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[荷兰全科医生学院“帕金森病”实践指南总结]

[The Dutch College of General Practitioners' practice guideline 'Parkinson's disease' in summary].

作者信息

Draijer Willem, Eizenga Wietze H, Sluiter Alja, Opstelten Wim, Goudswaard A N Lex

机构信息

Nederlands Huisartsen Genootschap, Utrecht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155(51):A4137.

PMID:22200151
Abstract

Parkinson's disease is characterised by bradykinesia in combination with one or more of the following symptoms: rigidity, resting tremor and disorders of posture and balance. Refer a patient with suspected Parkinson's disease (or parkinsonism) for diagnosis and treatment preferably to a neurologist with expertise in movement disorders. The treatment of Parkinson's disease is symptomatic; to date, there is no treatment that slows disease progression. The treatment of patients with Parkinson's disease and its related disorders involves collaboration of the neurologist, Parkinson's disease nurse and general practitioner. In addition to recognizing the hypokinetic-rigid syndrome, the general practitioner has a role in diagnosing and treating associated symptoms and disorders, and in supporting and counseling the patient and their partner or caregiver.

摘要

帕金森病的特征是运动迟缓,并伴有以下一种或多种症状:僵硬、静止性震颤以及姿势和平衡障碍。疑似帕金森病(或帕金森综合征)患者最好转诊给有运动障碍专业知识的神经科医生进行诊断和治疗。帕金森病的治疗是对症治疗;迄今为止,尚无减缓疾病进展的治疗方法。帕金森病及其相关病症患者的治疗需要神经科医生、帕金森病专科护士和全科医生的协作。除了识别运动减少-僵硬综合征外,全科医生在诊断和治疗相关症状及病症,以及支持和咨询患者及其伴侣或护理人员方面也发挥着作用。

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1
[The Dutch College of General Practitioners' practice guideline 'Parkinson's disease' in summary].[荷兰全科医生学院“帕金森病”实践指南总结]
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Non-motor symptoms may herald Parkinson's disease.非运动症状可能是帕金森病的先兆。
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引用本文的文献

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The diagnostic pathway of Parkinson's disease: a cross-sectional survey study of factors influencing patient dissatisfaction.帕金森病的诊断途径:影响患者不满的因素的横断面调查研究。
BMC Fam Pract. 2017 Aug 25;18(1):83. doi: 10.1186/s12875-017-0652-y.