发病的侧面是否会影响帕金森病的症状严重程度? 一个系统的审查和元分析
Nancy Marano1, Annukka K Lindell1
1Department of Psychology, Counselling and Therapy, La Trobe University, Melbourne, Victoria, Australia.
Applied neuropsychology. Adult
|April 19, 2024
概括
这次元分析没有发现帕金森病患者的症状严重程度有差异,这取决于症状是从左侧开始还是右侧开始. 副作用的发作并不能预测PD的进展或预后.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 运动障碍 运动障碍
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,运动症状通常单方面开始.
- 以前的研究已经产生了相互矛盾的结果,关于PD发作的侧面是否会影响症状的严重程度.
研究的目的:
- 为了协调有关PD症状严重程度和发病侧面的相互矛盾的文献.
- 为了确定运动症状表现的初始侧面是否会影响帕金森病的进展.
主要方法:
- 按照PRISMA指南进行的系统文献搜索发现了1013项研究.
- 对34项符合条件的研究 (n=2210) 进行了随机效应元分析,以比较左侧和右侧发病的PD患者之间的症状严重程度.
主要成果:
- 分析显示,左侧发病 (n=1104) 和右侧发病 (n=1106) 的患者之间症状严重程度没有统计学上显著的差异.
- 这一发现在包括的研究中是一致的.
结论:
- 帕金森病的发病侧面似乎不是症状严重程度或疾病轨迹的可靠预测指标.
- 临床医生不应该使用症状表现的最初方面来制定PD患者的预后.
- 未来的研究应该调查其他因素,如多巴胺基神经元损失不对称性,这可能会影响PD进展.
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