Evidence-Based Complementary and Alternative Medicine / 2013 / Article / Tab 2

Research Article

Shenqi Fuzheng Injection Alleviates the Transient Worsening Caused by Steroids Pulse Therapy in Treating Myasthenia Gravis

Table 2

Clinical absolute and relative scores for patients with MG.

Ptosis (upper eyelid position)Upper eyelid fatigue test (sec)Eyeball horizontal movement (white of the eye, mm) Upper limb fatigue test—arm outstretched (sec)Lower limb fatigue test—knee and hip flexion at 90° (sec)Facial musclesChewing and swallowing Respiratory muscle

0 = normal0 = >60 0 = ≤2, no diplopia0 = >1200 = >120 0 = normal with eyelashes all covered by eyelids0 = normal function0 = normal function
1 = 10–2 o’clock1 = 31–60 1 = 3-4, with diplopia1 = 61–1201 = 61–1201 = slightly reduced eye closure strength, eyelashes incompletely covered2 = fatigue with solid food, prolonged food intake but normal food amount2 = shortness of breath with movement or exertion
2 = 9–3 o’clock2 = 16–30 2 = 5–8, with diplopia2 = 31–602 = 31–602 = reduced eye closure strength, eyelashes all exposed outside4 = fatigue with solid food, prolonged and decreased food intake 4 = shortness of breath with walking on a leveled area
3 = 8–4 o’clock3 = 6–15 3 = 9–12, with diplopia3 = 11–303 = 11–303 = can neither close eyelids nor puff up cheeks6 = semifluid food only6 = shortness of breath with sitting still
4 = 7–5 o’clock4 = ≤5 4 = >12, with diplopia4 = 0–104 = 0–104 = cannot pout with a masklike face8 = nasal feeding only8 = mechanical ventilation

Clinical relative score (CRS) = (pretreatment absolute score − posttreatment absolute score)/pretreatment absolute score.
Effect score: (1) complete remission if CRS ≥ 95%, (2) basic remission if CRS 80–95%, (3) marked improvement if CRS 50–80%, (4) improvement if CRS 25–50%, and (5) ineffectiveness if CRS < 25%.

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