炎症对高度炎症性类风湿关节炎患者的认知功能的影响
Natalia Mena-Vázquez1,2, Fernando Ortiz-Márquez1,2,3, Teresa Ramírez-García1,4
1The Biomedical Research Institute of Malaga and Platform in Nanomedicine (IBIMA BIONAND Platform), Málaga, Spain.
RMD open
|July 23, 2024
概括
患有类风湿性关节炎 (RA) 的患者经历了更多的认知障碍,特别是在视觉空间,记忆和执行功能方面. 在RA患者中,高的炎症活性增加了对这种认知衰退的易感性.
科学领域:
- 类风湿病学 类风湿病学
- 神经心理学 神经心理学
- 免疫学 免疫学 免疫学
背景情况:
- 类风湿性关节炎 (RA) 是一种全身性自身免疫性疾病.
- 在RA患者中,认知障碍越来越被认可.
- 炎症活动对RA认知功能的影响需要进一步研究.
研究的目的:
- 评估类风湿性关节炎 (RA) 患者的认知功能.
- 评估RA患者的炎症活动和认知障碍之间的关系.
- 为了比较RA患者和健康对照者的认知功能.
主要方法:
- 对70名RA患者和70名匹配的健康对照进行了横截面研究.
- 综合的神经心理评估,包括蒙特利尔认知评估 (MoCA).
- 分析了炎症标志物 (DAS28-CRP,CRP,IL-6) 和认知领域.
主要成果:
- 与对照组相比,RA患者的认知障碍率显著更高 (60%vs40%).
- 患有RA的患者的MoCA得分较低,特别是在视觉空间执行,记忆和抽象领域.
- 在RA的认知障碍与较高的炎症活性 (DAS28,CRP,IL-6),肥胖和较低的教育水平有关.
结论:
- 患有RA的患者,特别是具有高炎症活性的患者,更容易出现认知障碍.
- 在RA的认知缺陷主要影响视觉空间,记忆,抽象和执行功能.
- 炎症在类风湿性关节炎的认知功能障碍的发展中起着至关重要的作用.
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