Neuropathies périphériques et facteurs associés chez les hémodialysés chroniques du Bénin

IF 0.7 4区医学 Q4 UROLOGY & NEPHROLOGY Nephrologie & Therapeutique Pub Date : 2022-11-01 DOI:10.1016/j.nephro.2022.03.005

Séraphin Ahoui , Jacques Vigan , Mendinatou Agbetou , Léopold Bruno Agboton , Bignon Mardayack Ahonon , Evariste Eteka , Thierry Armel Adoukonou

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Abstract

Introduction

Peripheral neuropathies, in hemodialysis patients, are frequent.

Objective

To study peripheral neuropathies in the population of chronic hemodialysis patients in Benin.

Methods

This was a descriptive and analytical cross-sectional study conducted from April 1^st to July 31^st, 2017 in the hemodialysis units of the two public dialysis centers in Benin. Recruitment was exhaustive with inclusion of all patients with hemodialysis for more than 3 months, aged at least 18 years and consenting. The diagnosis of peripheral neuropathy was based on the presence of sensory-motor and/or vegetative disorders associated with amyotrophy, abolition or reduction of osteotendinous reflexes and absence of central signs.

Results

A total of 189 hemodialysis patients were included in the two public hemodialysis centers of Benin, 180 at the CNHU-HKM and 9 at the CHUD/BA. The mean age was 50.23 ± 13.31 years with extremes from 20 to 85 years and a sex ratio of 1.59. The overall frequency of peripheral neuropathy was 59.26%, including polyneuropathies (72.32%), unifocal mononeuropathies (10.71%), polyradiculoneuropathies (9.82%), and multiple mononeuropathies (7.14%). The associated factor in multivariate analysis was socioeconomic level (P = 0.001; OR 39.41; 95% CI 4.81–322.64).

Conclusion

Peripheral neuropathy is frequent in chronic hemodialysis patients in Benin, requiring early detection and management.

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贝宁慢性血液透析患者周围神经病变及相关因素

周围神经病变在血液透析患者中是常见的。目的了解贝宁地区慢性血液透析患者周围神经病变情况。方法采用描述性和分析性横断面研究，于2017年4月1日至7月31日在贝宁两家公共透析中心的血液透析单位进行。招募是详尽的，包括所有接受血液透析超过3个月，年龄至少18岁并同意的患者。周围神经病变的诊断是基于与肌萎缩相关的感觉-运动和/或营养障碍的存在，骨腱反射的消除或减少以及中枢体征的缺失。结果贝宁两所公立血透中心共纳入189例血液透析患者，其中CNHU-HKM中心180例，CHUD/BA中心9例。平均年龄50.23±13.31岁，极端年龄20 ~ 85岁，性别比1.59。周围神经病变的总发生率为59.26%，包括多神经病变(72.32%)、单灶性单一神经病变(10.71%)、多根性神经病变(9.82%)和多发性单一神经病变(7.14%)。多因素分析的相关因素为社会经济水平(P = 0.001;或39.41;95% ci 4.81-322.64)。结论贝宁慢性血液透析患者外周血神经病变多见，需早期发现和处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nephrologie & Therapeutique 医学-泌尿学与肾脏学

CiteScore

0.80

自引率

14.30%

发文量

485

审稿时长

11.9 weeks

期刊介绍： Organe d''expression de la Société de Néphrologie, de la Société Francophone de Dialyse et de la Société de Néphrologie Pédiatrique, Néphrologie et Thérapeutique a pour vocation de publier des textes en français dans le domaine de la Néphrologie, qu''il s''agisse d''actualisation des connaissances, de recommandations de bonne pratique clinique, de publications originales, ou d''informations sur la vie des trois sociétés fondatrices. La variété des thèmes abordés reflète la richesse de la Néphrologie, qu''il s''agisse d''aspects fondamentaux issus de la physiologie, de l''immunologie, de l''anatomo-pathologie, ou de la génétique, ou de sujets de néphrologie clinique, notamment ceux en rapport avec les thérapeutiques néphrologiques, transplantation, hémodialyse et dialyse péritonéale.

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