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帕金森病的非运动症状与治疗

Non-motor Symptoms and Treatments in Parkinson's Disease.

作者信息

Goldman Jennifer G

机构信息

Barrow Neurological Institute, Phoenix, AZ, USA; JPG Enterprises LLC, Medical Division, Chicago, IL, USA.

出版信息

Neurol Clin. 2025 May;43(2):291-317. doi: 10.1016/j.ncl.2024.12.008. Epub 2025 Jan 22.

Abstract

Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor and non-motor symptoms. The non-motor features may precede the onset of motor symptoms and occur throughout all stages of PD. The non-motor symptoms reflect multisystem involvement of the central and peripheral nervous systems, multiple neurotransmitters, and multiple pathologies. PD management necessitates a comprehensive approach to address non-motor symptoms, including pharmacologic and non-pharmacological interventions and often multiple different disciplines or specialists in the PD care team. This review article discusses symptoms and treatments for the non-motor symptoms of PD including those affecting mood, cognition, behavior, sleep, autonomic function, and sensory systems.

摘要

帕金森病(PD)是一种以运动和非运动症状为特征的神经退行性疾病。非运动特征可能先于运动症状出现,并在帕金森病的所有阶段都有发生。非运动症状反映了中枢和外周神经系统、多种神经递质以及多种病理状况的多系统受累。帕金森病的管理需要一种综合方法来解决非运动症状,包括药物和非药物干预,并且通常需要帕金森病护理团队中的多个不同学科或专家参与。这篇综述文章讨论了帕金森病非运动症状的症状和治疗方法,包括那些影响情绪、认知、行为、睡眠、自主功能和感觉系统的症状。

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