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[肾移植患者的神经系统疾病与免疫抑制。初步研究]

[Neurological disorders and immunosuppression in kidney transplant patients. Preliminary study].

作者信息

Romero-Vázquez Chasity, Rodríguez-Orozco Alain R, Leal-Cantú Raúl, Cortés-Rojo Christian

机构信息

Universidad Michoacana de San Nicolás de Hidalgo, Facultad de Ciencias Médicas y Biológicas Dr. Ignacio Chávez, Morelia, Michoacán, México.

出版信息

Rev Alerg Mex. 2016 Jul-Sep;63(3):278-82. doi: 10.29262/ram.v63i3.160.

Abstract

BACKGROUND

Neurological disorders in kidney transplant patients may be related to several factors, including high toxicity to the use of immunosuppressive drugs.

OBJECTIVE

To find out whether there was association between neurological complications and immunosuppression in a sample of patients who received renal transplantation.

METHODS

Cross-sectional study in which 121 renal transplant patients participated, of which 22 (18%) had neurological disorders, chi-squared test was used to analyze the relation between neurological disorders and comorbidity such as diabetes mellitus and hypertension and time of immunosuppressant use. A significance level of p <0.05 was accepted for all determinations.

RESULTS

Of the subjects studied, 13 were male (59%) and nine female (41%). The mean age of the patients included in the study was 33 ± 12 years. 59% of neurological disorders occurred between six months and five years after patients had received the transplant. Neurological alterations found were: tremor (7.4%), dizziness (4.1%), peripheral neuropathy (3.3%), headache (2.4%), and decreased strength (0.8%).

CONCLUSION

No statistically significant association was found between neurological disorders and immunosuppressant use, or between them and the duration of immunosuppression.

摘要

背景

肾移植患者的神经功能障碍可能与多种因素有关,包括使用免疫抑制药物的高毒性。

目的

在接受肾移植的患者样本中,探究神经并发症与免疫抑制之间是否存在关联。

方法

一项横断面研究,121名肾移植患者参与其中,其中22名(18%)患有神经功能障碍,采用卡方检验分析神经功能障碍与糖尿病、高血压等合并症以及免疫抑制剂使用时间之间的关系。所有测定的显著性水平为p<0.05。

结果

在研究对象中,13名男性(59%),9名女性(41%)。纳入研究的患者平均年龄为33±12岁。59%的神经功能障碍发生在患者接受移植后的6个月至5年之间。发现的神经改变包括:震颤(7.4%)、头晕(4.1%)、周围神经病变(3.3%)、头痛(2.4%)和肌力下降(0.8%)。

结论

未发现神经功能障碍与免疫抑制剂使用之间,或与免疫抑制持续时间之间存在统计学上的显著关联。

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