多发性硬化症相关疾病的病因,影响和管理:最近的进展
Ruth Ann Marrie1,2, John D Fisk3, Kathryn Fitzgerald4
1Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Frontiers in immunology
|June 16, 2023
概括
患有多发性硬化症的人 (MS) 经历更多的并发性疾病,影响疾病进展,生活质量和医疗保健费用. 将并发症管理整合到MS护理中对于更好的患者结果至关重要.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 多发性硬化症 (MS) 经常与其他健康状况同时发生.
- 与普通人群相比,患有多发性硬化症的人患心血管和精神疾病的比例更高.
- 代表性不足的少数群体和患有多发性硬化症的移民群体面临着更大的共同疾病负担.
研究的目的:
- 检查并发性疾病对多发性硬化症的过程和结果的影响.
- 突出共同疾病对个人,医疗保健系统和社会的影响.
- 强调需要在MS护理中进行综合性并发症管理.
主要方法:
- 对基于人口的研究进行分析.
- 综述现有关于多发性硬化症并发症的文献.
- 检查并发症的个人和系统影响.
主要成果:
- 伴随性疾病与MS复发率的增加,身体和认知能力的下降,生活质量的降低和死亡率的增加有关.
- 伴随性疾病有助于提高医疗保健利用率,成本和工作障碍.
- 新出现的证据表明,多发性硬化症会影响并发症的结果.
结论:
- 伴随性疾病显著恶化了多发性硬化症患者的结果.
- 必须将并发症的有效管理纳入标准的多发性硬化症护理方案.
- 需要进行进一步的研究,以建立综合护理的最佳模型.
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