渐进的超核性麻和多重系统缩的患病率:一个截面研究
A Schrag1, Y Ben-Shlomo, N P Quinn
1Department of Clinical Neurology, Institute of Neurology, London, UK.
Lancet (London, England)
|November 30, 1999
概括
渐进性超核性 (PSP) 和多重系统缩 (MSA) 的流行率比以前认为的要高. 许多患有这些帕金森症的个体在社区中仍然未被诊断或被误诊.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 渐进性超核性 (PSP) 和多重系统缩 (MSA) 的人口患病率在很大程度上是未知的.
- 研究表明,这些帕金森症疾病在一般人群中可能被低诊断.
研究的目的:
- 调查人口中PSP和MSA的流行率.
- 为了确定这些疾病是否被诊断不足.
主要方法:
- 从伦敦15家全科医院对帕金森症相关诊断和抗帕金森症药物使用的计算机记录进行了选.
- 通过记录审查,采访,体检和视频分析来评估符合条件的患者,以确认诊断.
- 应用已公布的帕金森症疾病的诊断标准,对非典型病例进行1年的随访.
主要成果:
- 对PSP的年龄调整后患病率为每10万人中6.4例,对MSA的患病率为每10万人中4.4例.
- 总共确定了PSP和MSA组合的11个可能或可能的病例.
- 另外发现了四个非典型病例,但在随访时不符合PSP或MSA标准.
结论:
- 在一般人群中,PSP和MSA的真正患病率可能被低估了.
- 在社区中,大量患有这些神经系统疾病的患者仍然未被诊断或被误诊.
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