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黏多糖贮积症患儿的功能独立性

FUNCTIONAL INDEPENDENCE OF PEDIATRIC PATIENTS WITH MUCOPOLYSACCHARIDOSES.

作者信息

Lopes Paloma Silva, Serra Diógenes Pires, Matos Marcos Antônio Almeida

机构信息

Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brazil.

Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.

出版信息

Acta Ortop Bras. 2019 Jul-Aug;27(4):212-215. doi: 10.1590/1413-785220192704187274.

DOI:10.1590/1413-785220192704187274
PMID:31452622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699381/
Abstract

OBJECTIVE

To measure the functional independence to perform activities of daily living of pediatric patients diagnosed with mucopolysaccharidoses.

METHODS

A descriptive cross-sectional study was carried out with the population of pediatric patients with a confirmed enzymatic diagnosis of mucopolysaccharidoses, enrolled in the Orthopedics outpatient clinic of a hospital in the State of Bahia. The data were collected between October 2016 and March 2017, based on the documentary analysis of the assessment forms used in the department. The variables of this study comprised sex, age, type of MPS and level of functional independence, measured by the Functional Independence Measure scale.

RESULTS

Twenty-six patients participated in the study. These were predominantly male (61.5%), with a mean age of 10 ± 4.5 years, affected by MPS VI (73.1%). In the motor domain, the mean score was 65 (± 19.9 points); the cognitive domain obtained a mean score equal to 28 (± 8.2 points); and the total FIM score was 93 (± 26.5).

CONCLUSION

Impaired functional independence was observed among children and adolescents with mucopolysaccharidoses. Tasks related to dressing, toileting, bathing, problem solving and social interaction were those that required the most assistance and/or supervision.

摘要

目的

评估确诊患有黏多糖贮积症的儿科患者进行日常生活活动的功能独立性。

方法

对巴伊亚州一家医院骨科门诊登记的确诊患有黏多糖贮积症的儿科患者群体进行了描述性横断面研究。数据收集于2016年10月至2017年3月期间,基于该科室使用的评估表格的文献分析。本研究的变量包括性别、年龄、黏多糖贮积症类型和功能独立性水平,通过功能独立性测量量表进行测量。

结果

26名患者参与了研究。这些患者以男性为主(61.5%),平均年龄为10±4.5岁,受MPS VI影响(73.1%)。在运动领域,平均得分为65(±19.9分);认知领域的平均得分等于28(±8.2分);FIM总分是93(±26.5)。

结论

观察到患有黏多糖贮积症的儿童和青少年功能独立性受损。与穿衣、洗漱、洗澡、解决问题和社交互动相关的任务是最需要协助和/或监督的。

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本文引用的文献

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Pathogenesis and treatment of spine disease in the mucopolysaccharidoses.黏多糖贮积症中脊柱疾病的发病机制与治疗
Mol Genet Metab. 2016 Aug;118(4):232-43. doi: 10.1016/j.ymgme.2016.06.002. Epub 2016 Jun 4.
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Activity of daily living for Morquio A syndrome.莫尔基奥A综合征的日常生活活动能力
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Diagnosis, quality of life, and treatment of patients with Hunter syndrome in the French healthcare system: a retrospective observational study.法国医疗体系中亨特综合征患者的诊断、生活质量及治疗:一项回顾性观察研究
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Assessment of musculoskeletal abnormalities in children with mucopolysaccharidoses using pGALS.使用小儿通用评估筛查法(pGALS)评估黏多糖贮积症患儿的肌肉骨骼异常情况。
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Pain: a prevalent feature in patients with mucopolysaccharidosis. Results of a cross-sectional national survey.疼痛:黏多糖贮积症患者的普遍特征。一项全国性横断面调查结果
J Inherit Metab Dis. 2015 Mar;38(2):323-31. doi: 10.1007/s10545-014-9737-0. Epub 2014 Jul 22.
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Burden of disease in patients with Morquio A syndrome: results from an international patient-reported outcomes survey.莫氏综合征A患者的疾病负担:一项国际患者报告结局调查的结果
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Energy expenditure during gait in patients with mucopolysaccharidosis.黏多糖贮积症患者步态中的能量消耗
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Respiratory and sleep disorders in mucopolysaccharidosis.黏多糖贮积症中的呼吸和睡眠障碍。
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Capturing phenotypic heterogeneity in MPS I: results of an international consensus procedure.MPS I 表型异质性的捕获:国际共识程序的结果。
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Diagnosis of the mucopolysaccharidoses.黏多糖贮积症的诊断。
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