在末期病中探索肌肉骨疾病:系统性审查
S Sharma1, S Rampal2, A Jaiman3
1Vardhman Mahavir Medical College & Safdarjung Hospital, Department of Nephrology and Renal Transplantation Medicine, New Delhi, India.
The Medical journal of Malaysia
|January 15, 2025
概括
肌肉骨系统疾病在慢性病 (CKD) 患者中很常见,特别是那些接受血液透析的患者. 需要进一步的研究,以了解和管理这些条件在末期病 (ESKD).
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 与肌肉骨系统疾病 (MSD) 的高负担有关.
- 脊髓脊髓疾病经常被忽视,特别是在末期病 (ESKD) 患者中.
- 在CKD亚群中了解MSD患病率和症状至关重要.
研究的目的:
- 在CKD患者中探索MSD的频谱.
- 为了确定MSDs在不同CKD阶段的患病率和症状.
- 为了确定末期病 (ESKD) 患者群体的具体问题.
主要方法:
- 对来自不同国家的13项研究进行了系统审查.
- 包括具有横截面,队列和临床试验设计的研究.
- 对所有阶段的CKD患者的分析,包括早期和晚期阶段.
主要成果:
- 肌关节疾病在CKD中普遍存在,但在ESKD中研究不足.
- 常见的MSD包括骨关节炎,骨质疏松症,纤维肌痛,手足和慢性疼痛.
- 血液透析患者的MSD患病率高于预透析或非透析患者.
结论:
- 解决MSD对于CKD患者来说至关重要.
- 针对性干预是必要的,以管理MSDs在慢性病患者.
- 进一步的研究对于改善患者的治疗结果至关重要.
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