口腔疾病修饰治疗对多发性硬化症认知结果的影响的现状:一个范围审查
Vincenzo Carlomagno1,2, Massimiliano Mirabella1,2, Matteo Lucchini1,2
1Fondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Neurologia, 00168 Rome, Italy.
Bioengineering (Basel, Switzerland)
|July 29, 2023
概括
口服疾病修饰治疗 (DMT) 对多发性硬化症 (MS) 认知表现出不同的影响. 斯芬戈辛-1-酸盐调节器有更多的数据,但对于最终的结论仍然需要标准化的认知评估.
科学领域:
- 神经学 神经学
- 神经免疫学 神经免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 认知障碍是多发性硬化症 (MS) 中一个显著的,经常被忽视的残疾.
- 挑战包括标准化的认知评估和理解治疗效果.
- 本综述综合了关于口腔疾病修饰治疗 (DMT) 和MS认知结果的证据.
研究的目的:
- 审查目前关于口服DMT对MS患者认知功能的影响的证据.
- 识别认知结果指标和治疗效果的趋势.
- 突出MS治疗研究中的认知评估研究中的差距.
主要方法:
- 对报告MS中口服DMT的纵向认知数据的研究进行系统审查.
- 包括观察性研究,随机对照试验和扩展研究.
- 分析诸如SDMT和PASAT之类的认知结果指标.
主要成果:
- 29项研究对口服DMT进行了评估,其中大多数研究重点关注斯芬戈-1-酸盐 (S1P) 调节剂.
- 短期随访 (≤2年) 通常显示认知稳定或轻微改善.
- 对于S1P调节器的数据比其他口服DMT更为广泛.
结论:
- 在针对多发性硬化症的前性口服DMT研究中,认知结果报告不足.
- S1P调节器有更多关于认知效应的可用数据.
- 标准化的认知评估对于准确评估口服DMT对MS认知的益处至关重要.
关键词:
双关头 (BICAMS) 是一个双关头.关于MS的简要国际认知评估这就是PASSAT PASAT的意义.SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT SDMT克拉德里宾 (cladribine) 是一种药物.认知障碍是一种认知障碍.二甲基烟酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸二甲酸这就是fingolimod的意思.磁共振成像 (MRI) 的使用.多发性硬化症多发性硬化症神经心理评估 神经心理评估臭氧化的使用方法快节奏的审计序列加法任务.这种方法是siponimod.符号数字模式测试模式测试里弗隆胺的使用方法相关概念视频
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