"在多发性硬化症中,疾病修饰治疗和疲劳之间没有关联"
Line Broch1, Heidi Øyen Flemmen2, Cecilia Smith Simonsen3
1Department of Neurology, Vestre Viken Hospital Trust, Drammen, Norway; Department of Neurology, Oslo University Hospital, Norway; Institute of Clinical Medicine, University of Oslo, Norway.
Multiple sclerosis and related disorders
|September 14, 2023
概括
疲劳在多发性硬化症 (MS) 中很常见. 这项研究没有发现疾病修饰疗法 (DMT) 与MS患者减轻疲劳之间的直接联系,尽管焦虑和残疾等其他因素也起作用.
科学领域:
- 神经学 神经学
- 临床研究 临床研究
- 患者的治疗结果.
背景情况:
- 疲劳影响60-90%的多发性硬化症 (MS) 患者,显著降低生活质量和工作能力.
- 与MS相关的疲劳的根本原因在很大程度上是未知的.
- 疾病修饰治疗 (DMT) 用于通过减少神经炎症来减缓多发性硬化症的进展.
研究的目的:
- 调查DMT使用与患有复发性多发性硬化症的个体疲劳的患病率之间的关联.
- 根据DMT疗效 (高与中等) 探索疲劳率的潜在差异.
主要方法:
- 一项涉及挪威1142名复发性多发性硬化症患者的横截面研究.
- 使用运动和认知功能的疲劳量表 (FSMC) 和医院焦虑和抑郁量表 (HADS) 来评估患者报告的结果.
- 根据药物类型将DMT分为高效和中效组.
主要成果:
- 80%的参与者报告说他们感到疲劳.
- 虽然中度有效的DMT显示了与较少疲劳的初步关联,但在调整其他因素后,这并不显著.
- 高效的DMT与疲劳水平之间没有发现任何关联.
- 与疲劳相关的独立因素包括性别,残疾程度 (MS严重程度得分),焦虑和抑郁.
结论:
- 这项研究发现,在多发性硬化症患者的疾病修饰治疗使用和疲劳之间没有独立的关系.
- 焦虑,抑郁和残疾等因素比使用DMT更明显地与MS相关的疲劳有关.
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