多发性硬化症患者的诊断和治疗延迟:多中心研究
Salma Ragab1, Basem Hamdy Fouda2, Abdallah-Almamun Sarhan3
1Neurology Department, Faculty of Medicine, Kafrelsheikh University, Kafr El-Sheikh, Egypt.
BMC neurology
|September 2, 2025
概括
多发性硬化症 (MS) 的延迟诊断与年龄,疾病类型和初始症状等因素有关. 这种延迟显著加重了MS的残疾和患者的结果.
科学领域:
- 神经学
- 临床研究
背景情况:
- 多发性硬化 (MS) 是一种慢性神经疾病,表现不同.
- 及时诊断和治疗对于管理多发性硬化和患者的结果至关重要.
研究的目的:
- 确定导致多发性硬化症患者诊断和治疗延迟的因素.
- 评估诊断和治疗延迟对多发性硬化症结果的影响.
主要方法:
- 这是一项包括埃及四个城市239名多发性硬化患者在内的多中心队列观察研究.
- 使用多发性硬化症严重性尺度 (MSSS) 和扩展残疾状况尺度 (EDSS) 进行严重性和残疾评估.
- 从症状出现到确诊的时间间隔.
主要成果:
- 延迟诊断与初级渐进性多发性硬化症 (PPMS),发病时的感官症状和年轻年龄有关.
- 寻求眼科和神经病学家的初步治疗延长了诊断时间.
- 在诊断延迟和MS严重程度增加之间发现了显著的正相关性 (EDSS,MSSS,PI).
- 延迟诊断,诊断时的EDSS和疾病持续时间独立预测了MS的严重程度.
结论:
- 发病时的年龄,其他专业的转诊延迟,以及最初的感官症状等因素延长了MS诊断的时间.
- 延迟诊断和治疗导致残疾增加和功能损失.
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