帕金森病患者冲动控制障碍及情绪障碍与多巴胺的关系

被引:5
作者
王雪萍
谭玉燕
魏明
肖勤
机构
[1] 上海交通大学医学院附属瑞金医院神经科
关键词
帕金森病; 多巴胺; 冲动控制障碍; 情绪障碍;
D O I
暂无
中图分类号
R742.5 [震颤麻痹综合征];
学科分类号
1002 ;
摘要
目的探讨帕金森病(PD)患者冲动控制障碍及情绪障碍与多巴胺的关系。方法收集216例PD患者的临床资料,并采用多巴胺失调综合征量表进行评价。计算左旋多巴剂量、左旋多巴等效剂量和总的左旋多巴等效剂量,计数使用多巴胺受体激动剂的例数。分析冲动控制障碍及情绪障碍与多巴胺的关系。结果根据多巴胺失调综合征量表,8例(3.7%)PD患者具有冲动控制障碍,53例(24.5%)PD患者具有情绪障碍。冲动控制障碍组与非冲动控制障碍组年龄、性别、病程、左旋多巴剂量、左旋多巴等效剂量、总的左旋多巴等效剂量、H-Y分期及使用多巴胺受体激动剂的比例、震颤起病的比例差异均无统计学意义。情绪障碍组与非情绪障碍组间这些指标的差异亦无统计学意义。结论 PD患者冲动控制障碍及情绪障碍与左旋多巴剂量、左旋多巴等效剂量、总的左旋多巴等效剂量及使用多巴胺受体激动剂的比例无关。
引用
收藏
页码:321 / 323
页数:3
相关论文
共 13 条
[1]  
Medication-related impulse control and repetitive behaviors in Parkinson disease. Voon Valerie,Fox Susan H. Archives of Neurology . 2007
[2]  
Impulse control disorders in Parkinson disease: A cross-sectional study of 3090 patients. Weintraub D.,Siderowf A.D.,Koester J.,Potenza M.N.,Stacy M.,Voon V.,Lang A.E.,Whetteckey J.,Wunderlich G.R. Archives of Neurology . 2010
[3]   Pathological hypersexuality predominantly linked to adjuvant dopamine agonist therapy in Parkinson's disease and multiple system atrophy [J].
Klos, KJ ;
Bower, JH ;
Josephs, KA ;
Matsumoto, JY ;
Ahskog, JE .
PARKINSONISM & RELATED DISORDERS, 2005, 11 (06) :381-386
[4]   Factors influencing susceptibility to compulsive dopaminergic drug use in Parkinson disease [J].
Evans, AH ;
Lawrence, AD ;
Potts, J ;
Appel, S ;
Lees, AJ .
NEUROLOGY, 2005, 65 (10) :1570-1574
[5]   Impulse control disorders in Parkinson's disease in a Chinese population [J].
Fan, WenHui ;
Ding, Hui ;
Ma, JingHong ;
Chan, Piu .
NEUROSCIENCE LETTERS, 2009, 465 (01) :6-9
[6]  
Increased striatal dopamine release in Parkinsonian patients with pathological gambling: a[11C] raclopride PET study. Steeves T D L,Miyasaki J,Zurowski M,Lang A E,Pellecchia G,Van Eimeren T,Rusjan P,Houle S,Strafella A P. Brain : a journal of neurology . 2009
[7]  
Chronic dopaminergic stimulation in Parkinson’s disease: from dyskinesias to impulse control disorders[J] . Valerie Voon,Pierre-Olivier Fernagut,Jeff Wickens,Christelle Baunez,Manuel Rodriguez,Nancy Pavon,Jorge L Juncos,José A Obeso,Erwan Bezard. &nbspLancet Neurology . 2009 (12)
[8]   Drug-induced deactivation of inhibitory networks predicts pathological gambling in PD [J].
van Eimeren, T. ;
Pellecchia, G. ;
Cilia, R. ;
Ballanger, B. ;
Steeves, T. D. L. ;
Houle, S. ;
Miyasaki, J. M. ;
Zurowski, M. ;
Lang, A. E. ;
Strafella, A. P. .
NEUROLOGY, 2010, 75 (19) :1711-1716
[9]  
Spectrum of addictions in Parkinson’s disease: from dopamine dysregulation syndrome to impulse control disorders[J] . Roberto Ceravolo,Daniela Frosini,Carlo Rossi,Ubaldo Bonuccelli. &nbspJournal of Neurology . 2010 (2)
[10]   Anxiety and self-perceived health status in Parkinson's disease [J].
Pontone, Gregory M. ;
Williams, James R. ;
Anderson, Karen E. ;
Chase, Gary ;
Goldstein, Susanne R. ;
Grill, Stephen ;
Hirsch, Elaina S. ;
Lehmann, Susan ;
Little, John T. ;
Margolis, Russell L. ;
Rabins, Peter V. ;
Weiss, Howard D. ;
Marsh, Laura .
PARKINSONISM & RELATED DISORDERS, 2011, 17 (04) :249-254