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[2006 - 2012年上海克雅氏病患者研究]

[Study on patients with Creutzfeldt-Jakob disease in Shanghai, 2006-2012].

作者信息

Huang Pu, Zhu Yi-yi, Hu Jia-yu, Jiang Chen-yan, Chen Bo, Zhang Hong, Chen Jian

机构信息

Department of Acute Communicable Disease Control.

School of Public Health, Fudan University.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2013 Sep;34(9):897-9.

Abstract

OBJECTIVE

To describe the epidemiological characteristics of patients with Creutzfeldt-Jakob disease (CJD) in Shanghai from 2006 to 2012.

METHODS

Clinical and epidemiological information on CJD patients from Shanghai CJD Surveillance Network was analyzed. Cerebral spinal fluid (CSF)and blood specimens from patients were collected and used for detecting the 14-3-3 protein, and polymorphism of 129 amino acid and mutation of PRNP genes. Data was processed by EpiData(V3.0)and analyzed by SPSS(V17.0).

RESULTS

In totally, one definite CJD patient together with 56 probable and 17 possible sporadic CJD patients were identified. One E200K genetic CJD case was diagnosed and another one was clinically diagnosed. No period- or geographic-related events were observed for these cases, but the houses of the two genetic CJD cases were close to each other. The mean age of onset of the probable CJD patients was 62 years old which was significantly older than that of those possible CJD patients.

CONCLUSION

Most of the CJD patients identified in Shanghai were sporadic and the number was stable from 2006 to 2012. The mean age of onset of those probable CJD patients was older than that of the possible CJD patients.

摘要

目的

描述2006年至2012年上海克雅病(CJD)患者的流行病学特征。

方法

对上海克雅病监测网络中CJD患者的临床和流行病学信息进行分析。收集患者的脑脊液(CSF)和血液标本,用于检测14-3-3蛋白、129位氨基酸多态性及PRNP基因的突变情况。数据采用EpiData(V3.0)进行处理,并用SPSS(V17.0)进行分析。

结果

共鉴定出1例确诊CJD患者,56例可能的散发性CJD患者和17例疑似散发性CJD患者。确诊1例E200K基因CJD病例,另1例为临床诊断病例。这些病例未观察到与时间或地域相关的事件,但两例基因CJD病例的住所彼此相邻。可能的CJD患者的平均发病年龄为62岁,显著高于疑似CJD患者。

结论

上海确诊的CJD患者大多为散发性,2006年至2012年数量稳定。可能的CJD患者的平均发病年龄高于疑似CJD患者。

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