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2012, vol. 46, br. 3, str. 138-144
Sindrom nemirnih nogu kod pacijenata na hemodijalizi - učestalost, težina i faktori rizika
aInstitut za patologiju, Univerzitet u Mičigenu, En Arbor, Mičigen, SAD + Univerzitet u Kragujevcu, Medicinski fakultet
bUniverzitet u Kragujevcu, Medicinski fakultet
cKlinički centar Niš, Klinika za nefrologiju

e-adresadrvidza@gmail.com
Sažetak
Cilj. Sindrom nemirnih nogu je neurološki poremećaj koji posebno pogađa pacijente na hemodijalizi. Cilj studije je da prikaže učestalost i težinu sindroma nemirnih nogu u populaciji hemodijaliznih pacijenata i razmotri moguću povezanost s određenim faktorima analizirajući razlike između pacijenata s dijagnozom sindroma i bez dijagnoze u sociodemografskim karakteristikama, prisustvu i težini komorbidnih stanja, biohemijskim parametrima i vrsti hemodijalizne tehnike. Metode. Studijom preseka obuhvaćeno je 96 pacijenata. Dijagnoza sindroma nemirnih nogu postavljena je na osnovu dijagnostičkih kriterijuma Međunarodne studijske grupe za sindrom nemirnih nogu. Za procenu težine korišćen je upitnik Restless Legs Syndrome Rating Scale. Rezultati. Sindrom nemirnih nogu bio je prisutan kod 39,6% ispitanika. Većina pacijenata imala je umerene (36,8%) ili jako izražene simptome (50%). Nije bilo statistički značajne razlike u sociodemografskim i biohemijskim karakteristikama i vrsti dijalize između pacijenata sa sindromom nemirnih nogu i onih bez sindroma. Kada je reč o udruženim bolestima nađeno je da pacijenti sa sindromom nemirnih nogu imaju statistički značajno veću učestalost ishemijske bolesti srca i depresivnosti, dok u ukupnom indeksu težine pratećih oboljenja nema razlike. Težina depresivnosti i nesanice su izraženiji kod pacijenata sa sindromom nemirnih nogu. Zaključak. Naša studija je potvrdila visoku učestalost sindroma kod pacijenata na hemodijalizi i pokazala da čak dve trećine pacijenata ima jake do veoma jake simptome. Posebnu pažnju potrebno je usmeriti ka uticaju komorbiditeta na sindrom nemirnih nogu u ovoj grupi pacijenata, posebno onih iz grupe psihijatrijskih bolesti.
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O članku

jezik rada: srpski
vrsta rada: stručni članak
DOI: 10.5937/mckg46-2330
objavljen u SCIndeksu: 03.12.2012.