在帕金森病中的便秘
1Division of Gastroenterology and Hepatology, Lynda K and David M Underwood Center for Digestive Disorders, Houston Methodist Hospital, Houston, Texas.
Seminars in neurology
|August 14, 2023
概括
便秘是帕金森病 (PD) 中常见的胃肠道问题,通常在运动症状出现几十年之前出现. 由于PD相关的患者因素,管理是复杂的,目前治疗方法的证据有限.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 运动障碍 运动障碍
背景情况:
- 便秘影响超过50%的帕金森病 (PD) 患者.
- 这是一个显著的前兆症状,可能在运动缺陷之前几十年.
- 便秘的严重程度与运动性和非运动性PD进展相匹配,包括认知衰退和抑郁症.
研究的目的:
- 审查帕金森病中便秘的病理生理学和管理挑战.
- 为了突出治疗PD患者便秘的复杂性.
主要方法:
- 关于帕金森病中便秘的文献综述.
- 对PD中受阻排便的病理生理学的分析.
- 讨论患者复杂化因素和治疗限制.
主要成果:
- 由于骨肌肉功能障碍导致的受阻排便是主要原因.
- 患者的因素,如食障碍,认知障碍和抑郁症使管理复杂化.
- 支持目前在PD中治疗便秘的证据仍然有限.
结论:
- 便秘是帕金森病的一个普遍而复杂的症状.
- 需要有效的管理策略,在PD中治疗便秘.
- 需要进行进一步的研究,以建立基于证据的PD相关便秘治疗方法.
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