多发性硬化症不安腿综合征:一个病例对照研究
Salman Aljarallah1,2, Nuha Alkhawajah1,2, Omar Aldosari1
1College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Frontiers in neurology
|July 5, 2023
概括
不安腿综合征 (RLS) 影响30.3%的多发性硬化症 (MS) 患者,显著增加疲劳和睡眠障碍的风险. 建议提高医生对MS中RLS的认识.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 不安腿综合征 (RLS) 是一种神经疾病,其特点是不可抗拒的动腿冲动.
- 多发性硬化症 (MS) 是中枢神经系统的一种慢性脱髓化疾病.
- 在MS (pwMS) 患者中RLS的患病率和影响需要进一步调查.
研究的目的:
- 为了确定pwMS中RLS的患病率.
- 为了检查RLS和MS疾病持续时间,睡眠障碍和白天疲劳之间的关联.
- 为了比较 pwMS 中的 RLS 患病率与健康的对照组.
主要方法:
- 一项涉及123名pwMS通过电话接受采访的横截面研究.
- 使用了经过验证的问卷:国际不安腿综合征研究小组 (IRLSSG) 标准,匹兹堡睡眠质量指数 (PSQI) 和疲劳严重程度量表 (FSS).
- 与健康对照队列相比,MS患者的RLS患病率.
主要成果:
- 在pwMS中,RLS患病率为30.3%,对照组为8.3%.
- 患有RLS的PwMS的疲劳风险增加了2.8倍,睡眠质量明显降低 (平均PSQI差异为0.64).
- 睡眠障碍和延迟是影响RLSpwMS睡眠质量的关键因素.
结论:
- 在患有多发性硬化症的患者中,RLS的发病率明显高于一般人群.
- 在MS中对RLS教育医疗保健提供者对于早期检测和管理至关重要.
- 在pwMS中解决RLS可能会改善疲劳和睡眠质量,提高患者的整体幸福感.
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