Samoylova N A, Shkilnyuk G G, Goncharova Z A, Stolyarov I D
Rostov State Medical University, Rostov-on-Don, Russia.
N. Bekhtereva Institute of Human Brain, Saint Petersburg, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(2. Vyp. 2):42-49. doi: 10.17116/jnevro20171172242-49.
Multiple sclerosis (MS) develops as a result of an interaction between genetic and environmental factors, among them solar (SA) and geomagnetic activity (GMA) attract the particular attention. An impact of SA and GMA on intrauterine and postnatal period in MS was studied.
The study included 358 patients with MS. Correlation (CA) and regression analysis (RA) were used to study the effects of SA and GMA during intrauterine period, the 1st year of life, a year of disease onset, a year before the onset.
CA revealed the association between the MS onset and mean values of kp-index in the onset year and the year before the onset year, number of days with kp≥4 and kp≥5 in the onset year and the year before the onset year, mean SFU in the onset year. RA revealed the association between the MS onset and mean kp in the year before the onset year and in the onset year, number of days with kp≥7 in the onset year and the year before the onset year, mean kp during pregnancy, number of days with kp≥7 in the 1st year of life and during pregnancy. The influence of high GMA during pregnancy and in the 1st year of life increases the MS risk in the future and the high GMA predisposes to the MS onset in adults. The practical value of the study is that predicting the GMA changes we can try to prevent the onset and relapses in the risk groups.
多发性硬化症(MS)是由遗传和环境因素相互作用导致的,其中太阳活动(SA)和地磁活动(GMA)尤其受到关注。本研究旨在探讨SA和GMA对MS患者宫内及出生后时期的影响。
本研究纳入了358例MS患者。采用相关性分析(CA)和回归分析(RA)来研究SA和GMA在宫内时期、出生后第一年、疾病发病年份、发病前一年的影响。
CA显示MS发病与发病年份及发病前一年的kp指数平均值、发病年份及发病前一年kp≥4和kp≥5的天数、发病年份的平均太阳黑子数之间存在关联。RA显示MS发病与发病前一年及发病年份的平均kp、发病年份及发病前一年kp≥7的天数、孕期平均kp、出生后第一年及孕期kp≥7的天数之间存在关联。孕期和出生后第一年高GMA的影响会增加未来患MS的风险,高GMA易导致成年人MS发病。本研究的实际价值在于,通过预测GMA变化,我们可以尝试预防风险人群的发病和复发。