在患有阿尔茨海默病的患者中,预后不佳和细胞免疫功能异常的相关因素
Hua Bai1, Hong-Mei Zeng2, Qi-Fang Zhang3
1Department of Neurology, The Third Affiliated Hospital of Guizhou Medical University in China, Duyun 558099, Guizhou Province, China. baih2020@gmc.edu.cn.
World journal of clinical cases
|March 11, 2024
概括
降低T淋巴细胞的数量可能预示着阿尔茨海默病 (AD) 患者的预后不佳. 早期和持续使用多尼佩西尔等药物的治疗与阿兹海默症患者的更好的治疗结果有关.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 老年病的医生 老年病的医生
背景情况:
- 阿尔茨海默病 (AD) 显著影响患者的生活质量和预后.
- 慢性免疫炎症在阿尔茨海默病的发病过程中发挥着越来越公认的作用.
研究的目的:
- 研究AD患者的认知功能障碍,细胞免疫功能,神经成像和预后因素之间的关系.
- 为了确定AD的独立预后因素.
- 评估药物治疗和患者预后之间的相关性.
主要方法:
- 对62名住院阿尔茨海默病患者的回顾性分析.
- 收集的数据包括认知评估 (MMSE,时钟测试),T淋巴细胞子集,NLR,意识障碍,额外金字塔症状,EEG和MRS.
- 使用多变量逻辑回归和等级总和测试来确定预后因素和治疗相关性.
主要成果:
- 异常的细胞免疫力,额外皮拉米德症状,意识障碍,异常的EEG/MRS和肺炎与AD预后不佳有关.
- 降低T淋巴细胞比例被确定为预后不佳的独立风险因素 (OR:2.078,P <0.05).
- 多尼西尔治疗持续时间与认知能力改善正相关 (r = 0.578,P < 0.05).
结论:
- 减少T淋巴细胞比例 (<55%) 可能预测AD的预后不佳.
- 早期和持续的药物治疗,如多尼佩西尔,与阿尔茨海默病患者的更好的预后有关.
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