血浆置换治疗视神经脊髓炎相关性视神经炎的研究进展

彭雪娇, 叶诗洋, 黄小勇, 姜安丽, 廖明燕, 王晓蕾

PDF(560 KB)
PDF(560 KB)
重庆医科大学学报 ›› 2024, Vol. 49 ›› Issue (03) : 237-241. DOI: 10.13406/j.cnki.cyxb.003453
综述

血浆置换治疗视神经脊髓炎相关性视神经炎的研究进展

作者信息 +

Research advances in plasma exchange in treatment of neuromyelitis optica-related optic neuritis

Author information +
History +

摘要

血浆置换是一种重要的临床治疗手段,广泛地应用于神经病学、血液病学及代谢紊乱性疾病等多种临床疾病的治疗,但治疗视神经脊髓炎相关性视神经炎国内暂时未普遍使用。本文就视神经脊髓炎相关性视神经炎发病机制与临床表现等特点,对血浆置换治疗方法及其对视神经脊髓炎相关性视神经炎治疗机制、注意事项及不良反应情况进行综述,为临床诊断治疗及预后判断提供一定参考依据。

Abstract

Plasma exchange is an important treatment method in clinical practice and is widely used in the treatment of various clinical diseases such as neurological diseases,hematological diseases,and metabolic disorders,while it has not been widely used in China for the treatment of neuromyelitis optica-related optic neuritis. This article reviews the pathogenesis and clinical manifestations of neuromyelitis optica-related optic neuritis,the mechanism of plasma exchange in the treatment of neuromyelitis optica-related optic neuritis,and related precautions and adverse reactions,in order to provide a reference for clinical diagnosis,treatment,and prognostic evaluation.

关键词

血浆置换 / 视神经脊髓炎相关性视神经炎 / 治疗机制

Key words

plasma exchange / neuromyelitis optica-related optic neuritis / therapeutic mechanism

中图分类号

R774.6+1

引用本文

导出引用
彭雪娇 , 叶诗洋 , 黄小勇 , . 血浆置换治疗视神经脊髓炎相关性视神经炎的研究进展. 重庆医科大学学报. 2024, 49(03): 237-241 https://doi.org/10.13406/j.cnki.cyxb.003453
Peng Xuejiao, Ye Shiyang, Huang Xiaoyong, et al. Research advances in plasma exchange in treatment of neuromyelitis optica-related optic neuritis[J]. Journal of Chongqing Medical University. 2024, 49(03): 237-241 https://doi.org/10.13406/j.cnki.cyxb.003453

参考文献

1
Shin JS Kwon YN Choi Y,et al. Comparison of psychiatric disturbances in patients with multiple sclerosis and neuromyelitis optica[J]. Medicine201998(38):e17184.
2
Bonnan M Berthelot E Cabre P. Large brain cavitation revealing neuromyelitis optica. Neuroimage[J]. Rev Neurol2020176(1/2):125-126.
3
Peng JT Cong HR Yan R,et al. Neurological outcome and predictive factors of idiopathic optic neuritis in China[J]. J Neurol Sci2015349(1/2):94-98.
4
赵 峰,陈 伟,孙青山,等. 血清AQP4-Ab在视神经炎患者中的表达[J]. 国际眼科杂志201616(10):1956-1958.
Zhao F Chen W Sun QS,et al. Expression of serum AQP4-Ab and the significance in patients with optic neuritis[J]. Int Eye Sci201616(10):1956-1958.
5
刘文冬,于明依,姜利斌. 视神经脊髓炎相关视神经炎发病机制及生物学标志物的研究进展[J]. 中华眼科杂志201955(3):228-233.
Liu WD Yu MY Jiang LB. The progress of research on the immune pathogenesis and biomarkers in optic neuritis related to neuromyelitis optica[J]. J Command Contr201955(3):228-233.
6
Bourne RRA Flaxman SR Braithwaite T,et al. Magnitude,temporal trends,and projections of the global prevalence of blindness and distance and near vision impairment:a systematic review and meta-analysis[J]. Lancet Glob Health20175(9):e888-e897.
7
魏世辉,宋宏鲁. 增强对视神经脊髓炎相关性视神经炎的认识,提高早期正确诊断及治疗水平[J]. 中华眼底病杂志201935(3):215-218.
Wei SH Song HL. Enhance the awareness of neuromyelitis optica-related optic neuritis to improve early diagnosis and treatment outcomes[J]. Chin J Ocul Fundus Dis201935(3):215-218.
8
李再来. 脑脊液BAFF、VEGF水平在视神经脊髓炎患者中的变化及其意义[J]. 卒中与神经疾病201825(6):681-684.
Li ZL. The changes of cerebrospinal fluid BAFF,VEGF levels in patients with neuromyelitis optica and their significance[J]. Stroke Nerv Dis201825(6):681-684.
9
宋宏鲁,杨 沫,孙明明,等. 水通道蛋白4抗体阳性儿童视神经炎的临床特征和预后分析[J]. 中华眼底病杂志202036(4):257-261.
Song HL Yang M Sun MM,et al. Clinical features and prognosis of aquaporin-4 antibody positive pediatric optic neuritis[J]. Chin J Ocul Fundus Dis202036(4):257-261.
10
陈雪猛,王 勇,王娅琼,等. 以视神经脊髓炎为首发表现的原发性干燥综合征1例及文献回顾[J]. 重庆医学202049(4):569-572,576.
Chen XM Wang Y Wang YQ,et al. Neuromyelitis optica as an initial manifestation of primary sjögren's syndrome:a case report and literature review[J]. Chongqing Med202049(4):569-572,576.
11
Polston C Agalidy YS Mamedov AA,et al. Technical note:a preliminary evaluation of a method for the examination of text substitutions using magneto-optical measurements[J]. Forensic Sci Int2021323:110776.
12
Rocca MA Mesaros S Preziosa P,et al. Wallerian and trans-synaptic degeneration contribute to optic radiation damage in multiple sclerosis:a diffusion tensor MRI study[J]. Mult Scler201319(12):1610-1617.
13
Esen E Sizmaz S Demir T,et al. Evaluation of choroidal vascular changes in patients with multiple sclerosis using enhanced depth imaging optical coherence tomography[J]. Ophthalmologica2016235(2):65-71.
14
London F Zéphir H Drumez E,et al. Optical coherence tomography:a window to the optic nerve in clinically isolated syndrome[J]. Brain2019142(4):903-915.
15
宋宏鲁,徐全刚,魏世辉. 视神经脊髓炎谱系疾病相关性视神经炎的治疗研究进展[J]. 中华眼科杂志202056(7):539-543.
Song HL Xu QG Wei SH. Progress in the treatment of neuromyelitis optica spectrum disorders related optic neuritis[J]. J Command Contr202056(7):539-543.
16
宋宏鲁,魏世辉,孙明明,等. 《中国脱髓鞘性视神经炎诊断和治疗循证指南(2021年)》解读[J]. 中华眼底病杂志202137(10):753-757.
Song HL Wei SH Sun MM,et al. Interpretation of an evidence-based guideline for the diagnosis and treatment of demyelinating optic neuritis in China (2021)[J]. Chin J Ocul Fundus Dis202137(10):753-757..
17
Schwartz J Winters JL Padmanabhan A,et al. Guidelines on the use of therapeutic apheresis in clinical practice-evidence-based approach from the Writing Committee of the American Society for Apheresis:the sixth special issue[J]. J Clin Apher201328(3):145-284.
18
Premuzic V Bilic E Sepec BI,et al. Lower number of plasma exchange sessions and glomerular filtration rate decline are associated with second relapses in patients with myasthenia gravis[J]. Medicine202099(6):e19100.
19
Han MY Chen Y Nong LQ,et al. Safety and efficacy of plasma exchange for the treatment of optic neuritis in neuromyelitis optica spectrum disorders:a protocol for systematic review and meta-analysis[J]. Medicine202099(28):e21067.
20
梁宪红,黄晓霞,曾东杰,等. 血浆置换治疗视神经脊髓炎谱系疾病及其有效性分析:附4例报告[J]. 中国输血杂志202033(1):22-25.
Liang XH Huang XX Zeng DJ,et al. Therapeutic safety and efficacy of plasma exchange in patients with neuromyelitis optica spectrum disorder:four cases[J]. Chin J Blood Transfus202033(1):22-25.
21
Deschamps R Gueguen A Parquet N,et al. Erratum to:plasma exchange response in 34 patients with severe optic neuritis[J]. J Neurol2017264(7):1547.
22
Jacquet C Garnier A Cheuret E. Plasma exchange and immunoadsorption in pediatric inflammatory optic neuropathy resistant to corticosteroid therapy:four French cases[J]. Neuropediatrics201647(3):175-178.
23
陈 鹭,张桂菊,刘小荣. 血浆置换在儿科神经系统免疫障碍性疾病中的应用[J]. 中国血液净化201514(3):159-162.
Chen L Zhang GJ Liu XR. Plasma exchange in the treatment of pediatric neurological diseases mediated by immunological abnormalities[J]. Chin J Blood Purif201514(3):159-162.
24
郝彦超,唐石磊. 血浆置换在神经内科自身免疫性疾病临床治疗中的效果观察[J]. 中国现代药物应用20137(23):73-74.
Hao YC Tang SL. Observation on the effect of plasma exchange in clinical treatment of autoimmune diseases in neurology department[J]. Chin J Mod Drug Appl20137(23):73-74.
25
冉建川,冯新程,何洪海,等 .静脉注射免疫球蛋白治疗糖皮质激素耐药的NMO-ON复发患者的疗效[J]. 国际眼科杂志202121(4):694-697.
Ran JC Feng XC He HH,et al. Efficacy of intravenous immunoglobulin in patients with relapsed glucocorticoid-resistant NMO-ON[J]. International Eye Science202121(4):694-697.
26
赵莹莹,张 依,梁文野,等. 视神经脊髓炎谱系疾病临床特点分析及治疗进展[J]. 神经损伤与功能重建201813(4):177-180.
Zhao YY Zhang Y Liang WY,et al. Clinical characteristics analysis and treatment progression of neuromyelitis optica spectrum disorders[J]. Neural Inj Funct Reconstr201813(4):177-180.
27
张玉凤,杨 佳. 血浆置换在神经脊髓炎相关视神经炎中的应用效果及影响因素分析[J]. 临床和实验医学杂志201817(21):2319-2323.
Zhang YF Yang J. Study on the application of plasma exchange in treatment of neuromyelitis-associated with optic neuritis and its influencing factors[J]. J Clin Exp Med201817(21):2319-2323.
28
庄 远,徐全刚,魏世辉. 血浆置换治疗急性期视神经炎[J]. 眼科201726(1):6-9.
Zhuang Y Xu QG Wei SH. Therapeutic plasma exchange for acute optic neuritis[J]. Ophthalmol China201726(1):6-9.
29
张亚岚,刘 会,谢沁芳,等. 视神经脊髓炎谱系疾病相关实验室指标研究现状及进展[J]. 解放军医学杂志202045(5):573-578.
Zhang YL Liu H Xie QF,et al. Research status and progress of laboratory indexes related to neuromyelitis optica spectrum disorders[J]. Med J Chin People's Liberation Army202045(5):573-578.
30
郭思彤,李 众,姜利斌,等. AQP4抗体阳性视神经脊髓炎相关视神经炎糖皮质激素冲击治疗效果分析[J]. 中华眼科杂志201955(3):180-185.
Guo ST Li Z Jiang LB,et al. Effects of intravenous methylprednisolone pulse therapy on optic neuritis associated with AQP4 antibody seropositive neuromyelitis optica[J]. J Command Contr201955(3):180-185.
31
陈 彬,李 尧,王瑞金,等. 视神经脊髓炎谱系疾病临床特征分析及症状异质性研究[J]. 神经损伤与功能重建201914(4):169-172.
Chen B Li Y Wang RJ,et al. Clinical analysis and research on atypical manifestation of neuromyelitis optica spectrum disorders[J]. Neural Inj Funct Reconstr201914(4):169-172.
32
李妙嫦,李 蕊,杨渝,等. 伴其他自身免疫相关抗体的视神经脊髓炎谱系疾病临床特点分析[J]. 中国现代神经疾病杂志202020(9):794-799.
Li MC Li R Yang Y,et al. Clinical characteristics of patients with neuromyelitis optica spectrum disorders with other autoantibodies[J]. Chin J Contemp Neurol Neurosurg202020(9):794-799.
33
韦雪芸. 血浆置换不良反应发生情况及影响因素分析[J]. 当代护士(下旬刊)202128(7):31-34.
34
龚立超,常 红,赵洁. 治疗性血浆置换术中血管通路应用及护理研究进展[J]. 中国护理管理202020(11):1757-1760.
Gong LC Chang H Zhao J. A review of application of vascular access and care of its complication in Therapeutic Plasma Exchange[J]. Chin Nurs Manag202020(11):1757-1760.
35
谭少英,庄 远,魏世辉,等. 血浆置换治疗难治性视神经炎急性期患眼的视力预后[J]. 中华眼底病杂志201935(3):255-258.
Tan SY Zhuang Y Wei SH,et al. Visual improvement of therapeutic plasma exchange for refractory optic neuritis patients in acute phase[J]. Chin J Ocul Fundus Dis201935(3):255-258.

基金

国家自然科学基金青年科学基金资助项目(82301199)

评论

PDF(560 KB)

Accesses

Citation

Detail

段落导航
相关文章

/