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预测在生物学时代性结肠炎发病时早期免疫抑制的预测因素
Gisela Piñero1, Edgar Castillo1, Carlos González-Muñoza2
1Department of Gastroenterology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
预测性结肠炎 (UC) 的先进疗法仍然具有挑战性. 这项研究没有发现免疫抑制剂,生物药物或胆管切除术的强烈早期指标,尽管确定了与疾病程度和皮质类固醇使用的关联.
科学领域:
- 胃肠病学 胃肠病学
- 炎症性肠病研究研究
- 临床流行病学临床流行病学
背景情况:
- 性结肠炎 (UC) 缺乏预后不佳的既定预测因素,与克罗恩病不同.
- 免疫抑制剂治疗通常是在UC管理中类固醇失败后的"升级"方法.
研究的目的:
- 在性结肠炎患者中确定早期启动免疫抑制剂,生物药物和胆管切除术的预测因素.
- 为早期治疗性结肠炎的治疗策略提供信息.
主要方法:
- 在七年内对UC患者的一组事件队伍进行了回顾性观察性研究.
- 在诊断时收集的人口,临床,内镜和生物数据.
- 评估早期使用 (五年内) 免疫抑制剂,生物药物和切除术.
主要成果:
- 诊断时广泛的结肠炎,在发病时需要皮质类固醇,以及近位疾病的进展与以后的高级治疗或切除术有关.
- 在诊断时,32%的患者患有广泛的结肠炎,15%的患者患有严重的结肠炎,13%的患者患有大.
- 在五年内,24%的患者接受了提奥普林,18%的患者接受了生物制剂,4%的患者接受了切除术.
结论:
- 不到三分之一的性结肠炎患者在五年内开始服用硫氨酸或生物药物.
- 在UC发病时早期引入先进疗法时,没有确定强大的预测因素.
- 目前的UC治疗策略可能无法通过先进疗法促进早期干预.
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