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[杜氏肌营养不良症:治疗的当前现状与展望]

[Duchenne muscular dystrophy: current aspects and perspectives on treatment].

作者信息

López-Hernández L B, Vázquez-Cárdenas N A, Luna-Padrón E

机构信息

División de Genética, Centro de Investigación Biomédica de Occidente, Instituto Mexicano del Seguro Social, México DF, México.

出版信息

Rev Neurol. 2009;49(7):369-75.

Abstract

INTRODUCTION AND DEVELOPMENT

Duchenne muscular dystrophy (DMD) is a severe neuromuscular disease of genetic origin that affects male children. It is characterized by progressive muscle deterioration which results in the patient becoming wheelchair-dependent until death from cardio-respiratory complications. A few years ago, DMD patients' life quality and expectancy were poor and treatment options limited; valuable recommendations that significantly delay the progress of the disease and improve the patient's life quality have been brought about recently. Numerous therapeutic approaches are now in development in order to correct the DMD genetic defect at molecular level. In the mean time, a comprehensive system to maintain patients in their best possible physical condition is needed.

CONCLUSIONS

Accurate detection of complications enables caregivers to determine which patients are at higher risk and to provide treatment accordingly. Nevertheless, all of these efforts are dependent on early clinical and molecular diagnosis, careful record of clinical changes and long-term follow-up of DMD patients. Furthermore, the involvement of multidisciplinary groups and the patient's family is essential in said interventions.

摘要

引言与发展

杜氏肌营养不良症(DMD)是一种严重的遗传性神经肌肉疾病,影响男性儿童。其特征是进行性肌肉退化,导致患者最终依赖轮椅,直至因心肺并发症死亡。几年前,DMD患者的生活质量和预期寿命较差,治疗选择有限;最近出现了一些有价值的建议,可显著延缓疾病进展并改善患者生活质量。目前正在研发多种治疗方法,以在分子水平上纠正DMD基因缺陷。与此同时,需要一个综合系统来使患者保持最佳身体状况。

结论

准确检测并发症可使护理人员确定哪些患者风险较高,并据此提供治疗。然而,所有这些努力都依赖于DMD患者的早期临床和分子诊断、临床变化的仔细记录以及长期随访。此外,多学科团队和患者家庭的参与在上述干预措施中至关重要。

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