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[帕金森病的认知训练——一种新的治疗选择?]

[Cognitive Training in Parkinson's Disease - A New Therapy Option?].

作者信息

Kalbe E, Folkerts A-K

出版信息

Fortschr Neurol Psychiatr. 2016 Jul;84 Suppl 1:S24-35. doi: 10.1055/s-0042-100724. Epub 2016 May 18.

Abstract

Cognitive impairment is a frequent and clinically relevant symptom in patients with Parkinson's disease (PD). Given that pharmacological therapy options are limited, non-pharmacological interventions for the prevention and treatment of cognitive impairment in PD patients are attracting increasing interest. This review summarizes the current state of research regarding cognition-based interventions in PD patients. Eleven randomized controlled studies (RCT) were found in a systematic literature search, all of which used cognitive training (CT). These studies and a recently published meta-analysis demonstrate that especially executive and memory functions can be enhanced by CT in PD patients. Future studies examining CT or cognitive stimulation should include large PD samples with well-defined cognitive inclusion criteria so that clear therapy recommendations can be defined for PD patients without cognitive dysfunctions, those with mild cognitive impairment, and those with dementia.

摘要

认知障碍是帕金森病(PD)患者常见且具有临床相关性的症状。鉴于药物治疗选择有限,针对PD患者认知障碍的预防和治疗的非药物干预正吸引着越来越多的关注。本综述总结了目前关于PD患者基于认知的干预措施的研究现状。在系统的文献检索中发现了11项随机对照研究(RCT),所有这些研究都采用了认知训练(CT)。这些研究以及最近发表的一项荟萃分析表明,CT尤其可以增强PD患者的执行功能和记忆功能。未来研究CT或认知刺激时,应纳入大量具有明确认知纳入标准的PD样本,以便为无认知功能障碍、轻度认知障碍和痴呆的PD患者确定明确的治疗建议。

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