脊柱狭窄症:在血友病患者中出现的衰老并发症
Claire Kelly1,2, Mark McGowan1,3, Niamh Larkin1
1National Coagulation Centre, St. James's Hospital, Dublin, Ireland.
概括
脊髓狭窄,一种导致脊髓压缩的疾病,是血友病 (PWH) 的老年人中新发现的一种并发症. 这项研究发现,PWH患者的症状性脊柱狭窄率高于他们年龄的预期.
科学领域:
- 老年学是指老年学的学科.
- 血液学 血液学 血液学
- 整形外科 整形外科 整形外科
背景情况:
- 血友病 (PWH) 的老龄化人口面临新的健康挑战.
- 脊柱狭窄症是与年龄相关的脊柱退行症的后果,是PWH的潜在问题.
- 目前的文献缺乏关于PWH中脊柱狭窄的流行率的数据.
研究的目的:
- 系统地审查爱尔兰血友病患者症状性脊柱狭窄症的患病率.
- 在这个人群中识别与脊柱狭窄相关的危险因素.
主要方法:
- 对40岁及以上的PWH进行临床和放射学数据的回顾性审查.
- 纳入标准:中度或重度的血友病A或B.
- 收集的数据:血友病关节健康评分 (HJHS),成像和干预.
主要成果:
- 在100名PWH (年龄≥40岁) 中,有13%的患者有放射性证实的症状脊柱狭窄,这一比例高于一般人群 (>60岁).
- 脊柱狭窄与年龄较大有显著的关联 (中位数为69岁与55岁).
- 血友病的严重程度和HJHS得分与脊柱狭窄症没有显著的相关性.
结论:
- 症状性脊柱狭窄症是PWH中衰老的一个新的并发症.
- 在PWH中脊柱狭窄的患病率高于预期的年龄.
- 目前的关节健康评估 (HJHS) 没有捕捉脊柱病理,表明需要对老年PWH进行修订的监测.
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