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免疫检查点抑制剂相关抗神经元抗体阳性副肿瘤神经综合征临床特征分析
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作者 张乐 范思远 +3 位作者 任海涛 徐燕 柏琳 关鸿志 《中国现代神经疾病杂志》 CAS 北大核心 2024年第5期346-351,共6页
目的 分析抗神经元抗体阳性免疫检查点抑制剂相关副肿瘤神经综合征(ICI-PNS)的临床特征。方法与结果 纳入2012年1月至2024年3月中国医学科学院北京协和医院诊断与治疗的5例抗神经元抗体阳性ICI-PNS患者,肿瘤类型包括小细胞肺癌(2例)、... 目的 分析抗神经元抗体阳性免疫检查点抑制剂相关副肿瘤神经综合征(ICI-PNS)的临床特征。方法与结果 纳入2012年1月至2024年3月中国医学科学院北京协和医院诊断与治疗的5例抗神经元抗体阳性ICI-PNS患者,肿瘤类型包括小细胞肺癌(2例)、恶性黑色素瘤(1例)、霍奇金淋巴瘤(1例)、宫颈癌(1例),免疫检查点抑制剂包括程序性死亡蛋白-1抑制剂(3例)、程序性死亡蛋白配体-1抑制剂(1例)、程序性死亡蛋白-1/细胞毒性T细胞相关抗原4双抑制剂(1例)。5例患者均出现副肿瘤神经综合征的高风险表型,其中4例表现为边缘性脑炎,1例表现为快速进展的小脑综合征。血清和(或)脑脊液中检出的抗神经元抗体包括抗Hu、γ-氨基丁酸B型受体、Y染色体性别决定区相关高迁移率组盒蛋白1、代谢型谷氨酸受体5型、Yo抗体。4例神经系统症状出现在应用免疫检查点抑制剂2周内。4例病情达峰时改良Rankin量表评分为3分,1例为5分。5例患者常见不良事件评价标准分级(CTCAE)均为3级。治疗方面,停用免疫检查点抑制剂,给予糖皮质激素联合静脉注射免疫球蛋白治疗,神经系统症状均有改善。结论 中高风险抗神经元抗体是ICI-PNS的诊断标志物,可依据ICI-PNS临床表型及CTCAE分级等综合制定免疫治疗方案,停用免疫检查点抑制剂,应用糖皮质激素、静脉注射免疫球蛋白可以改善患者预后。 展开更多
关键词 副肿瘤综合征 神经系统 免疫检查点抑制剂(非MeSH词) 神经元 自身抗体 药物相关性副作用和不良反应
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Study protocol:A cross-sectional study on psychology and behavior investigation of Chinese residents,PBICR 被引量:3
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作者 Yu-Jia Wang Ayidana Kaierdebieke +46 位作者 si-yuan fan Rui-Feng Zhang Meng-Jie Huang Han Li Xiao-Nan Sun Qi-Yu Li Wen-Jia Meng Wen-Yu Wu Zhi Lin Jing-Yao Liu Xin-Pei Wang Yun-Chou Wu Jing-Qi Tang Yi-Ke Sun Ke Chen Pu Ge Wai-Kit Ming Casper Zhang Zheng Feei Ma Lei Feng Xin-Yue Zhang Yu-Yao Niu Yu-Pei Yan Yi-Le Jin Guang-Ze Gao Shuang Dai Yu-Liu Li Yue Tan Yi-Wei Wu Qi Zhang Gui Gui Xian-Li Pan Yan-Ming Liao Xian-Qi Zhao Ya-Ting Zhang Hui-Yi Chen Yue-Wei Qiu Xiao-Min Fu Jiang-Ling Zhou Dan Li Ke-Han Li Meng-Wei Xu Zhe Wang Yue-Qi Wang Yong Ma Xin-Ying Sun Yi-Bo Wu 《Psychosomatic Medicine Research》 2022年第3期30-41,共12页
Objective:This study protocol identifies the basic research route and framework of psychological and behavioral surveys among Chinese residents,aims establishing a database through a multicenter,large-sample cross-sec... Objective:This study protocol identifies the basic research route and framework of psychological and behavioral surveys among Chinese residents,aims establishing a database through a multicenter,large-sample cross-sectional survey in China to provide strong data support for research development in various fields and a more comprehensive and systematic understanding of the physical and mental health status of the public.Method:The study was conducted from June 20,2022 to August 31,2022,using stratified sampling and quota sampling methods,a total of 148 cities,202 districts and counties,390 townships/towns/sub-districts,and 780 communities/villages(excluding Hong Kong,Macao,and Taiwan)from 23 provinces,5 autonomous regions,and 4 municipalities directly under the central government in China were selected.The questionnaire was distributed one-on-one and face-to-face to the public by trained investigators,and the questionnaire included eight aspects:personal basic information,personal health status,family basic information,social environment in which they were located,psychological level scale,behavioral level scale,other scales,and attitude towards social hot issues.Data analysis will be performed after questionnaire return.Results:Data collection is ongoing.These findings will support physical and mental health research and strategy development in China and even globally,guiding policy-makers and health care organizations to reform their programs to ensure the best interests of residents and their families. 展开更多
关键词 Chinese residents PSYCHOLOGY BEHAVIOR Cross-sectional survey
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