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泰国大学医院运动障碍疾病普查。

A census of movement disorders at a Thai university hospital.

机构信息

Chulalongkorn Comprehensive Movement Disorders Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, 10330, Thailand.

出版信息

J Neurol Sci. 2011 Feb 15;301(1-2):31-4. doi: 10.1016/j.jns.2010.11.010. Epub 2010 Dec 4.

DOI:10.1016/j.jns.2010.11.010
PMID:21131010
Abstract

There is little information available on the number of patients with movement disorders seen by physicians in Thailand. The authors reviewed the medical records of all movement disorders patients seen at the Chulalongkorn Comprehensive Movement Disorders Center (CUMDS) in Bangkok, Thailand over a 4.5-year period to determine the number of patients with movement disorders and disease characteristics. A total of 1993 patients were assessed at CUMDS. Most of these patients had a diagnosis of parkinsonism (72%), including Parkinson's disease (PD) (60.9%), followed by tremor (9.6%), and dystonia (8.4%). The diagnostic accuracy of PD according to United Kingdom Parkinson's Disease Society Brain Bank clinical diagnostic criteria was 90.3%. The average referral period waiting for the consultation was more than 2 years. In spite of the limited availability of medical resources in Thailand, patients with movement disorders tend to seek specialist care and most often it is indicated. This finding documents the need for awareness of PD and other movement disorders by health professionals in Thailand, including the need for specialized training in movement disorders for physicians, including neurologists.

摘要

关于泰国医生诊治的运动障碍患者数量,目前信息有限。作者回顾了在泰国曼谷朱拉隆功综合运动障碍中心(CUMDS)就诊的所有运动障碍患者的病历,以确定运动障碍患者的数量和疾病特征。共有 1993 名患者在 CUMDS 接受评估。这些患者中大多数被诊断为帕金森病(PD)(72%),包括帕金森病(PD)(60.9%),其次是震颤(9.6%)和肌张力障碍(8.4%)。根据英国帕金森病学会脑库临床诊断标准,PD 的诊断准确率为 90.3%。平均转诊期等待咨询时间超过 2 年。尽管泰国的医疗资源有限,但运动障碍患者往往寻求专科治疗,而且通常是有指征的。这一发现表明,泰国的卫生专业人员需要提高对 PD 和其他运动障碍的认识,包括对包括神经科医生在内的医生进行运动障碍的专门培训。

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