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Yıl:2020; Cilt: 7; Sayı: 3>> Özet
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Türk Uyku Tıbbı Dergisi; 2020;7(3):131-139
Uyku Merkezinde İzlenen Hastalarda Periyodik Bacak Hareketleri Prevalansı
Ö Akdoğan, İ Öztura, B Baklan
Dokuz Eylül Üniversitesi Tıp Fakültesi,, İzmir,
Amaç: Bu çalışmada polisomnografik tetkikleri yapılan hastalarımızda periyodik bacak hareketleri (PLM) prevalansını saptamayı ve PLM’ye sahip hastaların demografik ve polisomnografik özelliklerini, PLM olmayan hastalar ile karşılaştırarak incelemeyi amaçladık. Gereç ve Yöntem: Çalışmada 491 hastanın demografik özellikleri ve polisomnografik parametreleri kayıt edildi. Hastalar periyodik bacak hareketleri indeksi (PLMI) ≤15 ve >15 olmak üzere iki gruba ayrıldı. PLMI ≤15 olan hastalar PLM olmayan, PLMI >15 olan hastalar ise PLM olan hastalar olarak tanımlandı. Tüm hastalar hem cinsiyetlerine göre, hem de yaşa göre ≤55 ve >55 olmak üzere gruplandırılarak PLM varlığı açısından değerlendirildi. Bulgular: Otuz beş erkek 24 kadın olmak üzere toplam 59 hastada (%12) PLMI >15 saptandı. PLM olan grupta hastaların yaşı PLM olmayan gruptan anlamlı olarak daha yüksekti (p=0,05). Beden Kitle indekslerine göre değerlendirildiğinde gruplar arasında fark saptanmadı (p>0,05). PLM olan grupta uyku latansı uzun, uyku etkinliği düşük iken, cinsiyetlere göre gruplar incelendiğinde erkeklerde total uyku süresi (TST) ve uyku etkinliği PLM olmayan grupta, uyku başlangıcı sonrası uyanık geçen süre ve uyku latansı ise PLM olan grupta anlamlı olarak yüksek saptandı (p<0,05). Kadınlarda ise sadece TST, PLM olmayan grupta istatistiksel olarak anlamlı yüksek idi. Sonuç: PLM sıklıkla hastalar tarafından farkedilemeyen ancak kardiyovasküler veya serebrovasküler olaylara sebep olarak ölümcül sonuçlara neden olabilecek uyku ile ilişkili bir hareket bozukluğudur. Tanısı polisomnografi ile konulan bu hastalığın klinik öneminin daha iyi anlaşılabilmesi için ileri çalışmalara ihtiyaç vardır.
Prevalence of Periodic Leg Movements in Patients at a Sleep Center
Objective: This study aimed to determine the prevalence of periodic leg movements (PLMs) in patients who underwent polysomnographic examinations and to compare the demographic and polysomnographic characteristics of patients with and without PLM. Materials and Methods: The demographic features and polysomnographic parameters of 491 patients were recorded. The patients were divided into two groups: PLMI =15 and >15. Patients with PLMI >15 and =15 and were defined as those with and without PLMI, respectively. All patients were grouped based on their sex and age. Results: Fifty-nine patients (12 men and 35 women) had PLMI >15. The age of the patients with PLM was significantly higher than that of those without PLM (p=0.05). When the groups were examined based on sex, in men, total sleep time (TST) in the nonPLM group and sleep time and sleep latency after sleep onset in the PLM group were significantly prolonged (p<0.05). Meanwhile, in women, only TST in the non-PLM group was significantly increased. Conclusion: PLM is a sleep-related movement disorder that is often unnoticeable by patients but may cause fatal consequences, leading to cardiovascular or cerebrovascular events. Further studies are needed to better understand the clinical significance of this disease, which is diagnosed by polysomnography

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