在帕金森病中治疗疲劳
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
概括
拉萨吉林,莫达菲尼尔和多克塞平可以改善帕金森病的疲劳,但没有显著的副作用. 然而,有限的证据意味着这些发现尚未提供明确的治疗指导.
科学领域:
- 神经学
- 药理学
- 临床医学
背景情况:
- 疲劳是帕金森病 (PD) 的常见和衰弱的症状.
- 治疗PD相关疲劳的有效方法有限,影响患者的生活质量.
研究的目的:
- 确定帕金森病疲劳的药理和非药理干预措施.
- 评估干预措施对整体,身体或精神疲劳的改善.
- 评估在PD患者中干预措施的最小副作用.
主要方法:
- 对药物和非药物干预措施的系统审查.
- 对帕金森病患者疲劳改善和不良事件报告的研究分析.
主要成果:
- 拉萨吉林,莫达菲尼尔和多克西平与帕金森病的疲劳改善有关.
- 这些药物与PD患者中不良反应的风险增加无关.
结论:
- 拉萨吉林,莫达菲尼尔和多克西平具有治疗帕金森病疲劳的潜力.
- 目前的证据质量有限,因此无法提出最终的治疗建议.
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