Eschle D
RehaClinic Bad Zurzach, Switzerland.
Praxis (Bern 1994). 2012 May 9;101(10):651-9. doi: 10.1024/1661-8157/a000939.
Patients with Parkinson's disease or parkinsonism are hospitalized more frequently, suffer more complications, have longer inpatient stays and are less frequently discharged directly to home. Their medication is often discontinued during hospitalization, leading to numerous complications such as akinetic crises with more falls, pressure ulcers, pulmonary problems, need for more nursing care, etc. There are various methods to overcome swallowing difficulties, and thus sustain the necessary level of dopaminergic stimulation. Commonly used anti-dopaminergic drugs to treat nausea or confusion have to be avoided.
帕金森病或帕金森综合征患者住院更为频繁，出现更多并发症，住院时间更长，且较少直接出院回家。他们的药物治疗在住院期间常被中断，导致诸多并发症，如运动不能危象伴更多跌倒、压疮、肺部问题、需要更多护理等。有多种方法可克服吞咽困难，从而维持必要水平的多巴胺能刺激。必须避免使用常用的抗多巴胺能药物来治疗恶心或精神错乱。
