在帕金森病中持续的皮下输液输送阿波莫尔芬:系统性审查
Prashanth Lingappa Kukkle1,2, Divyani Garg3, Marcello Merello4
1Center for Parkinson's Disease and Movement Disorders Manipal Hospital Bangalore India.
Movement disorders clinical practice
|September 29, 2023
概括
持续的皮下阿波莫芬输液 (CSAI) 对晚期帕金森病 (PD) 患者提供了显著的益处,改善了运动和非运动症状. 尽管常见的副作用,CSAI仍然是管理复杂PD症状的宝贵疗法.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 持续的皮下阿波莫尔芬输液 (CSAI) 是帕金森病 (PD) 的先进治疗方法.
- 它被认为是严重的运动波动不响应口服药物的患者.
- 对于那些由于认知或行为问题而不适合深度大脑刺激 (DBS) 的人来说,CSAI也是一个选择.
研究的目的:
- 系统地审查关于CSAI在帕金森病中的有效性和应用的现有文献.
- 巩固关于CSAI对运动和非运动症状,不良事件和患者结果的影响的发现.
主要方法:
- 在2022年1月30日之前,对CSAI对PD的英语出版物进行了系统审查.
- 分析包括82篇文章,包括观察性研究和有限的随机对照试验 (RCT).
主要成果:
- 在减少"关闭"期间和改善"启动"期间,CSAI在没有麻烦的运动障碍的情况下表现出一致的好处.
- 研究涵盖了各种方面,包括认知,行为,轴性症状,夜间问题以及皮肤病变和镇静等不良事件.
- 停止治疗的常见原因包括管理问题和患者的决定,特别是在治疗的早期.
结论:
- 一致的证据支持CSAI在晚期帕金森病中的益处.
- 尽管缺乏广泛的RCT,但近30年的数据表明CSAI是有益的.
- 常见的不良反应包括皮肤病变,镇静和恶心,问题和患者决定导致停药.
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