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特发性肺纤维化为何难治?IPF患者援助项目启动

2018-05-04 屠俊 澎湃新闻

特发性肺纤维化(IPF)被称为“不是癌症的癌症”,国外有研究表明,近一半患者在确诊后的2-3年内死亡 ,5年生存率可低于30% ,比乳腺癌、结肠癌等大多数癌症的生存率都低。近年来,我国IPF患病发病率呈现逐步上升的趋势,且死亡率居高不下。此病病因未明,多发于50岁以上的老年人,且男性多于女性。IPF疾病进展不可预测,大多数患者在最初几年内病情看似稳定,然而一旦发生急性加重,死亡率会继续增加。突如其

特发性肺纤维化(IPF)被称为“不是癌症的癌症”,国外有研究表明,近一半患者在确诊后的2-3年内死亡 ,5年生存率可低于30% ,比乳腺癌结肠癌等大多数癌症的生存率都低。

近年来,我国IPF患病发病率呈现逐步上升的趋势,且死亡率居高不下。此病病因未明,多发于50岁以上的老年人,且男性多于女性。IPF疾病进展不可预测,大多数患者在最初几年内病情看似稳定,然而一旦发生急性加重,死亡率会继续增加。

突如其来的急性加重致使死亡率上升,但患者和医生却面临着治疗选择有限的无奈境遇,对延缓病情进展“无计可施”。

以往IPF患者主要通过肺部康复运动、氧疗、肺移植及药物治疗等一系列综合治疗手段来延缓疾病进展,然而,长期以来用于治疗IPF的药物选择极少,呼吸科医生只能凭临床经验用药,常见的糖皮质激素、免疫制剂、免疫调节剂等传统药物治疗效果不理想,无法有效控制病情进展。在我国,大量的病人没有得到很好的治疗。

近日, 中国初级卫生保健基金会宣布启动“维系·深呼吸 ——特发性肺纤维化患者援助项目”。援助药品为全球首个治疗IPF的创新靶向药,药物由研发生产公司无偿提供,它可以有效延缓疾病进展,降低急性加重风险。此项目旨在减轻低收入特发性肺纤维化(IPF)患者的经济负担,帮助更多的患者能够规范、持续的治疗,延缓疾病进展。

中国初级卫生保健基金会副秘书长胡宁宁表示,特发性肺纤维化起因不明,诊断难度大,治疗选择少,治疗现状不容乐观,希望通过上述援助项目减轻低收入患者家庭的经济负担,帮助患者坚持长期用药,帮助更多IPF患者延缓进展,把握明天。

著名呼吸病学专家、中国工程院院士钟南山教授表示,“特发性肺纤维化是一种严重的进行性肺部疾病,目前存在的问题是大众认知低,确诊晚,治疗选择少。大多数患者在疾病早期没有得到及时的发现和诊治,从而延误了疾病的治疗时机。”

特发性肺纤维化(IPF)以隐匿性、进行性的呼吸困难和刺激性干咳为突出症状,伴有杵状指、皮肤发青等体征。绝大多数IPF患者临床表现不典型,漏诊和延误诊断现象普遍,也容易被误诊为慢阻肺、哮喘和充血性心力衰竭或其他肺部疾病。所以当出现刺激性干咳、活动后气喘、经常感冒、肺部感染、皮肤发青(称为发绀)、指甲形状发生变化(称为杵状指)、食欲不佳、体重减轻等症状时,应及时到专业医院的呼吸科就医,临床上高分辨率CT(HRCT)是帮助确诊特发性肺纤维化最关键的手段。

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1894667, encodeId=492e189466e25, content=<a href='/topic/show?id=e45b6e859f3' target=_blank style='color:#2F92EE;'>#特发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67859, encryptionId=e45b6e859f3, topicName=特发性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Mon Oct 29 08:32:00 CST 2018, time=2018-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1339903, encodeId=5da213399031f, content=<a href='/topic/show?id=1f669990c9' target=_blank style='color:#2F92EE;'>#IPF#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9990, encryptionId=1f669990c9, topicName=IPF)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqTLTjicBiccpdUyHMGZV43nOBI6QIQqxVcy2EzXz67E390Q5j0R7QWjym391HxsyiaYt7NzbrcojRDw/132, createdBy=64462500151, createdName=ms705947299214030, createdTime=Sun May 06 10:32:00 CST 2018, time=2018-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312090, encodeId=a0a2312090a9, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Sat May 05 05:54:46 CST 2018, time=2018-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312025, encodeId=1706312025ce, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Fri May 04 21:07:57 CST 2018, time=2018-05-04, status=1, ipAttribution=)]
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    2018-05-05 秀红

    学习了

    0

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    2018-05-04 changjiu

    学习一下谢谢

    0

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