{"id":14068,"date":"2018-03-09T09:00:37","date_gmt":"2018-03-09T09:00:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-del-sueno-en-pacientes-con-esclerosis-multiple-estudio-polisomnografico-y-correlacion-cla%c2%adnica\/"},"modified":"2018-03-09T09:00:37","modified_gmt":"2018-03-09T09:00:37","slug":"alteraciones-del-sueno-en-pacientes-con-esclerosis-multiple-estudio-polisomnografico-y-correlacion-cla%c2%adnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-del-sueno-en-pacientes-con-esclerosis-multiple-estudio-polisomnografico-y-correlacion-cla%c2%adnica\/","title":{"rendered":"Alteraciones del sue\u00f1o en pacientes con esclerosis multiple. estudio polisomnogr\u00e1fico y correlaci\u00f3n cl\u00ednica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pilar L\u00f3pez Esteban <\/strong><\/h2>\n<p>Objetivos  el objetivo de esta tesis ha sido determinar la presencia de alteraciones del sue\u00f1o en pacientes con esclerosis m\u00faltiple, y si existe alguna correlaci\u00f3n con las variables cl\u00ednicas y subjetivas estudiadas.  pacientes y m\u00e9todo  se han estudiado 32 pacientes diagnosticados de esclerosis m\u00faltiple por criterios de posser, evoluci\u00f3n de la enfermedad superior a un a\u00f1o, formas cl\u00ednicas remitente recurrente y secundariamente progresivas, con una incapacidad media menor o igual a 6.5 (edss) y que en el momento del estudio estuvieran estables.  a todos ellos se les realizo una valoraci\u00f3n cl\u00ednica, con especial dedicaci\u00f3n a la historia de sue\u00f1o, datos antropom\u00e9tricos, cuestionarios (valoraci\u00f3n del impacto de fatiga de fisk, valoraci\u00f3n de somnolencia diurna mediante el test de epworth, custionario de trastornos de sue\u00f1o de montpellier, valoraci\u00f3n del nivel de depresi\u00f3n mediante el test de beck). A continuaci\u00f3n se les realiz\u00f3 una video-polisomnograf\u00eda basal nocturna (5 canales eeg en derivaciones bipolares, eog, ecg, emg del m\u00fasculo submentoniano y de los tibiales anteriores, la respiraci\u00f3n naso bucal y el esfuerzo toraco abdominal y la saturaci\u00f3n de ox\u00edgeno). Se realiz\u00f3 el an\u00e1lisis manual de los registros de la v\u00eddeo-psg siguiendo los criterios de rechtschaffen y kales. En 11 pacientes se realiz\u00f3, a la ma\u00f1ana siguiente de la video-psg, un test de las latencias m\u00faltiples de sue\u00f1o, para objetivizar la somnolencia diurna de estos pacientes.  a todos los pacientes se les realiz\u00f3 una determinaci\u00f3n de hierro y ferritina.  los resultados fueron comparados con un grupo control.  resultados y conclusiones  1,- los trastornos del sue\u00f1o en pacientes con esclerosis m\u00faltiple est\u00e1n infravalorados tanto por parte del paciente como por parte del m\u00e9dico.  2,- existe una gran discordancia no solo entre la valoraci\u00f3n subjetiva de la calidad del sue\u00f1o y los datos objetivos de la polisomnograf\u00eda sino tambi\u00e9n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alteraciones del sue\u00f1o en pacientes con esclerosis multiple. estudio polisomnogr\u00e1fico y correlaci\u00f3n cl\u00ednica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones del sue\u00f1o en pacientes con esclerosis multiple. estudio polisomnogr\u00e1fico y correlaci\u00f3n cl\u00ednica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pilar L\u00f3pez Esteban <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/11\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>F\u00e9lix L\u00f3pez L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Mart\u00ednez l\u00f3pez de letona Juan <\/li>\n<li>Antonio Vela bueno (vocal)<\/li>\n<li>Manuel Moya Garc\u00eda (vocal)<\/li>\n<li>Alberto Gimeno \u00e1lava (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pilar L\u00f3pez Esteban Objetivos el objetivo de esta tesis ha sido determinar la presencia de alteraciones del 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