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评估不安腿综合征患者的血清尿酸水平。

Assessment of serum uric acid levels in patients with restless legs syndrome.

机构信息

Neurology, Ordu University Education and Research Hospital, Ordu, Turkey.

Neurology, Ordu State Hospital, Ordu, Turkey.

出版信息

Acta Neurol Belg. 2019 Sep;119(3):461-466. doi: 10.1007/s13760-019-01177-5. Epub 2019 Jun 21.

Abstract

In our study, the aim was to collect data in relation to our hypothesis that oxidative stress is effective in the etiopathogenesis of restless legs syndrome (RLS) by assessing the serum uric acid levels, an important biomarker of oxidative stress, among RLS patients. The study included a total of 281 patients with restless legs syndrome diagnosis according to the "2012 Revised International Restless Legs Syndrome Study Group Diagnostic Criteria". Disease severity was assessed according to the "International Restless Legs Syndrome Study Group Severity Scale". The control group comprised 237 healthy individuals with the same age and gender features as the control group. The result showed no statistically significant difference in the mean age and gender between RLS and control group (p = 0.923; p = 0.433). The hemoglobin, ferritin, and uric acid levels of patients with RLS were found to be low (p < 0.001). Total iron-binding capacity level was higher in patients (p < 0.01; p < 0.05). In RLS patients, the serum uric acid level was not affected by disease severity (p > 0.05). Variables affecting uric acid level in RLS patients were determined to be age, disease duration, and hemoglobin level. The hypothesis that uric acid level, accepted as a biomarker of oxidative stress, is important in the pathogenesis of restless legs syndrome is supported by our study.

摘要

在我们的研究中,目的是收集与我们的假设有关的数据,即氧化应激通过评估血清尿酸水平在不宁腿综合征(RLS)的发病机制中起作用,尿酸是氧化应激的一个重要生物标志物。该研究共纳入了 281 名根据“2012 年修订的国际不宁腿综合征研究组诊断标准”诊断为不宁腿综合征的患者。疾病严重程度根据“国际不宁腿综合征研究组严重程度量表”进行评估。对照组包括 237 名年龄和性别与对照组相匹配的健康个体。结果显示,RLS 组和对照组的平均年龄和性别无统计学差异(p=0.923;p=0.433)。RLS 患者的血红蛋白、铁蛋白和尿酸水平较低(p<0.001)。患者的总铁结合能力较高(p<0.01;p<0.05)。在 RLS 患者中,血清尿酸水平不受疾病严重程度的影响(p>0.05)。确定影响 RLS 患者尿酸水平的变量为年龄、疾病持续时间和血红蛋白水平。我们的研究支持尿酸水平作为氧化应激生物标志物在不宁腿综合征发病机制中起重要作用的假设。

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