接受血液透析的终末期肾病患者的不宁腿综合征
Restless legs syndrome in end-stage renal disease patients undergoing hemodialysis.
作者信息
Castillo-Torres Sergio Andrés, Ibarra-Sifuentes Héctor Raúl, Sánchez-Terán Helda, Sánchez-Martínez Concepción, Chávez-Luévanos Beatriz, Estrada-Bellmann Ingrid
机构信息
Servicio de Neurología, Hospital Universitario "Dr. José E. González" Universidad Autónoma de Nuevo León; Monterrey, NL, México.
Servicio de Nefrología, Hospital Universitario "Dr. José E. González" Universidad Autónoma de Nuevo León; Monterrey, NL, México.
出版信息
Arq Neuropsiquiatr. 2018 Dec;76(12):827-830. doi: 10.1590/0004-282X20180133.
OBJECTIVES
Restless legs syndrome (RLS) is a frequent complication of hemodialysis that has been associated with poor quality of life and increased risk for complications. Nevertheless, few studies regarding this entity exist in resource-limited settings. To determine the prevalence of RLS among Mexican patients on hemodialysis; and compare these patients with a control group of the same population.
METHODS
We recruited 105 hemodialysis patients. Restless legs syndrome was diagnosed according to the updated criteria set out by the International RLS Study Group. We selected patients who did not meet the criteria, as controls.
RESULTS
We found an RLS prevalence of 18%. The RLS patients had a significantly higher prevalence of iron deficiency anemia and uremic pruritus. None of the patients reported RLS symptoms prior to hemodialysis initiation.
CONCLUSIONS
Restless legs syndrome is common among Mexican patients on hemodialysis. Larger studies are required to address the impact of RLS in hemodialysis patients.
目的
不宁腿综合征（RLS）是血液透析常见的并发症，与生活质量差及并发症风险增加有关。然而，在资源有限的环境中，关于该病症的研究很少。为确定墨西哥血液透析患者中RLS的患病率，并将这些患者与同一人群的对照组进行比较。
方法
我们招募了105名血液透析患者。根据国际RLS研究组制定的更新标准诊断不宁腿综合征。我们选择不符合标准的患者作为对照。
结果
我们发现RLS患病率为18%。RLS患者缺铁性贫血和尿毒症瘙痒的患病率显著更高。没有患者在开始血液透析前报告过RLS症状。
结论
不宁腿综合征在墨西哥血液透析患者中很常见。需要开展更大规模的研究来探讨RLS对血液透析患者的影响。
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