Berk L, van Gool A R, Bannink M, Kruit W H
Albert Schweitzer Ziekenhuis, afd. Interne Specialismen, Zwijndrecht.
Ned Tijdschr Geneeskd. 1999 Jul 10;143(28):1461-4.
Interferons are a class of glycoproteins whose properties include antiviral, immunomodulatory and antiproliferative effects. Immunotherapy with interferons is used in a variety of diseases, such as haemato-oncological disorders, solid tumours, viral hepatitis and multiple sclerosis. Due to their involvement in the regulation of a large number of physiological functions, many different side effects can occur. Flu-like syndromes, gastrointestinal complaints, fatigue, pain, increased susceptibility to infections, thyroid dysfunction and psychiatric side effects occur frequently with alfa-interferon. Side effects frequently necessitate interruption and dose reduction. Severe or even life-threatening side effects are not frequent but do occur. Patient education is an important promotor of patient compliance, as are proper detection and symptomatic treatment of the side effects.
干扰素是一类糖蛋白,其特性包括抗病毒、免疫调节和抗增殖作用。干扰素免疫疗法用于多种疾病,如血液肿瘤疾病、实体瘤、病毒性肝炎和多发性硬化症。由于它们参与大量生理功能的调节,可能会出现许多不同的副作用。使用α干扰素时,流感样综合征、胃肠道不适、疲劳、疼痛、感染易感性增加、甲状腺功能障碍和精神副作用很常见。副作用常常需要中断治疗和减少剂量。严重甚至危及生命的副作用并不常见,但确实会发生。患者教育是促进患者依从性的重要因素,对副作用进行正确检测和对症治疗也是如此。