{"id":53219,"date":"2018-03-09T22:40:53","date_gmt":"2018-03-09T22:40:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/los-trastornos-del-sueno-en-pacientes-en-hemodialisis\/"},"modified":"2018-03-09T22:40:53","modified_gmt":"2018-03-09T22:40:53","slug":"los-trastornos-del-sueno-en-pacientes-en-hemodialisis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-pulmonares\/los-trastornos-del-sueno-en-pacientes-en-hemodialisis\/","title":{"rendered":"Los trastornos del sue\u00f1o en pacientes en hemodi\u00e1lisis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Bernabe Jurado Gamez <\/strong><\/h2>\n<p>Esta tesis aporta informaci\u00f3n sobre las alteraciones del sue\u00f1o y la preValencia del s\u00edndrome de apnea del sue\u00f1o, en una poblaci\u00f3n no seleccionada de pacientes en hemodi\u00e1lisis. Para ello se ha estudiado, mediante polisomnograf\u00eda de noche completa, una muestra representativa de la poblaci\u00f3n de hemodi\u00e1lisis, comparando los resultados con un grupo control de 14 sujetos sanos y un grupo de 14 pacientes con insuficiencia renal cr\u00f3nica estad\u00edo 4-5, ambos grupos fueron pareados por edad, g\u00e9nero e \u00edndice de masa corporal. Se ha incluido un grupo adicional de 4 pacientes con trasplante renal funcionante, que hab\u00edan sido previamente evaluados durante su estancia en hemodi\u00e1lisis. los resultados m\u00e1s importantes se exponen a continuaci\u00f3n. El 78% de los pacientes en hemodi\u00e1lisis presentan alg\u00fan trastorno del sue\u00f1o. Los m\u00e1s frecuentemente son el s\u00edndrome de apneas-hipopneas del sue\u00f1o (sahs) (48%), insomnio (41%), s\u00edndrome de movimiento peri\u00f3dico de piernas (34%) y s\u00edndrome de piernas inquietas (12.5%). hay que destacar el elevado n\u00famero de enfermos con sahs que, en el examen cl\u00ednico, no suger\u00edan la existencia de esta patolog\u00eda, de tal forma que en el 72% de los casos, s\u00f3lo fue posible diagnosticarlo mediante polisomnograf\u00eda. Las manifestaciones cl\u00ednicas de los trastornos del sue\u00f1o son inespec\u00edficas, si bien el ronquido y las apneas, observadas por las personas que conviven con el pacientes, son s\u00edntomas que se asocian y, por tanto, sugieren sahs. comparados con los sujetos sanos, los pacientes con insuficiencia renal cr\u00f3nica estadios 4-5 y los enfermos en hemodi\u00e1lisis, muestran mala calidad del sue\u00f1o, alcanzando significaci\u00f3n estad\u00edstica en los principales par\u00e1metros que determinan estabilidad y calidad del sue\u00f1o.     respecto a los sujetos sanos, los enfermos con insuficiencia renal cr\u00f3nica estadio 4-5 presentan mayor n\u00famero de trastornos respiratorios, determinados por el \u00edndice de apnea-hipopnea, aunque sin alcanzar significaci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Los trastornos del sue\u00f1o en pacientes en hemodi\u00e1lisis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Los trastornos del sue\u00f1o en pacientes en hemodi\u00e1lisis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Bernabe Jurado Gamez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/06\/2006<\/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>Pedro Aljama Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>alfonso Palma alvarez (vocal)<\/li>\n<li>Mar\u00eda  antonia Alvarez de lara sanchez (vocal)<\/li>\n<li>Juan Garcia-valdecasas valverde (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bernabe Jurado Gamez Esta tesis aporta informaci\u00f3n sobre las alteraciones del sue\u00f1o y la preValencia del s\u00edndrome [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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