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多发性硬化症患者的鼻泪管过渡时间。

Nasolacrimal transition time in patients with multiple sclerosis.

机构信息

Department of Otolaryngology, Yozgat Bozok University School of Medicine, Atatürk Yolu 7. Km, 66100, Yozgat, Turkey.

Department of Neurology, Yozgat Bozok University School of Medicine, Yozgat, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2021 Sep;278(9):3357-3362. doi: 10.1007/s00405-021-06603-0. Epub 2021 Jan 16.

Abstract

PURPOSE

To measure the duration of nasolacrimal transition in patients with Multiple Sclerosis (MS), to compare the findings with the healthy population and to investigate the relationship between MS-related disability and nasolacrimal transition time.

METHODS

A total of 73 individuals including 37 patients with relapsing-remitting MS and 36 healthy volunteers were included in the study. In both groups the nasolacrimal transition time was measured using flurosein drops. The degree of disability of MS patients was calculated according to the Expanded Disability Status Scale (EDSS).

RESULTS

There was a significant difference between MS patients and control group in terms of the median value of nasolacrimal transition time in (240 s (min: 85, max: 724) and 58.5 s (min: 21, max: 428), respectively) (p < 0.001). A positive correlation was found between EDSS scores and nasolacrimal transition time of MS patients (r = 0.384, p = 0.019).

CONCLUSION

This study showed that nasolacrimal transition time is prolonged in MS patients and there is a relationship between the degree of MS-related disability and the nasolacrimal transition time. This is the first study in the literature on this subject and the results of our study have the potential to shed light on the causes of common infections in MS patients. Long-term prospective studies are needed to further investigate the relationship between prolonged nasolacrimal transition and infections in MS patients.

摘要

目的

测量多发性硬化症(MS)患者的鼻泪管转运时间,将结果与健康人群进行比较,并探讨 MS 相关残疾与鼻泪管转运时间之间的关系。

方法

本研究共纳入 73 名个体,包括 37 例复发缓解型 MS 患者和 36 名健康志愿者。在两组中均使用荧光素滴来测量鼻泪管转运时间。MS 患者的残疾程度根据扩展残疾状态量表(EDSS)进行计算。

结果

MS 患者与对照组的鼻泪管转运时间中位数存在显著差异[分别为 240s(min:85,max:724)和 58.5s(min:21,max:428)](p<0.001)。MS 患者的 EDSS 评分与鼻泪管转运时间之间存在正相关(r=0.384,p=0.019)。

结论

本研究表明 MS 患者的鼻泪管转运时间延长,且 MS 相关残疾程度与鼻泪管转运时间之间存在关系。这是该主题的首个研究,我们的研究结果有可能揭示 MS 患者常见感染的原因。需要进行长期前瞻性研究以进一步探讨 MS 患者鼻泪管转运时间延长与感染之间的关系。

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