帕金森病患者睡眠障碍与血清维生素D水平的相关性分析

Relationship between sleep disorders and serum vitamin D in Parkinson's disease

  • 摘要: 目的 分析帕金森病(PD)患者睡眠障碍与血清维生素D水平的相关性。 方法 选取85例PD患者作为研究对象,根据其血清维生素D水平的不同分为缺乏组(维生素D水平<50 nmol/L, 60例)和正常组(维生素D水平≥50 nmol/L, 25例)。比较2组患者的运动症状[帕金森病统一评分量表(UPDRS)评分、Hoehn-Yahr(H-Y)分期]、非运动症状[睡眠障碍、认知功能、嗅觉减退、便秘和快速眼动睡眠期行为障碍,其中睡眠障碍采用匹兹堡睡眠质量指数量表(PSQI)评估]和其他相关临床指标水平,并分析维生素D水平与PSQI评分的相关性。 结果 本研究PD患者中维生素D缺乏者占比高达70.59%(60/85)。运动症状指标中,缺乏组UPDRS Ⅱ评分、UPDRS Ⅲ评分高于正常组,差异有统计学意义(P<0.05), 2组H-Y分期比较,差异无统计学意义(P>0.05); 非运动症状指标中,缺乏组PSQI总分和睡眠质量评分高于正常组,差异有统计学意义(P<0.05)。偏相关分析显示,校正年龄、病程、UPDRS Ⅱ评分及UPDRS Ⅲ评分后,血清维生素D水平与PSQI总分、睡眠质量评分、入睡时间评分、睡眠障碍评分呈负相关(P<0.05或P<0.01)。 结论 PD患者普遍存在维生素D缺乏现象,血清维生素D水平与PD患者运动症状和睡眠障碍具有相关性。

     

    Abstract: Objective To analyze the relationship between sleep disorders and serum vitamin D level in Parkinson's disease(PD)patients. Methods A total of 85 PD patients were divided into deficiency group(vitamin D<50 nmol/L, n=60)and normal group(vitamin D≥50 nmol/L, n=25). Motor symptoms evaluated by Parkinson's Disease Unified Scoring Scale(UPDRS)score and Hoehn-Yahr(H-Y)staging, non-motor symptoms including sleep disorders, cognitive function, hypoosmia, constipation and rapid sleep eye movement behavior disorder[Sleep disorder was assessed using the Pittsburgh Sleep Quality Index(PSQI)]and other clinical indicators were assessed in all PD patients. Results The proportion of vitamin D deficiency in PD patients was as high as 70.59%(60/85). For the motor symptoms indicators, UPDRS Ⅱ score and UPDRS Ⅲ score were significantly higher in the deficiency group than those in the normal group(P<0.05), and no significant difference was found in H-Y staging(P>0.05). In terms of the non-motor symptoms indicators, the total score of PSQI and sleep quality score in the deficiency group were higher than those in the normal group(P<0.05). After adjustment of age, disease duration and UPDRS Ⅱ and Ⅲ scores, vitamin D level was negatively correlated with PSQI total score, sleep quality score, sleeping time score, sleep disorder score(P<0.05 or P<0.01). Conclusion Vitamin D deficiency is common in PD patients, and vitamin D level is correlated with motor symptoms and sleep disorders in PD.

     

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