Mutch W J, Strudwick A, Roy S K, Downie A W
Br Med J (Clin Res Ed). 1986 Sep 13;293(6548):675-7. doi: 10.1136/bmj.293.6548.675.
Data from a descriptive study of idiopathic Parkinson's disease were analysed aimed at getting a clearer picture of the impact of the disease on the community and the help available to patients and carers. Altogether 267 patients aged 40-92 were identified, and the median duration of disease in those in whom this could be assessed was 7.2 years. Of the 267 patients, 204 (76.4%) were living in the community, 51 alone. A total of 201 patients were taking levodopa, 29 out of 102 had retired early, and 60 out of 84 (71.4%) had given up driving. Most patients had symptoms at the time of study, and signs such as bradykinesia, rigidity, impaired speech, and abnormal gait were often moderate or severe. Of 214 patients whose disease was assessed using the scoring system of Hoehn and Yahr, 78 (36.4%) had grade 4 and 23 (10.7%) grade 5 disability. Despite this, however, 105 of 265 patients (39.6%) were not subject to regular medical review and only 57 of 227 patients (25.1%) had been seen by an occupational therapist, 16 (7.0%) by a physiotherapist, and 10 (4.4%) by a speech therapist. Patients with Parkinson's disease may benefit from regular medical review and being seen by therapists.
对一项关于特发性帕金森病的描述性研究数据进行了分析，目的是更清楚地了解该疾病对社区的影响以及为患者和护理人员提供的帮助。总共识别出267名年龄在40 - 92岁之间的患者，在可评估疾病持续时间的患者中，疾病持续时间的中位数为7.2年。在这267名患者中，204名（76.4%）生活在社区，其中51名单独生活。共有201名患者正在服用左旋多巴，102名中有29名提前退休，84名中有60名（71.4%）放弃了驾驶。大多数患者在研究时都有症状，运动迟缓、僵硬、言语障碍和异常步态等体征往往为中度或重度。在214名使用Hoehn和Yahr评分系统评估病情的患者中，78名（36.4%）为4级残疾，23名（10.7%）为5级残疾。然而，尽管如此，265名患者中有105名（39.6%）没有接受定期医学检查，227名患者中只有57名（25.1%）看过职业治疗师，16名（7.0%）看过物理治疗师，10名（4.4%）看过言语治疗师。帕金森病患者可能会从定期医学检查和接受治疗师诊治中受益。
