慢性肾病与不宁腿综合征的关系及影响因素分析。病例对照研究。

Z. Mousavi, Mehrdad Ghaemmaghami, R. Alipour, Sona Rahimpour
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摘要

不宁腿综合征(RLS)是一种神经系统疾病,患者感到不舒服,特别是在夜间,四肢需要活动腿部。这种情况会随着休息而恶化。本研究的目的是评估不宁腿综合征在肾功能不全患者中的发生频率。在这项病例对照研究中,调查了180名慢性肾病患者(90名血液透析患者和90名非透析患者),他们转诊到大不里士的伊玛目礼萨医院肾脏科诊所和透析病房。数据收集是根据国际不宁腿综合症研究协会的标准通过问卷形式完成的。180例患者中男性92例(51.7%),女性88例(48.3%)。患者平均年龄60.4±17.2岁。因此,我们对90名非透析患者和90名血液透析患者进行了评估。在所有血液透析患者中,33例(37%)患者患有不宁腿综合征,而在非透析患者中,只有16例(18%)患者患有不宁腿综合征。不宁腿综合征的发生频率在接受血液透析的患者中明显更高(P=0.001)。不宁腿综合征的发生率在男性(77%)与女性(23%)之间也有显著差异(P=0.001)。不宁腿综合征在肾衰竭患者中占显著比例(27%),且血液透析患者发生不宁腿综合征的比例更高,值得重视。此外,根据我们在这项研究中的发现,男性比女性更有可能患上不宁腿综合症
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The relationship between chronic kidney disease and restless legs syndrome and its effective factors. A case-control study.
I Restless legs syndrome (RLS), is a neurological disorder in which persons feel uncomfortable, especially at night, in the limbs and needs to move their legs. This condition worsens with rest. The aim of this study was to evaluate the frequency of restless legs syndrome in patients with renal insufficiency. In this case-control study, 180 patients with chronic kidney disease (90 hemodialysis patients and 90 non-dialysis patients) who referred to the nephrology clinic and dialysis ward of Imam Reza Hospital in Tabriz, were investigated. Data collection was done through a questionnaire form which was based on the criteria of the International Association for the Study of Restless Legs Syndrome. Among 180 patients in studied, 92 (51.7%) cases were male and 88 (48.3%) cases were female. The mean age of patients was 60.4 ± 17.2. So, 90 non-dialysis patients and 90 hemodialysis patients were evaluated. Of all the hemodialysis patients studied, 33 (37%) patients had restless legs syndrome, and among the non-dialysis patients, only 16 (18%) patients had restless legs syndrome. The frequency of restless legs syndrome is significantly higher in patients undergoing hemodialysis (P=0.001). There was also a meaningful difference about the frequency of restless legs syndrome among the male (77%) patients than females (23%) (P=0.001). A significant percentage (27%) of patients with renal failure suffer from restless legs syndrome and the hemodialysis patients are more involved in this disease, which needs more importance. Also, based on our findings in this study, men have a high probability of a conflict of restless legs syndrome than women
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