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症状性多发性硬化症治疗的新进展:第6部分 - 认知功能障碍与康复

[New aspects of symptomatic MS treatment: Part 6 - cognitive dysfunction and rehabilitation].

作者信息

Henze T, Feneberg W, Flachenecker P, Seidel D, Albrecht H, Starck M, Meuth S G

机构信息

Praxisgemeinschaft für Neurologie, Psychiatrie, Psychotherapie, Günzstr. 1, 93059, Regensburg, Deutschland.

Behandlungszentrum Kempfenhausen für Multiple Sklerose Kranke gemeinnützige GmbH, Berg, Deutschland.

出版信息

Nervenarzt. 2018 Apr;89(4):453-459. doi: 10.1007/s00115-017-0443-7.

Abstract

The symptomatic treatment of multiple sclerosis (MS) is nowadays of similar importance as immunotherapy within a comprehensive treatment concept of this chronic disease. It makes a considerable contribution to the reduction of disabilities in activities of daily living as well as social and occupational life. Moreover, symptomatic treatment is of great importance for amelioration of the quality of life. Since our last survey of symptomatic MS treatment in 2004 and publication of the guidelines of the German Neurological Society and the Clinical Competence Network Multiple Sclerosis ("Klinisches Kompetenznetz Multiple Sklerose", KKN-MS) in 2014 several developments within the topics of mobility, bladder and sexual function, vision, fatigue, cognition and rehabilitation have taken place. These new findings together with further aspects of disease measurement methods and overall treatment strategies of the respective symptoms, as well as treatment goals are introduced in several individual contributions. In this article the symptoms of cognitive disorders and the growing impact of rehabilitation are discussed.

摘要

在多发性硬化症(MS)的综合治疗理念中,对症治疗如今与免疫疗法具有同等重要性。它对减少日常生活活动以及社交和职业生活中的残疾状况做出了相当大的贡献。此外,对症治疗对于改善生活质量也至关重要。自我们上次在2004年对MS对症治疗进行调查以及德国神经学会和多发性硬化症临床能力网络(“Klinisches Kompetenznetz Multiple Sklerose”,KKN-MS)在2014年发布指南以来,在 mobility、膀胱和性功能、视力、疲劳、认知及康复等主题方面已取得了多项进展。这些新发现连同疾病测量方法的其他方面以及各个症状的整体治疗策略和治疗目标在几篇单独的文章中进行了介绍。在本文中,将讨论认知障碍症状以及康复日益增加的影响。

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