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多发性骨髓瘤合并周围神经病变的发病率及危险因素的回顾性分析

A Retrospective Analysis of Morbidity and Risk Factors of Multiple Myeloma with Peripheral Neuropathy.

作者信息

Gao Xiao-Han, Liu Ying-Jiao, Liu Yu-Ting, Wang Yu-Yao, Yang Jie, Li Yan, Li Jie

机构信息

Department of Hematology, Hebei General Hospital, Shijiazhuang, Hebei, China.

Department of Gastroenterology, Hebei General Hospital, Shijiazhuang, Hebei, China.

出版信息

Br J Hosp Med (Lond). 2024 Dec 30;85(12):1-10. doi: 10.12968/hmed.2024.0544. Epub 2024 Dec 23.

Abstract

Peripheral nerve injury affects some people with multiple myeloma; this condition can be brought on by the disease itself or by the treatments they receive. Such a complication increases patients' financial burden, causes treatment to be interrupted or delayed, and reduces treatment efficacy. However, opinions regarding the risk factors for peripheral neuropathy are currently divided. Consequently, the primary goals of this study were to determine the prevalence of peripheral neuropathy and related risk factors in newly diagnosed and untreated patients of multiple myeloma. Sixty-one patients with newly diagnosed and untreated multiple myeloma were retrospectively analyzed. Peripheral neuropathy (PN) in all patients was assessed via electromyography. The patients were divided into two groups according to the presence of PN. The differences in body mass index, haemoglobin, monoclonal M protein (M protein) and other related indicators between the two groups were analyzed using independent sample -tests and Mann-Whitney U tests. Of the 61 patients, 72% had PN. Neuroelectrophysiological studies revealed that PN patients have abnormalities in both their motor and sensory fibres. We discovered that PN was strongly correlated with age, haemoglobin, and levels of creatinine ( = 0.039, = 0.045, and = 0.030, respectively). Age, haemoglobin and creatinine levels are associated with the occurrence of PN. Investigation of the incidence and risk factors of multiple myeloma-associated PN can provide a better theoretical basis for the selection of treatment options and the enhancement of patient well-being and satisfaction.

摘要

周围神经损伤会影响一些多发性骨髓瘤患者;这种情况可能由疾病本身或患者接受的治疗引起。这种并发症增加了患者的经济负担,导致治疗中断或延迟,并降低了治疗效果。然而,目前关于周围神经病变危险因素的观点存在分歧。因此,本研究的主要目的是确定新诊断且未接受治疗的多发性骨髓瘤患者周围神经病变的患病率及相关危险因素。对61例新诊断且未接受治疗的多发性骨髓瘤患者进行了回顾性分析。通过肌电图评估所有患者的周围神经病变(PN)。根据PN的存在情况将患者分为两组。使用独立样本t检验和曼-惠特尼U检验分析两组患者在体重指数、血红蛋白、单克隆M蛋白(M蛋白)及其他相关指标上的差异。61例患者中,72%患有PN。神经电生理研究表明,PN患者的运动和感觉纤维均存在异常。我们发现PN与年龄、血红蛋白和肌酐水平密切相关(分别为r = 0.039、r = 0.045和r = 0.030)。年龄、血红蛋白和肌酐水平与PN的发生有关。对多发性骨髓瘤相关PN的发病率和危险因素进行调查可为治疗方案的选择以及提高患者的健康水平和满意度提供更好的理论依据。

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