パーキンソン病 の 疲労 の 治療
Roy G Elbers1, Henk W Berendse2, Gert Kwakkel3
1Department of Physiotherapy, University of Applied Sciences, Leiden, the Netherlands2Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, the Netherlands.
JAMA
|June 9, 2016
まとめ
ラサギリン,モダフィニル,ドクセピンは,重要な副作用なしにパーキンソン病 (PD) の疲労を軽減する可能性があります. しかし,限られた証拠は,これらの発見がまだ明確な治療指針を提供していないことを意味します.
科学分野:
- 神経学
- 薬理学について
- 臨床医学
背景:
- 疲労はパーキンソン病 (PD) の一般的な衰弱症状です.
- PDに関連した疲労に対する効果的な治療法は限られており,患者の生活の質に影響します.
研究 の 目的:
- パーキンソン病の疲労に対する薬理学的および非薬理学的介入を特定する.
- 一般的な身体的,精神的な疲労の改善のための介入を評価する.
- PD患者での副作用を最小限にするための介入を評価する.
主な方法:
- 薬理学的および非薬理学的介入の体系的レビュー
- パーキンソン病患者の疲労改善と有害事象を報告した研究の分析
主要な成果:
- ラサギリン,モダフィニル,ドクセピンは,パーキンソン病における疲労改善と関連を示した.
- これらの薬剤はPD患者集団における有害事象のリスク増加と関連していません.
結論:
- ラサギリン,モダフィニル,ドクセピンは,パーキンソン病の疲労の管理に潜在性を示しています.
- 現在の証拠の質は限られており,最終的な治療勧告は不可能です.
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