Asher Irving
University of Missouri Health System, USA.
Mo Med. 2012 Jul-Aug;109(4):328-32.
Parkinson disease (PD) is the second most common neurodegenerative disorder. Since the initial description of PD, clinical evaluation and management has focused on the motor signs and symptoms. Recent advances in our knowledge of neurologic involvement has led to a new emphasis on a broad spectrum of clinical features prompting the development of guidelines by the American Academy of Neurology for ongoing care of patients with PD. This review will touch on the historical aspects and traditional management of PD and discuss the latest recommendations for evaluation and care of PD patients. A broadened understanding of the multisystem nature of PD will enable physicians to improve the care and quality of life of their patients.
帕金森病（PD）是第二常见的神经退行性疾病。自帕金森病首次被描述以来，临床评估和管理一直集中在运动体征和症状上。我们对神经受累认识的最新进展导致人们重新重视一系列广泛的临床特征，促使美国神经病学学会制定了针对帕金森病患者持续护理的指南。本综述将涉及帕金森病的历史方面和传统管理方法，并讨论帕金森病患者评估和护理的最新建议。对帕金森病多系统性质的更广泛理解将使医生能够改善患者的护理和生活质量。
