多发性硬化症患者的治疗坚持:危险因素
L A Rodríguez de Antonio1, R Fernández de Córdoba-García2, N Herrero-Muñoz3
1Servicio de Neurología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain.
Neurologia
|April 27, 2025
概括
认知障碍和酒精或毒品使用显著增加了对多发性硬化症治疗不良坚持的风险. 然而,口服药物与MS患者的更好的坚持有关.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 坚持治疗对于管理多发性硬化症至关重要.
- 识别不坚持的风险因素可以改善治疗结果.
- 疾病修饰疗法 (DMT) 是MS管理的核心.
研究的目的:
- 确定人口,临床和治疗风险因素,以确定MS患者不充分遵守DMT的风险因素.
- 评估特定患者特征和治疗方式对坚持治疗的影响.
- 提供针对性干预措施的证据,以改善MS的坚持.
主要方法:
- 这是一项回顾性研究,分析了2004-2022年期间的医疗记录和药品发行数据.
- 包括284名多发性硬化症患者和546名DMT治疗患者.
- 多变量后勤回归用于识别与坚持相关的因素.
主要成果:
- 整体的坚持率为87.5%.
- 不坚持的患者更有可能出现认知障碍,精神疾病,多药和酒精/毒品使用.
- 认知障碍 (OR: 3.82) 和酒精/毒品使用 (OR: 22.83) 是不坚持的重要危险因素.
- 口服药物与更好的坚持相关 (OR:0.29).
结论:
- 认知障碍和酒精或药物使用是MS治疗依从性较低的主要危险因素.
- 针对这些因素的干预措施可以改善遵守.
- 口服的DMT似乎可以提高患者在多发性硬化症管理中的坚持.
相关概念视频
Drug Therapy
30
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
30
Factors Influencing Drug Absorption: Disease States and Pharmacology
348
Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
348
Psychological and Sociocultural Causes of Schizophrenia
33
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
33
Factors Affecting Protein-Drug Binding: Patient-Related Factors
31
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
31
Factors Affecting Drug Response: Overview
1.7K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.7K
Psychosis: Goals of Pharmacotherapy
96
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
96


