Liu Hui, Wang Xiao-Ping
Department of Neurology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200062, People's Republic of China.
Department of Neurology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People's Republic of China.
Neuropsychiatr Dis Treat. 2024 Dec 21;20:2585-2591. doi: 10.2147/NDT.S495092. eCollection 2024.
Parkinson's disease (PD) is primarily recognized for its motor symptoms, yet non-motor symptoms (NMS) such as neuropsychiatric disturbances, sleep disorders, autonomic dysfunction, and sensory abnormalities significantly contribute to the disease's overall burden. While traditional pharmacological and surgical treatments have primarily targeted motor symptoms, alternative therapies such as acupuncture, cognitive therapy, and Traditional Chinese Medicine (TCM) are gaining attention for managing NMS. This review provides a comprehensive analysis of alternative therapies for NMS in PD, drawing on evidence from international guidelines and TCM. The review highlights the current gaps in research, emphasizing the need for high-quality randomized controlled trials (RCTs) and standardized protocols, particularly in the evaluation of TCM therapies. Additionally, it underscores the potential of integrated treatment approaches that combine traditional and modern medicine, offering a personalized strategy for managing NMS in PD. By addressing these challenges, this review aims to enhance the understanding and application of alternative therapies, ultimately improving the quality of life for PD patients. These therapies, particularly those emphasizing holistic and individualized approaches, such as cognitive therapy and TCM, offer potential solutions to the unmet needs in PD management without causing side effects associated with medications or fluctuations in drug plasma levels.
帕金森病(PD)主要因其运动症状而被认知,然而诸如神经精神障碍、睡眠障碍、自主神经功能障碍和感觉异常等非运动症状(NMS)对该疾病的整体负担有显著影响。虽然传统的药物和手术治疗主要针对运动症状,但针灸、认知疗法和中医药(TCM)等替代疗法在管理非运动症状方面正受到关注。本综述利用国际指南和中医药的证据,对帕金森病非运动症状的替代疗法进行了全面分析。该综述突出了当前研究中的差距,强调需要高质量的随机对照试验(RCT)和标准化方案,特别是在中医药疗法的评估方面。此外,它强调了将传统医学与现代医学相结合的综合治疗方法的潜力,为管理帕金森病的非运动症状提供了个性化策略。通过应对这些挑战,本综述旨在增进对替代疗法的理解和应用,最终改善帕金森病患者的生活质量。这些疗法,特别是那些强调整体和个体化方法的疗法,如认知疗法和中医药,为帕金森病管理中未满足的需求提供了潜在解决方案,而不会引起与药物相关的副作用或药物血浆水平波动。