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帕金森病的脑深部电刺激:不良事件的发生率及标准化报告的必要性

Deep brain stimulation for Parkinson's disease: prevalence of adverse events and need for standardized reporting.

作者信息

Videnovic Aleksandar, Metman Leo Verhagen

机构信息

Section of Movement Disorders, Rush University Medical Center, Chicago, Illinois 60612, USA.

出版信息

Mov Disord. 2008 Feb 15;23(3):343-9. doi: 10.1002/mds.21753.

DOI:10.1002/mds.21753
PMID:17987644
Abstract

Deep brain stimulation (DBS) has assumed a prominent role in the treatment of Parkinson's disease (PD). In this manuscript, we attempt to estimate the prevalence and categorize adverse events (AEs) of DBS in PD, based on efficacy studies published over the last decade. We conclude that reliable categorization and quantification of AEs based on available data poses many challenges and argue that a standardized scheme for reporting AEs should be created. This would provide a foundation for a meaningful risk/benefit analysis, for comparison of results between centers and, ultimately, for a well informed decision by physicians and patients as to whether surgery should be pursued.

摘要

深部脑刺激(DBS)在帕金森病(PD)治疗中已占据重要地位。在本手稿中,我们试图根据过去十年发表的疗效研究,估算PD患者中DBS不良事件(AE)的发生率并对其进行分类。我们得出结论,基于现有数据对AE进行可靠的分类和量化面临诸多挑战,并认为应创建一个标准化的AE报告方案。这将为有意义的风险/效益分析、中心间结果比较提供基础,并最终为医生和患者就是否应进行手术做出明智决策提供依据。

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Deep brain stimulation for Parkinson's disease: prevalence of adverse events and need for standardized reporting.帕金森病的脑深部电刺激:不良事件的发生率及标准化报告的必要性
Mov Disord. 2008 Feb 15;23(3):343-9. doi: 10.1002/mds.21753.
2
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Staged bilateral deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson's disease.分期双侧丘脑底核深部脑刺激治疗帕金森病。
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Long-term effects of pallidal or subthalamic deep brain stimulation on quality of life in Parkinson's disease.苍白球或丘脑底核深部脑刺激对帕金森病患者生活质量的长期影响。
Mov Disord. 2009 Jun 15;24(8):1154-61. doi: 10.1002/mds.22496.

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