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帕金森病中的不宁腿综合征

Restless Legs Syndrome in Parkinson's Disease.

作者信息

Diaconu Ştefania, Irincu Laura, Ungureanu Larisa, Ciopleiaș Bogdan, Țînț Diana, Falup-Pecurariu Cristian

机构信息

Department of Neurology, County Clinic Hospital, 500365 Braşov, Romania.

Faculty of Medicine, Transilvania University, 500036 Braşov, Romania.

出版信息

J Pers Med. 2023 May 30;13(6):915. doi: 10.3390/jpm13060915.

Abstract

BACKGROUND

Restless legs syndrome (RLS) might worsen sleep quality and quality of life in people with Parkinson's disease (PwPD).

OBJECTIVE

The main aim of the present study is to explore the associations between RLS and sleep, quality of life and other non-motor symptoms (NMS) in a sample of PwPD.

METHODS

We compared the clinical features of 131 PwPD with and without RLS, in a cross-sectional study. We used several validated scales for assessment: the International Restless Legs Syndrome Study Group rating scale (IRLS), Parkinson's Disease Sleep Scale version 2 (PDSS-2), Parkinson's Disease Questionnaire (PDQ-39), Non-Motor Symptoms Questionnaire (NMSQ) and International Parkinson and Movement Disorder Society Non-Motor Rating Scale (MDS-NMS).

RESULTS

Thirty-five patients (26.71%) out of the total PwPD met the RLS diagnostic criteria, without significant differences between male (57.14%) and female (42.87%) ( = 0.431). Higher total scores of PDSS-2 were recorded among PwPD + RLS ( < 0.001), suggesting worse sleep quality. Significant correlations were observed between the diagnosis of RLS and some types of pain (especially nocturnal pain), physical fatigue and probable sleep-disordered breathing, according to the MDS-NMSS assessment.

CONCLUSIONS

RLS has a high frequency in PwPD and it requires proper management, considering its consequences on sleep and quality of life.

摘要

背景

不安腿综合征(RLS)可能会使帕金森病患者(PwPD)的睡眠质量和生活质量恶化。

目的

本研究的主要目的是在一组帕金森病患者样本中探讨RLS与睡眠、生活质量及其他非运动症状(NMS)之间的关联。

方法

在一项横断面研究中,我们比较了131例有或无RLS的帕金森病患者的临床特征。我们使用了几种经过验证的量表进行评估:国际不安腿综合征研究组评分量表(IRLS)、帕金森病睡眠量表第2版(PDSS - 2)、帕金森病问卷(PDQ - 39)、非运动症状问卷(NMSQ)和国际帕金森和运动障碍协会非运动评分量表(MDS - NMS)。

结果

在所有帕金森病患者中,35例患者(26.71%)符合RLS诊断标准,男性(57.14%)和女性(42.87%)之间无显著差异( = 0.431)。帕金森病合并RLS患者的PDSS - 2总分更高( < 0.001),表明睡眠质量更差。根据MDS - NMSS评估,观察到RLS诊断与某些类型的疼痛(尤其是夜间疼痛)、身体疲劳和可能的睡眠呼吸障碍之间存在显著相关性。

结论

RLS在帕金森病患者中发生率较高,鉴于其对睡眠和生活质量的影响,需要进行适当管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c46c/10304397/91055eef877e/jpm-13-00915-g001.jpg

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