在牛皮关节炎中揭示与性别相关的变化:呼吁个性化护理
Teodora Baciu1, Adriana Elena Neagu1, Ioana Cristina Saulescu1,2
1Department of Internal Medicine and Rheumatology, Spitalul Clinic "Sfanta Maria", Bulevardul Ion Mihalache 37-39, 011172 Bucharest, Romania.
Journal of clinical medicine
|June 26, 2025
概括
牛皮关节炎 (PsA) 在症状,疾病进展和治疗反应方面表现出显著的性别差异. 了解这些差异是PsA管理中个性化护理的关键.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 医学中的性别和性别.
背景情况:
- 牛皮关节炎 (PsA) 是一种慢性炎症疾病,临床表现各异.
- 现有的研究表明PsA可能存在基于性别的差异,但缺乏全面的概述.
研究的目的:
- 系统地审查和综合有关牛皮关节炎性差异的证据.
- 探索男性和女性患有PsA之间的临床表现,放射性特征,并发症和治疗结果.
- 为优化患者护理提供量身定制的治疗策略.
主要方法:
- 对国家注册,观察性研究和元分析进行系统审查.
- 在PubMed,Cochrane图书馆和Embase进行的文献搜索.
- 纳入标准侧重于成人PsA患者,并比较基于性别的结果.
主要成果:
- 女性报告了更多的外围关节炎,疼痛和功能障碍;男性显示了更多的轴性疾病和皮肤严重性.
- 女性患者对治疗的反应不那么有利,特别是对TNF抑制剂 (TNFi) 的治疗,其疾病活性达到较低.
- 抑郁症和纤维肌痛在女性中更常见;心血管风险数据不一致.
结论:
- 在PsA的临床概况,治疗疗效和相关并发症方面存在显著的性别差异.
- 认识到这些差异对于制定个性化治疗计划至关重要.
- 基于性别的定制策略可以改善牛皮关节炎患者的治疗结果.
关键词:
心血管疾病心血管疾病伴随性疾病发生率.抑郁 抑郁症 抑郁症 抑郁症 是一种性别 性别 性别 性别 性别疼痛的测量 疼痛的测量精准医学是一门精准医学.牛皮关节炎 牛皮关节炎性别特征 性别特征治疗结果治疗结果更多相关视频
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