Fardal Hilde, Gøransson Lasse G
Klepp legesenter Kleppe.
Nyreseksjonen Medisinsk avdeling Stavanger universitetssjukehus.
Tidsskr Nor Laegeforen. 2016 Oct 11;136(18):1537-1541. doi: 10.4045/tidsskr.16.0042. eCollection 2016 Oct.
The purpose of this study was to investigate whether or not there has been an increase in the number of admissions for exercise-induced rhabdomyolysis at Stavanger University Hospital (SUS) in recent years.
The study is a retrospective review of patients discharged over the period January 2010 to March 2015 with a diagnosis of exercise-induced rhabdomyolysis and with maximum creatine kinase (CK) levels more than ten times the upper reference limit.
A total of 33 patients, 21 women and 12 men, with a median age of 28 years (18 - 68), were included in the study. Of the 33 patients, three quarters (25) were admitted in 2014 - 15, compared with eight over the period 2010 - 13. One patient developed kidney failure that required dialysis. The treatment depended more on the attending physician and department than on the patient's clinical condition and CK-level, but this did not seem to affect the rate of complications.
The incidence of exercise-induced rhabdomyolysis at SUS increased from autumn 2014, and this coincided with increased media attention and a new exercise trend. We recommend standardising the treatment of exercise-induced rhabdomyolysis, as current treatment recommendations are based on rhabdomyolysis triggered by causes other than exercise.
本研究旨在调查近年来斯塔万格大学医院(SUS)运动性横纹肌溶解症的入院人数是否有所增加。
本研究是一项回顾性研究,对2010年1月至2015年3月期间出院的诊断为运动性横纹肌溶解症且肌酸激酶(CK)最高水平超过参考上限十倍的患者进行研究。
共有33例患者纳入研究,其中21例女性,12例男性,中位年龄为28岁(18 - 68岁)。在这33例患者中,四分之三(25例)于2014 - 2015年入院,而2010 - 2013年期间为8例。1例患者发展为肾衰竭,需要透析治疗。治疗更多地取决于主治医生和科室,而非患者的临床状况和CK水平,但这似乎并未影响并发症的发生率。
SUS运动性横纹肌溶解症的发病率自2014年秋季开始上升,这与媒体关注度增加和一种新的运动趋势相吻合。我们建议对运动性横纹肌溶解症的治疗进行标准化,因为目前的治疗建议是基于由运动以外的原因引发的横纹肌溶解症制定的。