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在开始多发性硬化症疾病修饰疗法后,自我报告的疲劳轨迹
Simon Englund1, Thomas Frisell2, Ying Qu3
1Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden simon.englund@ki.se.
Journal of neurology, neurosurgery, and psychiatry
|May 14, 2024
概括
在复发性复发性多发性硬化症 (RRMS) 中,疲劳通常在开始疾病修饰疗法 (DMT) 后保持稳定或恶化. 疲劳显著影响治疗RRMS患者的身体残疾.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 临床研究 临床研究
背景情况:
- 对瑞典患有复发性复发性多发性硬化症 (RRMS) 的个人进行观察性研究.
- 专注于疾病修饰疗法 (DMT) 开始后的疲劳和身体残疾.
研究的目的:
- 在开始DMT的RRMS患者中确定明显的疲劳轨迹.
- 检查疲劳轨迹与身体残疾之间的关联.
- 调查不同疲劳模式的预测因素.
主要方法:
- 用于评估疲劳和身体残疾的小组建模方法.
- 来自1587名 (第一个DMT) 和1818名 (DMT转换) 个人的数据 (2011-2022年).
- 分析包括疲劳轨迹和条件概率的预测因素.
主要成果:
- 在首次使用DMT的患者中确定了五种疲劳轨迹:没有,低,轻,中度和严重.
- 中度疲劳轨迹进展到严重疲劳;其他人保持稳定.
- 在DMT切换者中观察到六个稳定的疲劳轨迹.
- 女性比男性更容易经历严重疲劳.
- 在疲劳和身体残疾轨迹之间发现了强烈的关联.
结论:
- 在积极治疗的RRMS患者中,自我报告的疲劳通常在DMT后稳定或增加.
- 在DMT开始后,疲劳水平和身体残疾进展之间存在显著的联系.
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