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血清尿酸浓度与良性多发性硬化症的存在直接相关。

Serum uric acid concentrations are directly associated with the presence of benign multiple sclerosis.

机构信息

Biomedical Research Unit, Mexican Social Security Institute, Canoas 100, Col. Los Angeles, 34067, Durango, DGO, Mexico.

出版信息

Neurol Sci. 2017 Sep;38(9):1665-1669. doi: 10.1007/s10072-017-3043-1. Epub 2017 Jun 28.

Abstract

It has been reported that patients with multiple sclerosis (MS) exhibit lower serum uric acid levels; however, the association between uric acid concentrations and benign MS (BMS) has not been assessed. Hence, the objective of the present study was to determine whether the serum concentrations of uric acid are associated with the presence of BMS. Men and non-pregnant women over 16 years of age with diagnosis of MS were enrolled in a cross-sectional study. Expanded Disability Status Scale score < 3, progression of disease ≤10 years, diabetes, renal or hepatic diseases, gout, malignancy, alcohol intake, and treatment with thiazide diuretics and/or acetylsalicylic acid were exclusion criteria. According to subtype of disease, the eligible patients were allocated into groups with BMS and other varieties of MS. A logistic regression analysis was conducted in order to evaluate the association between serum concentrations of uric acid and BMS. A total of 106 patients were included, 39 in the group with BMS and 67 in the group with other varieties of MS. The logistic regression analysis adjusted by age, sex, and disease duration showed that increased concentrations of uric acid, indeed within the physiological levels, are significantly associated with the presence of BMS (OR = 2.60; 95% CI: 1.55-4.38, p < 0.001). The results of the present study suggest that elevated concentrations of uric acid, indeed within the physiological range, are likely linked to the presence of BMS.

摘要

据报道,多发性硬化症(MS)患者的血清尿酸水平较低;然而,尿酸浓度与良性多发性硬化症(BMS)之间的关系尚未得到评估。因此,本研究旨在确定血清尿酸浓度是否与 BMS 的存在有关。

本横断面研究纳入了诊断为 MS 的 16 岁以上男性和非孕妇。排除标准为扩展残疾状态量表评分<3、疾病进展≤10 年、糖尿病、肾或肝疾病、痛风、恶性肿瘤、饮酒、噻嗪类利尿剂和/或乙酰水杨酸治疗。根据疾病亚型,合格患者被分为 BMS 组和其他 MS 组。进行逻辑回归分析以评估血清尿酸浓度与 BMS 之间的关联。

共纳入 106 例患者,其中 BMS 组 39 例,其他 MS 组 67 例。经年龄、性别和疾病持续时间调整的逻辑回归分析显示,尿酸浓度升高(确实在生理范围内)与 BMS 的存在显著相关(OR=2.60;95%CI:1.55-4.38,p<0.001)。

本研究结果表明,尿酸浓度升高(确实在生理范围内)可能与 BMS 的存在有关。

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