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一、研究对象及方法对象为1930～1986年东邦大学第四内科诊治的成人PM(多发性肌炎)59例(按Bohan诊断标准,确诊47例,疑诊12例),已除外合并恶性肿瘤及15岁以下发病的小儿PM病例。其中女41例,男18例,平均发病年龄45.8±17.7(SD)岁。按Bohan分类为I型33例,Ⅱ型22例,V型4例;按Walton分类则I型22例,Ⅱ型19例,Ⅲ型18例。平均观察时间4.5±4.3年。根据病历对各病例作回顾性登记。全部病例均使用过GC(均换算成强的松龙,下同),根据最大日剂量和如初头3个月总剂量将病例分
First, the object of study and method The object was 59 cases of adult PM (polymyositis) diagnosed and treated by the Fourth Internal Medicine Department of Tohoku University from 1930 to 1986 (47 cases were diagnosed by Bohan diagnostic criteria and 12 cases were suspected), and malignant Tumors and children under the age of 15 incidence of PM cases. Among them, 41 were women and 18 were males, with an average age of 45.8 ± 17.7 (SD). According to Bohan classification, 33 cases were type I, 22 cases were type II and 4 cases were type V. According to Walton classification, there were 22 cases of type I, 19 cases of type II and 18 cases of type III. The average observation time was 4.5 ± 4.3 years. The cases were retrospectively registered on the basis of medical records. All cases were used GC (all converted into prednisolone, the same below), according to the maximum daily dose and the first three months, such as the total dose of the case points