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多发性硬化症接种疫苗后的副作用:一个前性的多中心队列研究
Alexander Winkelmann1, Christoph Metze2,3, Uwe K Zettl1,2
1Department of Neurology, University of Rostock, Gehlsheimer Strasse 20, 18147, Rostock, Germany.
多发性硬化症 (MS) 患者的疫苗是安全的,耐受性良好. 根据一项新的研究,接种疫苗并没有恶化MS疾病的活性,甚至可能降低复发率.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 感染对多发性硬化症 (MS) 患者构成风险.
- 人们对疫苗引起的MS恶化存在担忧.
- 疾病修饰疗法 (DMT) 在MS治疗中很常见.
研究的目的:
- 评估标准非活体疫苗对DMT患者多发性硬化症患者疾病活性的安全性和影响.
- 评估疫苗接种后复发率和残疾状况的变化.
主要方法:
- 未来的,多中心的,非随机的观察性研究.
- 222名接受DMT治疗的多发性硬化患者被监测疾病活动和副作用.
- 疫苗包括季节性流感和基于破伤风的类型.
主要成果:
- 每年复发率在接种疫苗后显著下降 (0.64到0.38).
- 扩展残疾状况表在六个月内保持稳定.
- 19.2%的人报告了副作用,主要是局部或类似流感的症状.
结论:
- 标准的非活体疫苗是安全的,并且在接受DMT的MS患者中耐受良好.
- 疫苗接种似乎不会对MS疾病活动产生负面影响.
- 接种疫苗可能与减少多发性硬化症复发率有关.
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