中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
27期
3171-3173,3174
,共4页
帕金森病%诊断%社区医师%筛查
帕金森病%診斷%社區醫師%篩查
파금삼병%진단%사구의사%사사
Parkinsondisease%Diagnosis%Communityphysicians%Screening
帕金森病( PD)是一种慢性中枢神经系统退行性疾病,随着病情发展症状逐渐加重,可致残,严重影响患者生活质量。常用的治疗手段只能改善症状,很少能阻止病情的发展,更无法治愈。尽早诊断并采取神经保护性治疗可延缓疾病的发展,控制患者的症状。专科医师通过对PD患者非运动症状( NMS)的掌握以及各种新的诊断技术的运用,在早期诊断方面有了一定进展,但是因专科医师数量有限及新型诊断技术成本较高,难以大范围做到PD患者的早期诊断。社区医师以其庞大的队伍和独特的工作性质在PD早期诊断中可发挥重要作用,如果能加强社区医师对PD早期诊断的意识,充分调动起广大社区医师的积极性,发挥其优势,主动参与PD的早期筛查诊断工作,将有利于对PD患者进行早期保护治疗,改善患者生活质量。
帕金森病( PD)是一種慢性中樞神經繫統退行性疾病,隨著病情髮展癥狀逐漸加重,可緻殘,嚴重影響患者生活質量。常用的治療手段隻能改善癥狀,很少能阻止病情的髮展,更無法治愈。儘早診斷併採取神經保護性治療可延緩疾病的髮展,控製患者的癥狀。專科醫師通過對PD患者非運動癥狀( NMS)的掌握以及各種新的診斷技術的運用,在早期診斷方麵有瞭一定進展,但是因專科醫師數量有限及新型診斷技術成本較高,難以大範圍做到PD患者的早期診斷。社區醫師以其龐大的隊伍和獨特的工作性質在PD早期診斷中可髮揮重要作用,如果能加彊社區醫師對PD早期診斷的意識,充分調動起廣大社區醫師的積極性,髮揮其優勢,主動參與PD的早期篩查診斷工作,將有利于對PD患者進行早期保護治療,改善患者生活質量。
파금삼병( PD)시일충만성중추신경계통퇴행성질병,수착병정발전증상축점가중,가치잔,엄중영향환자생활질량。상용적치료수단지능개선증상,흔소능조지병정적발전,경무법치유。진조진단병채취신경보호성치료가연완질병적발전,공제환자적증상。전과의사통과대PD환자비운동증상( NMS)적장악이급각충신적진단기술적운용,재조기진단방면유료일정진전,단시인전과의사수량유한급신형진단기술성본교고,난이대범위주도PD환자적조기진단。사구의사이기방대적대오화독특적공작성질재PD조기진단중가발휘중요작용,여과능가강사구의사대PD조기진단적의식,충분조동기엄대사구의사적적겁성,발휘기우세,주동삼여PD적조기사사진단공작,장유리우대PD환자진행조기보호치료,개선환자생활질량。
Parkinson'sdisease(PD),achronicdegenerativediseaseofthecentralnervoussystemandaggravating gradually with the progression of disease,may cause disability and affect patients' quality of life( QOL)seriously. The common treatments can only improve symptoms but can rarely stop the disease progresses,let alone cure. Early diagnosis and nerve neu-roprotective treatment can delay disease progression and control patients' symptoms. Some progress in early diagnosis has been a-chieved through the master of non-motor symptom( NMS)and various new diagnostic technology,but it is difficult to do early diagnoses in a wide range due to lack of specialists and high costs of new diagnostic technology. Community doctors can play an important role in PD early diagnosis due to their enormous quantity and their unique work nature. Strengthening community doc-tors' awareness of PD early diagnosis,fully mobilizing their enthusiasm,exploiting their advantages,participating in PD early screening and diagnosis will be in favor of PD patients' early protective treatment and improve their QOL.