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多发性硬化症患者的痴呆症:系统性审查和元分析
Omid Mirmosayyeb1,2, Danial Dehghani Firouzabadi3, Soroush Oraee4
1Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Brain and behavior
|May 30, 2025
概括
患有多发性硬化症 (MS) 的人患痴呆症的风险高出1.67倍. 虽然不常见,但MS中痴呆的患病率为5.31%,需要进一步研究.
科学领域:
- 神经学 神经学
- 神经免疫学 神经免疫学
- 认知科学 认知科学
背景情况:
- 多发性硬化症 (MS) 是一种影响中枢神经系统的自身免疫性疾病.
- 认知功能障碍是MS的已知并发症,与痴呆症有潜在的联系.
- 在MS中痴呆的确切机制和患病率尚不清楚.
研究的目的:
- 确定MS (PwMS) 患者痴呆症的综合流行率.
- 评估PwMS中痴呆的综合风险 (危险比率).
- 在多发性硬化症的背景下对痴呆症的现有证据进行综合.
主要方法:
- 一个系统的元分析,遵循PRISMA指南.
- 在Embase,PubMed,Web of Science和Scopus数据库中进行全面的文献搜索.
- 将报告痴呆症流行率或危险比率的观察性研究纳入PwMS.
- 随机效应模型用于计算聚合的流行率和危险率.
主要成果:
- 在37831名多发性硬化症患者中,痴呆的综合流行率为5.31% (95% CI:2.25%-11.98%).
- 聚合危险比率为1.67 (p < 0.01),表明PwMS患者的痴呆风险显著增加.
- 在流行率和风险估计中观察到高异质性 (I2>70%).
结论:
- 痴呆症在MS中并不常见,但与普通人群相比,PwMS面临的风险明显增加.
- 研究中的显著异质性表明,在解释聚合估计时要谨慎.
- 需要进一步的研究来验证这些发现,并探索潜在的机制.
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