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首页> 外文期刊>Journal of neurology >Association between fatigue and other motor and non-motor symptoms in Parkinson's disease patients.
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Association between fatigue and other motor and non-motor symptoms in Parkinson's disease patients.

机译:帕金森氏病患者的疲劳与其他运动和非运动症状之间的关联。

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Although fatigue is a common non-motor symptom in patients affected by Parkinson's disease (PD), its association with motor and other non-motor symptoms is still largely unclear. We assessed fatigue in PD patients studying the possible association with motor and non-motor symptoms. Eighty-one PD patients were included in the study. The PD Fatigue Scale (PFS) and the Fatigue Severity Scale (FSS) scale were used to measure fatigue. Non-motor symptoms were assessed with the Non-Motor Symptoms Scale (NMSS). Motor impairment was assessed using the modified Hoehn and Yahr (HY) staging and the Unified PD Rating Scale (UPDRS) part-III and IV. Bivariate tests comparing all independent variables between patients with our without fatigue were used. Significant predictors of presence and severity of fatigue were determined with different models of logistic regression analyses. Fatigue severity was significantly higher in female patients. Bivariate test showed significant higher NMSS score in fatigued patients according to PFS (p?
机译:尽管疲劳是受帕金森氏病(PD)影响的患者的常见非运动症状,但其与运动和其他非运动症状的关系仍不清楚。我们评估了PD患者的疲劳程度,研究其与运动和非运动症状的可能关系。这项研究包括了81名PD患者。使用PD疲劳量表(PFS)和疲劳严重量表(FSS)量表测量疲劳。非运动症状用非运动症状量表(NMSS)进行评估。使用改良的Hoehn和Yahr(HY)分期以及统一PD评分量表(UPDRS)第III和IV部分评估运动障碍。使用双变量测试比较无疲劳患者之间的所有自变量。疲劳的存在和严重程度的重要预测因素是通过不同的逻辑回归分析模型确定的。女性患者的疲劳严重程度明显更高。根据PFS(p 0.00001)和FFS(p 0.001),双变量测试显示疲劳患者的NMSS评分显着较高,而根据FSS(p 0.022),HY仅在疲劳患者中较高。发现疲劳严重程度与HY分期(p 0.002)和UPDRS-III评分(p 0.001)之间存在显着的相关性,而在特定的非运动性症状中,快感缺乏相关性最强(p?<0.001)。 <?0.003)。二元逻辑回归证实NMSS是预测疲劳存在的主要变量,而HY仅在FSS模型中才是预测变量的重要变量。 NMSS的域3(情绪/焦虑)和域2(睡眠障碍)中包含的最强的非运动性症状严重程度预测因子。观察到与非运动症状(主要是情感和睡眠障碍)的负担有关的疲劳严重程度显着增加。我们的研究结果表明两种疲劳量表的评分存在中等差异,PFS主要针对非运动症状的负担。最后,通过系统地综合评估量表(例如NMSS)来评估疲劳的潜在因素,这可能会改善当前用于治疗该残疾状况的策略。

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