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慢性炎症性脱髓鞘性多发性神经根神经病的免疫治疗

Immunotherapy of chronic inflammatory demyelinating polyradiculoneuropathy.

作者信息

Eftimov F, van Schaik I N

机构信息

Academic Medical Centre, Department of Neurology, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

出版信息

Expert Opin Biol Ther. 2008 May;8(5):643-55. doi: 10.1517/14712598.8.5.643.

Abstract

BACKGROUND

chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune-mediated disease. Current treatments are aimed at modulating the immune response to achieve remission and maintain functional status. However, many patients fail to make a long-term recovery with current treatments.

OBJECTIVES

to review the literature on immunotherapy for CIDP.

METHODS

We used the Search Strategy of the Cochrane Neuromuscular Disease Review Group to search Medline and Embase. Randomised and non-randomised studies examining the effects of any therapeutic agent in patients with CIDP were selected. The references of relevant articles were scanned to identify additional reports of interest.

RESULTS/CONCLUSION: An overview of the different treatments for CIDP is provided. Emphasis has been placed on evidence from randomised controlled trials but open non-randomised studies are discussed if appropriate. We include a treatment algorithm and provide our views on current treatments, ongoing trials and possible directions for further research.

摘要

背景

慢性炎症性脱髓鞘性多发性神经根神经病(CIDP)是一种免疫介导的疾病。目前的治疗旨在调节免疫反应以实现缓解并维持功能状态。然而,许多患者采用当前治疗方法无法实现长期康复。

目的

综述CIDP免疫治疗的相关文献。

方法

我们使用Cochrane神经肌肉疾病综述小组的检索策略检索了Medline和Embase。选取了研究任何治疗药物对CIDP患者疗效的随机和非随机研究。扫描相关文章的参考文献以识别其他感兴趣的报告。

结果/结论:提供了CIDP不同治疗方法的概述。重点是随机对照试验的证据,但在适当情况下也讨论了开放性非随机研究。我们纳入了一个治疗算法,并就当前治疗、正在进行的试验和进一步研究的可能方向发表了我们的看法。

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