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综述:帕金森病的治疗。

Review: management of Parkinson's disease.

机构信息

Department of Neurology, University Hospital Cologne, Cologne, Germany.

出版信息

Neuropsychiatr Dis Treat. 2013;9:321-40. doi: 10.2147/NDT.S32302. Epub 2013 Mar 3.

Abstract

Parkinson's disease (PD) is one of the most frequent neurological diseases. Despite the modern imaging and nuclear techniques which help to diagnose it in a very early stage and lead to a better discrimination of similar diseases, PD has remained a clinical diagnosis. The increasing number of available treatment options makes the disease management often complicated even when the presence of PD seems undoubted. In addition, nonmotor symptoms and side effects of some therapies constitute some pitfalls already in the preclinical state or at the beginnings of the disease, especially with the progressive effect on patients. Therefore, this review aimed to summarize study results and depict recommended medical treatments for the most common motor and nonmotor symptoms in PD. Additionally, emerging new therapeutic options such as continuous pump therapies, eg, with apomorphine or parenteral levodopa, or the implantation of electrodes for deep brain stimulation were also considered.

摘要

帕金森病(PD)是最常见的神经退行性疾病之一。尽管现代影像学和核医学技术有助于在疾病的早期阶段进行诊断,并能更好地区分类似疾病,但 PD 仍需临床诊断。由于有越来越多的治疗选择,即使 PD 的存在是毫无疑问的,疾病的管理也常常变得复杂。此外,一些治疗的非运动症状和副作用在疾病的临床前期或早期就构成了一些陷阱,尤其是对患者的进行性影响。因此,本综述旨在总结研究结果,并描述 PD 最常见的运动和非运动症状的推荐治疗方法。此外,还考虑了一些新的治疗选择,如持续泵治疗,例如应用阿扑吗啡或肠外左旋多巴,或植入深部脑刺激电极。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a50e/3592512/3b92878f92ca/ndt-9-321f1.jpg

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