重视帕金森病非运动症状
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首都卫生发展科研专项基金(SF2011-4011-01);首都临床特色应用研究专项(BJ-2012-147)


Nonmotor symptoms in Parkinson’s disease deserve great attention
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    摘要:

    随着对帕金森病(PD)认识的加深,非运动症状已成为PD症状学的重要组成部分。PD患者嗅觉下降发生率高,并可用来鉴别PD与非典型性和继发性帕金森综合征;对PD患者消化道症状的研究发现,便秘患者PD发病风险增加5倍,且肠道神经中发现了α?突触核蛋白和Lewy体的沉积;精神症状如快速动眼期睡眠行为障碍(RBD)、抑郁、焦虑及幻觉妄想等显著降低了患者生活质量,且RBD转化为PD等神经变性疾病的概率显著增高。非运动症状有可能成为PD早期诊断的突破点,需给予更大关注,加强研究。

    Abstract:

    With profound understanding of Parkinson’s disease (PD), non-motor symptoms have been considered as an important part of its symptomatology. In addition to the high prevalence, the occurrence of hyposmia may also be used to differentiate PD from atypical and secondary parkinsonism. Studies on the gastrointestinal symptoms among PD patients showed that the risk of PD was increased to six-fold in people with constipation, and the α-synuclein deposition and Lewy bodies were found in the enteric nervous system. psychiatric symptoms such as rapid eye movement (REM) sleep behavior disorder (RBD), depression, anxiety and hallucinations, and delusions significantly impaired the quality of life in PD patients, and those patients with idiopathic RBD were at approximately higher risk for PD and other neurodegeneration diseases. Non-motor symptoms may become a breakthrough in early diagnosis of PD and should be paid more attention.

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苏 闻,陈海波*.重视帕金森病非运动症状[J].中华老年多器官疾病杂志,2015,14(09):641~643

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  • 在线发布日期: 2015-09-21
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