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帕金森病深部脑刺激的全远程编程:病例系列

Towards full remote programming for deep brain stimulation in Parkinson's disease: A case series.

作者信息

Wan Xiaonan, Lin Zhengyu, Duan Chengcheng, Zeng Zhitong, Zhang Chencheng, Li Dianyou

机构信息

Department of Neurosurgery, Center for Functional Neurosurgery, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Clinical Neuroscience Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Digit Health. 2024 Sep 25;10:20552076241287071. doi: 10.1177/20552076241287071. eCollection 2024 Jan-Dec.

Abstract

People with Parkinson's disease (PwPD) who undergo deep brain stimulation (DBS) surgery could benefit from remote programming (RP), which has proven to be both effective and economical. However, there is limited research on PwPD with DBS implants who have completed all programming sessions exclusively through remote means (full remote programming, FRP). This case report documents the experiences of five PwPD who underwent FRP, with four demonstrating improvements in motor symptoms, quality of life, and medication reduction. A total of 22 postoperative programming sessions were conducted, all via RP. FRP integrates RP with online consultations. Our findings contribute preliminary evidence supporting the feasibility and safety of FRP in the postoperative care of PwPD with DBS implants.

摘要

接受深部脑刺激(DBS)手术的帕金森病患者(PwPD)可从远程程控(RP)中获益,事实证明,远程程控既有效又经济。然而,对于仅通过远程方式完成所有程控环节的植入DBS的PwPD(完全远程程控,FRP)的研究有限。本病例报告记录了5例接受FRP的PwPD的经历,其中4例在运动症状、生活质量和药物减量方面有改善。总共通过RP进行了22次术后程控。FRP将RP与在线咨询相结合。我们的研究结果提供了初步证据,支持FRP在植入DBS的PwPD术后护理中的可行性和安全性。

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