Neurology:成年脑瘫患者非传染性疾病患病情况

2019-08-29 xing.T MedSci原创

由此可见,伴有CP的成年人发生非传染性疾病的风险增加,特别是心血管和呼吸系统疾病。这些研究结果强调了对CP患者的非传染性疾病方面需要临床警惕,以及进一步研究该人群中非传染性疾病的病因和治疗。

近日,神经病学领域权威取杂志Neurology上发表了一篇研究文章,该研究旨在比较伴有和不伴有脑瘫(CP)的成人之间非传染性疾病的发生率。

研究人员使用来自临床实践研究数据链的初级保健数据进行队列研究。按匹配集分层并针对潜在的混杂因素进行调整的Cox模型适用于比较伴有和不伴有CP的成人之间任何非传染性疾病、癌症、心血管疾病、2型糖尿病和呼吸系统疾病的风险。

该分析纳入了1705名患有CP的成年人和5115名没有CP的年龄、性别匹配的成年人。经调整的分析证据表明,与没有CP的成年人相比,伴有CP的成年人发生任何非传染性疾病的风险增加75%(风险比[HR]为1.75,95%可信区间[CI]为1.58-1.94)。具体而言,他们患心血管疾病(HR为1.76,95%CI为1.48-2.11)和呼吸系统疾病(HR为2.61,95%CI为2.14-3.19)的风险增加。没有证据表明患癌症或2型糖尿病的风险增加。

由此可见,伴有CP的成年人发生非传染性疾病的风险增加,特别是心血管和呼吸系统疾病。这些研究结果强调了对CP患者的非传染性疾病方面需要临床警惕,以及进一步研究该人群中非传染性疾病的病因和治疗。 

原始出处:

Jennifer M. Ryan,et al.Noncommunicable disease among adults with cerebral palsy A matched cohort study.Neurology.2019.https://n.neurology.org/content/early/2019/08/28/WNL.0000000000008199

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    2020-02-25 yinhl1978
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    2020-01-10 xzw113
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