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Published on: April 26, 2012
与甲基酸盐相关的潜在神经毒性
Natnasak Apiraksattayakul1,2, Jiraporn Jitprapaikulsan1,3, Kleebsabai Sanpakit4
1Siriraj Neuroimmunology Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
甲基酸 (MTX) 神经毒性影响5.22%的患者,主要是男性和儿科病例. 风险因素包括年龄,性别和MTX的服用途径,影响预后.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
背景情况:
- 甲基 (MTX) 是一种广泛使用的化疗剂.
- 神经毒性是MTX治疗的已知但不常见的副作用.
- 了解MTX诱导的神经毒性对于患者的管理和安全至关重要.
研究的目的:
- 为了确定在接受甲状腺酸盐治疗的患者中神经毒性的发生率和特征.
- 确定与MTX相关的神经毒性相关的风险因素.
- 描述MTX神经毒性的临床表现和结果.
主要方法:
- 电子队列数据库 (1990-2021) 的回顾性分析.
- 包括MTX治疗后出现神经毒性症状的患者,不包括外围神经病变.
- 分析患者人口统计数据,MTX给药细节,临床表现和结果.
主要成果:
- 在498名患者中,有26名 (5.22%) 患有神经毒性.
- 儿科患者 (7.44%) 比成年人 (3.13%) 更容易受到影响,男性占主导地位 (80.77%).
- 常见的表现包括脑病变 (69.2%);风险因素是男性性别,儿科年龄和特定的给药途径 (成人内,儿科静脉注射).
结论:
- MTX相关的神经毒性,虽然不常见,但显著影响患者的预后.
- 需要保持警,因为即使在单剂量和放射学模仿其他神经病理的潜在发展.
- 识别风险因素有助于早期检测和管理MTX神经毒性.
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