在帕金森氏症疾病中管理下泌尿道症状
1Service d'urologie, Hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
Revue neurologique
|December 13, 2023
概括
在帕金森氏症 (PD) 中管理下泌尿道症状 (LUTS) 需要区分膀过活和低活. 泌尿动力学评估是诊断的关键,症状治疗和多学科护理对于有效管理至关重要.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 帕金森症 (PD) 经常伴有下泌尿道症状 (LUTS).
- 在PD中有效管理LUTS需要准确的诊断和量身定制的治疗策略.
- 关于PD中LUTS管理的文献多样化,需要进行专注的审查.
研究的目的:
- 进行关于帕金森症患者LUTS管理的叙事文献综述.
- 综合目前在PD的背景下对LUTS的诊断和治疗方法.
主要方法:
- 在没有时间限制的情况下,对PubMed和Embase数据库进行全面的文献搜索.
- 关键词包括"帕金森症"和"下泌尿道症状".
- 专注于过去10年内发表的研究,包括所有评估PD患者LUTS的研究.
主要成果:
- 诊断管理强调区分帕金森病 (膀过活) 和多系统缩 (膀低活).
- 泌尿动力学评估对于准确诊断至关重要.
- 治疗管理主要是症状性,利用功能性泌尿技术,药物 (例如抗胆固醇药物) 和手术干预 (例如肉毒素,神经调节).
- 必须考虑与之相关的尿路病变,如前列腺腺瘤或骨盆缩.
结论:
- 尿动力学评估是诊断PD患者LUTS的基石.
- 症状治疗管理是最重要的.
- 涉及泌尿科医生,神经科医生,妇科医生以及物理医学和康复医生的协同方法对于最佳的患者护理至关重要.
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