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Yıl:2019; Cilt: 56; Sayı: 1>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2019;56(1):13-17
İskemik İnmede LDL Altsınıfları: Risk Faktörü mü?
Y Kayran, V Yayla, M Çabalar, A Bajramı, Y Karamanlı, A Gedikbaşı, Z Tanrıverdi
Özel Muş Şifa Hastanesi, Muş,
Amaç: Esansiyel tremor (ET) en sık görülen hareket hastalığı olup motor semptomların yanı sıra non-motor semptomların da olduğunu gösteren birtakım çalışmalar mevcuttur. Bu çalışmadaki amacımız özellikle anksiyete ve uyku bozukluğunun ET ile ilişkisini araştırmaktır. Yöntem: Çalışmaya hastanemiz nöroloji polikliniğinde başvuran ve Hareket Bozukluğu Topluluğu Tremorda Konsensus Kriterleri’ne göre kesin ET tanısı almış 40 hasta ile 38 sağlıklı kontrol dahil edildi. Her iki gruba da Pittsburgh Uyku Kalitesi Anketi (PUKA) ve Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ) yapıldı. İstatistiksel analizler Windows için SPSS 22.0 ile yapıldı. Bulgular: Hasta ve kontrol grubu yaş, cinsiyet ve eğitim durumu açısından birbirine benzerdi. Hasta grubunda PUKA ve HADÖ skorları kontrol grubuna göre belirgin oranda yüksekti (sırasıyla p<0,000, p<0,000). Her iki skor, kadın hastalarda erkeklere oranla (sırasıyla p<0,05 p<0,05) ve de evli hastalarda bekârlara oranla (sırasıyla p<0,05 p<0,05) ve daha yüksek saptandı. Sonuç: ET hastalarında uyku bozukluğu ve anksiyete, sağlıklı bireylere göre belirgin derecede sık görülmektedir. Kadın hastalarda ve/veya evli hastalarda uyku bozukluğu ve anksiyetenin daha şiddetli olması hastalığın psiko-sosyal komponentine işaret etmekte olup tedavide bu durumun göz ardı edilmemesi ve bu konuda daha kapsamlı çalışmalar yapılması gerektiği kanaatindeyiz.
LDL Subclasses in Ischemic Stroke: A Risk Factor?
Conclusion: Our study showed that examination of LDL subclasses may be important in management of AIS patients. LDL-2, LDL-3, and LDL-4 are independent predictors of AIS development. These findings should be supported by further large studies.

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