帕金森病治疗的新理念——连续多巴胺能刺激

被引:8
作者
孙圣刚
吴艳
机构
[1] 华中科技大学同济医学院附属协和医院神经内科
关键词
帕金森病; 连续多巴胺能刺激; 治疗;
D O I
暂无
中图分类号
R742.5 [震颤麻痹综合征];
学科分类号
摘要
左旋多巴是治疗帕金森病的金标准,但是长期应用后导致运动并发症。近年来研究表明,运动并发症的产生可能与纹状体多巴胺受体长期受到非生理性脉冲样刺激有关,从而提出帕金森病治疗的新理念——连续多巴胺能刺激。改变L-dopa药代动力学特征和给予多巴胺受体激动剂是进行连续多巴胺能刺激的主要手段。连续多巴胺能刺激策略的初步应用显示了良好的临床疗效,但是长期临床疗效仍需要进一步确认。
引用
收藏
页码:317 / 320
页数:4
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  • [1] Advanced Parkinson disease treated with rotigotine transdermal system: PREFER Study[J] . Peter A. LeWitt,Kelly E. Lyons,Rajesh Pahwa.Neurology . 2007 (16)
  • [2] Continuous dopamine-receptor treatment of Parkinson's disease: scientific rationale and clinical implications[J] . C Warren Olanow,Jose A Obeso,Fabrizio Stocchi.Lancet Neurology . 2006 (8)
  • [3] Continuous subcutaneous apomorphine therapy improves dyskinesias in Parkinson's disease: A prospective study using single‐dose challenges[J] . ReginaKatzenschlager,AndrewHughes,AndrewEvans,Alice J.Manson,MarionHoffman,LesleySwinn,HilaryWatt,KailashBhatia,NiallQuinn,Andrew J.Lees.Mov. Disord. . 2005 (2)
  • [4] Fluctuating parkinsonism: a pilot study of single afternoon dose of levodopa methyl ester[J] . Fabrizio Stocchi,Luca Barbato,Lucia Bramante,Giampietro Nordera,Laura Vacca,Stefano Ruggieri.Journal of Neurology . 1996 (5)
  • [5] Double-blind, placebo-controlled study of entacapone in levodopa-treated patients with stable Parkinson disease .2 Olanow,CW,Kieburtz,K,Stern,M,Watts,R,Langston,JW,Guarnieri,M,Hubble,J. Arch Neurol . 2004