在斯洛文尼亚多发性硬化症患者中,药物持久性用二甲基烟酸治疗
Maj Jožef1,2, Igor Locatelli1, Gregor Brecl Jakob2
1Department of Pharmacy, University of Ljubljana, Ljubljana, Slovenia.
Current medical research and opinion
|September 29, 2023
概括
斯洛文尼亚多发性硬化症患者对二甲基烟酸治疗的持续性很高,胃肠道问题是停止治疗的主要原因. 对于患有疾病不稳定的年轻患者,需要进行干预.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 是一种慢性中枢神经系统炎症性疾病.
- 药物持续性,即药物开始和最后一剂之间的时间,是MS疾病稳定病程的关键指标.
- 丁甲基烟酸是复发性复发性MS的常见治疗方法.
研究的目的:
- 评估药物持续性并确定斯洛文尼亚多发性硬化症患者中药物停用原因.
- 分析影响该群体治疗持续性的因素.
主要方法:
- 在2014年至2021年期间,对269名复发性复发性多发性硬化症患者进行了回顾性队列研究,这些患者接受了二甲基烟酸治疗.
- 药物持续性是由超过60天的治疗间隔决定的.
- 使用生存分析和考克斯回归来评估停止治疗的时间和共变量的影响.
主要成果:
- 观察到高持续率,在7年随访期间,45.7%的患者停止治疗.
- 终止治疗的中位时间为5.6年.
- 在30岁以上的患者中,持续性更高,特别是那些将无效作为停止治疗的原因的人.
结论:
- 在斯洛文尼亚的多发性硬化患者中,二甲基烟酸表明药物持续性很高.
- 胃肠道不良反应是治疗中止的最常见原因.
- 针对性干预可能对年轻的MS患者有不稳定的疾病过程有益,以改善长期的持续性.
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