University of Florida, Fixel Center for Neurological Diseases, 3009 Williston Road, Gainesville, FL 32608, USA.
University of Florida, Fixel Center for Neurological Diseases, 3009 Williston Road, Gainesville, FL 32608, USA.
Clin Geriatr Med. 2020 Feb;36(1):173-181. doi: 10.1016/j.cger.2019.09.009. Epub 2019 Sep 6.
Management of patients with Parkinson disease (PD) during inpatient hospital stays is complex and poses unique challenges for physicians and ancillary staff. Patients with PD have a high risk of complications, encephalopathy, and prolonged hospital stay. Early recognition of complications and implementation of rehabilitation strategies along with appropriate management of medications are critical to improve outcomes. Patients with PD can exhibit worsening mobility and balance, insomnia, orthostatic hypotension, multiple neuropsychiatric symptoms, and gastrointestinal dysfunction while hospitalized. This review summarizes the specific in-hospital concerns observed in patients with PD and discusses potential treatment approaches.
帕金森病（PD）患者在住院期间的管理较为复杂，给医生和辅助人员带来了独特的挑战。PD 患者并发症风险高、易发生脑病且住院时间长。早期识别并发症并实施康复策略，以及对药物进行适当管理，对于改善预后至关重要。PD 患者在住院期间可能会出现运动和平衡能力恶化、失眠、体位性低血压、多种神经精神症状和胃肠功能障碍。本文总结了 PD 患者住院期间的具体关注问题，并讨论了潜在的治疗方法。
