性的形式;此外,可以确定一个关键的进展期。在较长时间内对残疾状况(使用扩展残疾状态量表[EDSS])的测定显示男性预后更差。在老年组中,疾病发作时残疾的进展更为明显。基于发病机制成分,结合MS的异质性,指出了影响疾病病程和预后的不确定因素问题。