Review Article

维多珠单抗在炎性肠病的围手术期管理

卷 20, 期 13, 2019

页: [1317 - 1322] 页: 6

弟呕挨: 10.2174/1389450120666190325130142

价格: $65

摘要

背景:维多珠单抗对术后并发症增加的单独作用仍存在争议,类似于有关抗TNF和术后并发症的争议数据。 目的:确定维多珠单抗术后并发症的风险。 方法:对迄今有关比较用维多珠单抗治疗和未用维多珠单抗治疗的患者的术后结局进行比较的文献进行综述。研究按所有炎症性肠病合并在一起的研究进行了分层,专门针对克罗恩病或溃疡性结肠炎的研究,以及仅包括儿科患者的研究。 结果:关于维多珠单抗和术后并发症增加的相关数据,在成人和儿童文献中仍存在争议。在克罗恩病文献中似乎发现维多珠单抗与术后感染并发症风险增加之间的最强关联。 结论:维多珠单抗可能与克罗恩病的术后感染并发症风险增加有关,但由于难以分离单独使用生物制剂的慢性病患者,异质患者群体(包括多种糖皮质激素在内的多种药物)的疗效,因此文献仍存在争议。

关键词: 维多珠单抗,肠炎,手术干预,术后感染性并发症,腹内败血症,克罗恩病,溃疡性结肠炎。

图形摘要

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