Gastroenterology, Hepatology, and Liver Transplant, Columbia University College of Physicians and Surgeons, New York, NY 10032, United States.
World J Gastroenterol. 2011 Oct 21;17(39):4404-7. doi: 10.3748/wjg.v17.i39.4404.
To determine the prevalence of restless legs syndrome (RLS) in patients with irritable bowel syndrome (IBS).
Patients with diarrhea-predominant IBS (n = 30), constipation-predominant IBS (n = 30), or mixed-symptom IBS (n = 30) were recruited from the community between March 2008 and February 2009. Rifaximin 200 mg three times daily was administered empirically to alleviate small intestinal bowel overgrowth in all patients. The presence of RLS was assessed via an RLS questionnaire and polysomnography.
Twenty-six patients with IBS (29%) were diagnosed with RLS using the RLS questionnaire. Twenty-four of the 26 patients (92%) underwent polysomnography, and all had confirmation of RLS. A greater percentage of patients with RLS had diarrhea-predominant IBS (62%) compared with patients with constipation-predominant IBS (4%) or mixed-symptom IBS (33%).
Restless legs syndrome is prevalent in patients with IBS, especially those with diarrheal symptoms. Assessment of concomitant disorders may improve diagnosis and expand relevant treatment options for patients.
确定肠易激综合征(IBS)患者中不宁腿综合征(RLS)的患病率。
2008 年 3 月至 2009 年 2 月期间,从社区招募了腹泻为主型 IBS(n=30)、便秘为主型 IBS(n=30)或混合症状型 IBS(n=30)患者。所有患者均给予利福昔明 200mg,每日 3 次,经验性治疗小肠细菌过度生长。通过 RLS 问卷和多导睡眠图评估 RLS 的存在。
使用 RLS 问卷诊断 26 例 IBS 患者(29%)患有 RLS。26 例患者中的 24 例(92%)接受了多导睡眠图检查,所有患者均证实患有 RLS。与便秘为主型 IBS(4%)或混合症状型 IBS(33%)患者相比,RLS 患者中腹泻为主型 IBS 患者的比例更高(62%)。
RLS 在 IBS 患者中较为普遍,尤其是腹泻症状患者。评估伴随疾病可能会改善诊断,并为患者提供更多相关的治疗选择。