系统性炎症预测结核性脑膜炎患者的神经功能结果:中国的一项多中心回顾性队列研究
Yijia Guo1,2,3, Ruyun Zhang4, Xinling Gan5
1Department of Neurology, Chengdu Medical College, The First Affiliated Hospital, Chengdu, People's Republic of China.
Journal of inflammation research
|October 28, 2024
概括
通过中性粒细胞-淋巴细胞比率 (NLR) 表示的系统性炎症升高,预测结核性脑膜炎 (TBM) 患者的神经结果不佳. 德克萨米他是一种
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 炎症研究 炎症研究
背景情况:
- 结核性脑膜炎 (TBM) 带来了重大挑战,因为临床结果的预测因素不清楚.
- 系统性炎症被怀疑起作用,但其对TBM预后和治疗反应的确切影响尚未确定.
研究的目的:
- 分析TBM患者的全身炎症水平和临床结果之间的关系.
- 调查系统性炎症是否会影响TBM中德克萨米他治疗的有效性.
主要方法:
- 从2011年1月到2021年12月,对1203名TBM患者进行的队列研究.
- 中性粒细胞-淋巴细胞比率 (NLR) 用于评估基线和治疗后的全身炎症.
- 采用了通用线性混合模型,倾向性得分匹配和子组分析.
主要成果:
- 治疗后的NLR与早期的神经系统恶化 (OR=1.25) 和12个月的功能表现不佳 (OR=1.34) 有关.
- 德克萨米他治疗在NLR四分位数最高的患者中没有显著的关联与改善的结果.
- 德克萨米他的疗效在不同疾病严重程度层中没有显著变化.
结论:
- 通过NLR测量的系统性炎症升高是TBM中不良神经结果的独立风险因素.
- 需要进一步的研究,以探索严重的TBM病例中的全身炎症,以完善结果预测和指导抗炎疗法.
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