Department of Neurosurgery, The General Hospital of Northern Theater Command, Shenyang, China.
Department of Neurosurgery, The General Hospital of Northern Theater Command, Shenyang, China.
World Neurosurg. 2022 Apr;160:e152-e158. doi: 10.1016/j.wneu.2021.12.102. Epub 2021 Dec 31.
To explore the feasibility of using a modified power-on programming method in deep brain stimulation (DBS) for Parkinson disease (PD).
We conducted a retrospective cohort study including 151 PD patients with bilateral robot-assisted DBS surgery from July 2017 to June 2020. Ninety-seven patients were adopted to the modified power-on programming method (Group I) and 54 patients were adopted to the traditional power-on programming method (Group II). In one-year follow-up, power-on programming duration, stimulation parameters, scores of Unified PD Rating Scale (UPDRS) and UPDRS-III of the 2 groups were recorded and compared.
There were no significant differences in the postoperative UPDRS, UPDRS-III improvement rate, and stimulation parameters between the 2 groups. The duration of power-on programming of Group I (1.7 ± 1.1 hours) was significantly less than that of Group II (3.5 ± 1.8 hours, P < 0.0001).
The modified power-on programming method can achieve a similar clinical effect to the traditional method, with the advantage of more efficiency.
探索改良开机程控方法在帕金森病（PD）脑深部电刺激（DBS）中的应用可行性。
回顾性分析 2017 年 7 月至 2020 年 6 月行双侧机器人辅助 DBS 手术的 151 例 PD 患者的临床资料。97 例患者采用改良开机程控方法（I 组），54 例患者采用传统开机程控方法（II 组）。随访 1 年，记录并比较两组患者开机程控时间、刺激参数、统一帕金森病评定量表（UPDRS）评分和 UPDRS-III 评分的变化。
两组患者术后 UPDRS、UPDRS-III 改善率和刺激参数比较，差异均无统计学意义。I 组开机程控时间（1.7 ± 1.1 小时）明显短于 II 组（3.5 ± 1.8 小时，P ＜0.0001）。
改良开机程控方法与传统方法具有相似的临床效果，且更高效。
