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BMJ：神经莱姆病对患者长期生存、健康及生活的影响

2018-06-04 zhangfan MedSci原创

神经莱姆病蜱虫血液皮肤
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研究发现神经莱姆病患者长期生存、健康以及教育及社会经济指标与一般人群差异不显著，但患者血液疾病以及皮肤癌风险增加

近日研究人员就神经莱姆病对患者长期生存、健康、教育、社会能力的影响进行了考察。

研究在丹麦开展，总计2067名神经莱姆病患者参与研究，患者疏螺旋体鞘内抗体试验阳性，符合莱姆包柔氏螺旋体病临床诊断；研究同时招募了20670名健康志愿者作为对照组。

研究发现，神经莱姆病患者死亡风险与常人相近（死亡风险比值比0.90），但患者血液系统疾病（OR 3.07）以及非黑色素瘤皮肤癌（OR 1.49）风险增加。确诊时患者失业率高，残疾养恤金领取率低；随访5年后，患者与一般人群在住院率（差异-0.22%）、就业率（差异1.5%）、收入差异（-1000）、病假天数（-0.3）、残疾养恤金领取比率（-0.9%）、子女数（-0.10）等社会经济指标上的差异不显著，患者结婚率（4.8%）以及完成高中以上教育率（7%）较高。

研究发现神经莱姆病患者长期生存、健康以及教育及社会经济指标与一般人群差异不显著，但患者血液疾病以及皮肤癌风险增加。

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    2020-02-10 1228d32am78(暂无昵称)

    内容太简单

    0

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    2018-07-08 gaoxiaoe

    #BMJ#

    0

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    2018-06-06 zhouqu_8

    #莱姆病#

    0

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    2018-06-06 luckyshitiancai_42705690

    #长期生存#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=379080, encodeId=e2193e90805d, content=内容太简单, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/dglMUGgevnib2TUNdKibb54sKOs3aTWAQjREfsWCaJZtWFAhkW8cDHBwx0UMhEI7CfRZaicZZqhMLcQMwcneOkbGQ/132, createdBy=10a92340475, createdName=1228d32am78(暂无昵称), createdTime=Mon Feb 10 14:18:15 CST 2020, time=2020-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848529, encodeId=2d13184852901, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sun Jul 08 14:11:00 CST 2018, time=2018-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1439055, encodeId=d32214390556a, content=<a href='/topic/show?id=5fef8e995c7' target=_blank style='color:#2F92EE;'>#莱姆病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87995, encryptionId=5fef8e995c7, topicName=莱姆病)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 06 00:11:00 CST 2018, time=2018-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618308, encodeId=9fee161830811, content=<a href='/topic/show?id=3ebc9e0210b' target=_blank style='color:#2F92EE;'>#长期生存#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97021, encryptionId=3ebc9e0210b, topicName=长期生存)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1f719885829, createdName=luckyshitiancai_42705690, createdTime=Wed Jun 06 00:11:00 CST 2018, time=2018-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321411, encodeId=134d3214110e, content=好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛., beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=d85d1636106, createdName=lietome2, createdTime=Mon Jun 04 10:26:32 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321404, encodeId=331032140484, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Jun 04 09:59:13 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321394, encodeId=e31332139434, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Mon Jun 04 09:14:50 CST 2018, time=2018-06-04, status=1, ipAttribution=)]
    2018-06-04 lietome2

    好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛.

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=379080, encodeId=e2193e90805d, content=内容太简单, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/dglMUGgevnib2TUNdKibb54sKOs3aTWAQjREfsWCaJZtWFAhkW8cDHBwx0UMhEI7CfRZaicZZqhMLcQMwcneOkbGQ/132, createdBy=10a92340475, createdName=1228d32am78(暂无昵称), createdTime=Mon Feb 10 14:18:15 CST 2020, time=2020-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848529, encodeId=2d13184852901, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sun Jul 08 14:11:00 CST 2018, time=2018-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1439055, encodeId=d32214390556a, content=<a href='/topic/show?id=5fef8e995c7' target=_blank style='color:#2F92EE;'>#莱姆病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87995, encryptionId=5fef8e995c7, topicName=莱姆病)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Wed Jun 06 00:11:00 CST 2018, time=2018-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618308, encodeId=9fee161830811, content=<a href='/topic/show?id=3ebc9e0210b' target=_blank style='color:#2F92EE;'>#长期生存#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97021, encryptionId=3ebc9e0210b, topicName=长期生存)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1f719885829, createdName=luckyshitiancai_42705690, createdTime=Wed Jun 06 00:11:00 CST 2018, time=2018-06-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321411, encodeId=134d3214110e, content=好文.值得点赞!认真学习了.把经验应用于实践.为患者解除病痛., beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=d85d1636106, createdName=lietome2, createdTime=Mon Jun 04 10:26:32 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321404, encodeId=331032140484, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Jun 04 09:59:13 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=321394, encodeId=e31332139434, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Mon Jun 04 09:14:50 CST 2018, time=2018-06-04, status=1, ipAttribution=)]
    2018-06-04 飛歌

    学习了很有用不错

    0

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    2018-06-04 明月清辉

    谢谢分享.学习了

    0