斯塔夫罗波尔州多发性硬化症的流行病学特征

G. V. Larin, E. M. Larina, A. Raevskaya, I. Vyshlova, S. M. Karpov
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摘要

多发性硬化症(MS)是一种慢性自身免疫性、炎症性和中枢神经系统退行性疾病,也是年轻人最常见的神经系统疾病。对 2021-2022 年期间在一家多学科医院神经科住院并被诊断为多发性硬化症的 655 名患者的病历进行了回顾性分析。对患者的年龄、性别、居住地、发病年龄、多发性硬化症类型、残疾程度和疾病进展速度进行了评估。统计处理使用 Microsoft Excel 和 Statistica 10 软件进行。在此期间,多发性硬化症的发病率为每 10 万人 22.7 例。女性占 70.2%,男性占 29.8%。平均年龄为 40.04 ± 10.8 岁。绝大多数多发性硬化症的发病年龄(83.2%)在 21 至 50 岁之间,其中女性占 82.8%,男性占 84%。在分析神经功能缺损的严重程度时,扩展库尔茨克残疾量表的平均得分是 3.53 ± 1.7 分。病情发展速度为每年 1.21 ± 1.1 分,速度较快。在住院患者中,65.4%的人属于残疾组:第三组--41.9%(275名患者),第二组--21.4%(140名患者),第一组--2.1%(14名患者)。斯塔夫罗波尔边疆区是多发性硬化症发病风险中等的地区之一。这项工作的结果可能有助于规划该地区某些地区的医疗和社会保健工作。
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Epidemiological characteristics of multiple sclerosis in Stavropol region
Multiple sclerosis (MS) is a chronic autoimmune, infl ammatory and degenerative disease of the central nervous system and is the most common neurological disorder in young people.Purpose: to determine the clinical and epidemiological features of multiple sclerosis usig the example of the Stavropol region (SR).Materials and methods. A retrospective analysis of 655 medical records of patients for 2021–2022, hospitalized in the neurological department of a multidisciplinary hospital with a diagnosis of MS, was carried out. The age, gender, place of residence of the patient, age of onset of the disease, type of MS, degree of disability, and rate of disease progression were assessed. Statistical processing was carried out using Microsoft Excel and Statistica 10 software.Results. The incidence of MS during this period was 22.7 per 100,000 population. The share of women was 70.2%, men — 29.8%. Average age — 40.04 ± 10.8 years. The vast majority of cases of onset of MS (83.2%) occur between the ages of 21 and 50 years — 82.8% of women and 84% of men. When analyzing the severity of neurological defi cit, the average score on the extended Kurtzke scale of disability was 3.53 ± 1.7 points. The rate of progression was 1.21 ± 1.1 points per year, which corresponds to a fast pace. Among those hospitalized, 65.4% have a disability group: third — 41.9% (275 patients), second — 21.4% (140 patients), fi rst — 2.1% (14 patients).Conclusion. The Stavropol Territory is one of the regions with a moderate risk of developing multiple sclerosis. The results of the work may be useful in planning medical and social care in certain territories of this region.
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来源期刊
Russian Neurological Journal
Russian Neurological Journal Medicine-Neurology (clinical)
CiteScore
0.40
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0.00%
发文量
49
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