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帕金森病的非运动症状的临床研究
引用本文:许丹芸.帕金森病的非运动症状的临床研究[J].科技通报,2012,28(2):29-31.
作者姓名:许丹芸
作者单位:武警安徽省总队医院神经内科,合肥,230041
摘    要:目的:研究帕金森病(PD)非运动症状(NMS)发生和分布特点及其美多巴治疗后的变化,为早期诊断、病情进展和预后评估及治疗提供依据.方法:对PD组和对照组行NMS问卷调查,给予美多巴治疗3个月,依据统一帕金森病评分量表、简易精神状态检查、汉密尔顿抑郁量表、匹兹堡睡眠质量指数、便秘问题量表评估对照.结果:PD组出现记忆下降、便秘、情绪下降、感觉下降等与对照组相比具有显著差异(P<0.05),而头晕、失眠、泌尿系症状两组间无显著差异(P>0.05).其中以记忆下降发生率最高,其次为便秘、注意力下降、汗多、流涎;美多巴对改善NMS亦有一定的疗效.结论:(1)NMS存在于PD各期,其中以记忆下降发生率最高;(2)美多巴对改善NMS亦有一定疗效.

关 键 词:帕金森病  非运动症状  记忆障碍

Parkinson's Disease of the Non Motor Symptoms in Clinical Research
XU Danyun.Parkinson's Disease of the Non Motor Symptoms in Clinical Research[J].Bulletin of Science and Technology,2012,28(2):29-31.
Authors:XU Danyun
Institution:XU Danyun (Anhui Provincial Armed Police Corps Hospital nerve internal medicine,Hefei 230041,China)
Abstract:Objective,To explore the incidence and its distribution of NMS in PD patients and after treatment,to provide a basis for early diagnosis,progression and prognosis and therapeutic.Methods,An NMS questionnaires survey was performed in PD patients and control group.Madopar treatment for 3 months,according to the UPDRS,MMSE,HDRS,PSI,CPS for assessment of NMS.Results,PD group appeared memory drops,constipation,mood,feeling decline,compared with the normal group with significant difference(P < 0.05),dizziness,insomnia,urinary symptoms,appeared there are no significant differences(P > 0.05);the incidence of memory impairment is the highest,relatively high incidence constipation,attention drops,sweat,salivation;Madopa for treatment of NMS have a certain effect.Conclusion,(1)NMS are more commonly occurred throughout the stages of PD,the incidence of memory impairment is the highest.(2) Madopar on improvement of NMS have a certain effect.
Keywords:parkinson’s disease  non-motor symptoms  emory impairment
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