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    Home > Active Ingredient News > Study of Nervous System > Investigation | Resting tremor, slow motion!

    Investigation | Resting tremor, slow motion!

    • Last Update: 2021-04-18
    • Source: Internet
    • Author: User
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    Parkinson’s disease, also known as tremor paralysis, is a common degenerative disease of the nervous system in the elderly.
    It has characteristic motor symptoms, including resting tremor, bradykinesia, muscle rigidity and postural balance disorders, as well as non-motor symptoms including Constipation, olfactory disorders, sleep disorders, autonomic dysfunction, and mental and cognitive disorders.

    According to the global statistical conclusions about the incidence of Parkinson's disease, its incidence in the entire population is about 1%, which means that there will be 1 patient with Parkinson's disease in 100 people.

    Of course, the incidence of Parkinson's disease increases with age.
    Due to the continuous increase of the elderly population in our country in recent years, it is also a gradually increasing group for Parkinson's patients.

    The incidence of Parkinson's disease among people over 6 years old in my country is about 1.
    7%.

    With the continuous increase of the elderly population and the continuous improvement of everyone's understanding of Parkinson's disease, more and more people have been diagnosed with Parkinson's disease in recent years.

    According to estimates, so far, the number of people suffering from Parkinson's disease is about 3 million, and the number of new cases each year is more than 100,000, and there is a trend of younger generation.

    ‍The multidisciplinary diagnosis and treatment model of care + treatment + management benefits Parkinson's disease patients the most.
    Since Parkinson's disease progresses with the course of the disease, it seriously affects the patient's living ability and quality of life.
    There is currently no reliable method to cure or reverse the disease.
    progress.

    Early-stage Parkinson's disease patients can improve their symptoms through drug treatment.
    When the disease progresses to the middle and late stages, the effect of the drug gradually weakens and the side effects gradually appear.
    Seeing the patients suffering from the disease in the later stage, the medical treatment is not enough.

    In order to understand the problems that patients with Parkinson's disease may encounter in diagnosis and treatment, and solve the problems in their treatment.

    From April 2010 to May 2012, the functional neurosurgery research group of Parkinson’s disease in the First Affiliated Hospital of Xi’an Jiaotong University conducted investigations on more than 1,100 Parkinson’s disease patients in Shaanxi Province and more than 20 counties and cities in the surrounding area for 2 years.
    Patients used outpatient medical records, follow-up visits, and household surveys to conduct standardized treatment and quality of life surveys.
    It was found that about 30% of patients had misdiagnosis or undiagnosed, 72.
    1% of patients had irregular medications, and 60% of patients did not.
    Understand surgical treatment.
    Nearly half of the patients who are suitable for surgical treatment have lost the opportunity for surgical treatment.
    More than 90% of Parkinson's disease patients have a serious impact on their quality of life.
    This is a result that makes us feel heavy and distressed.

    After a more thorough investigation and visit, in 2011, Professor Wang Maode led the neurosurgery function group of the First Affiliated Hospital of Xi’an Jiaotong University to establish the Northwest Parkinson’s Disease Care Center to provide patients with a series of diagnosis, treatment, rehabilitation, and nursing.
    Service.

    On the one hand, in order to reduce the difficulty of seeing a doctor, patients no longer need to run around; on the other hand, it has strengthened our treatment and management of Parkinson's patients.

    In order to solve the limitations of advanced drug therapy for patients with Parkinson's disease, a new (care + treatment + management) treatment model for Parkinson's disease is proposed by combining neurosurgery, psychiatry, rehabilitation, imaging, orthopedics and postoperative program control.
    , To bring together multiple departments for multidisciplinary academic integration, aiming to work with patients and their families to provide convenience for patients' medical treatment, rehabilitation and nursing care, and to escort patients with Parkinson's disease with professional medical skills and sincere love.

    ‍Green medical treatment channel: Internet + offline rapid medical treatment‍ In the past special 2020, while "anti-epidemic and anti-pascal", the Northwest Parkinson's Disease Care Center opened a green medical treatment channel (Internet + offline simultaneous, multi-disciplinary linkage ), day-like surgery and the concept of accelerated recovery; pre-diagnosis inspections, pre-operative evaluations, imaging examinations, hospital admissions and surgical arrangements, medical staff in all departments seamlessly escort Parkinson's disease patients! Realize fast admission, fast operation, fast start-up, fast recovery, and reduce the pain of patients to the greatest extent.

    At the same time, regular online free clinics are held every month.
    Through online Parkinson’s disease patients, it is possible to realize the modes of medication, rehabilitation exercise clocking, diet guidance, optimized treatment plan, remote program control, etc.
    , which solves the problem of stagnant exercise at home during the anti-epidemic period at home.
    Motor function is further degraded, and the disease is easily aggravated; to prevent Parkinson's disease commonly used drugs "emergency", drug connection is not good and other phenomena.

    ‍Always take the patient as the center and constantly optimize the diagnosis and treatment methods, and "escort" Parkinson's disease patients in different periods of treatment.
    Since Parkinson's is a chronic disease of the nervous system, patients need to deal with hospitals and doctors for a long time.

    As the course of the disease progresses, the treatment plan for patients with Parkinson's disease needs to be continuously optimized.

    In the early stage of Parkinson's disease, when sports complications have not yet appeared, the goal of drug therapy should be to improve sports symptoms and prevent sports complications.
    It is recommended to use dopamine receptor agonists and monoamine oxidase inhibitors alone, for those with poor symptom improvement or social work Those with higher requirements can be combined with low-dose levodopa.

    Deliberately delaying the use of levodopa has no significant significance in preventing the occurrence of sports complications.

    In this period, how to use the medicine cleverly and appropriately is the key.

    It is necessary for Parkinson's disease specialists to establish a standardized clinical pathway and quickly optimize the drug treatment plan for Parkinson's disease according to the characteristics of each patient.

    In the advanced stage of the disease, the patient’s activities of daily living and quality of life are severely impaired due to sports complications.
    The treatment goals should be combined with drugs and timely intervention in deep brain stimulation (brain pacemaker) to treat the symptoms, improve the patient’s quality of life, and reduce Take the dose of medicine to reduce the sickness rate.

    Doctors and patients must abandon Parkinson's disease until the symptoms are severe before starting drug treatment, and only consider surgery (brain pacemaker) treatment until the drug treatment is not effective.
    Early diagnosis and early treatment should be done.

    In the late stage of Parkinson's disease, dyskinesias and dyskinesia (dyskinesia) occur after taking the medicine; you can't move without taking the medicine; taking the medicine again aggravates the movement, forming a vicious circle.

    But "the power is one foot high and the magic is one foot high.
    " At present, worldwide, the most direct and effective way to solve this stage of the problem is still brain pacemaker surgery. At present, more and more patients with Parkinson's disease are undergoing brain pacemaker surgery.
    The Northwest Parkinson's Disease Care Center of the First Affiliated Hospital of Xi'an Jiaotong University has accumulated more than 1,000 deep brain stimulation (DBS) surgical treatments in the past ten years.
    The number of operations for each patient is about 100 units per year, with an annual increase of 30%.
    In 2018, it was rated as a director unit of the China Neuromodulation Alliance.

    After continuous exploration and development, the Northwest Parkinson Care Center has gradually formed a center with "improving the quality of life of patients", focusing on precise drug adjustments that focus on long-term effects, timely assessment of the condition, and high-precision targeted surgery, professional psychological and sports rehabilitation training.
    Guidance is the basic full-process help model.
    A center is responsible for the comprehensive treatment of various symptoms and symptoms of Parkinson's disease patients, and responsible protection of the various benefits of patients.

    Since the application of this new model, not only has the treatment effect of Parkinson's been improved, but the assessment of the quality of life of patients has also been significantly improved.

    Continuously optimize surgical treatment methods and continuously integrate new technologies, including preoperative diagnosis of patients, preoperative MRI enhanced scans, postoperative CT and MRI fusion, and improved surgical positioning (individualized targets) And so on, continue to improve the surgical procedures, and focus on the patient's experience and prognosis.

    Deputy Dean Wang Maode and Professor Chen Wei Expert Group: For precise intraoperative operations, the electrodes must be accurately implanted into the target points in the deep brain.
    The surgeon needs to simulate positioning based on the characteristics of the image, and then make fine adjustments based on the results of electrophysiological testing.
    In order to ensure that the electrode is implanted in the bull's-eye, the treatment can be achieved.
    They only need a few minutes to complete this "targeting" process, and the entire operation can be completed in 2 hours, which minimizes the risk of the operation.

    With the gradual refinement of the surgical procedures, the Northwest Parkinson's Disease Care Center of the First Affiliated Hospital of Xi'an Jiaotong University can achieve a Parkinson's improvement rate of 99.
    2%.

    ‍2021 Brain Pacemaker Medical Charity Assistance to Solve the Treatment of Parkinson’s Disease On April 11, 2017, the Northwest Parkinson’s Disease Care Center and Shaanxi Charity Association formally established the "Parkinson Charity Medical Assistance Project", which aims to solve the problem of poor families.
    Inability to pay for the consumables of the brain pacemaker and missed the operation, has helped 27 patients and their families benefit from the "Parkinson Charity Medical Assistance Project.
    "
    End Typesetting: Xin Ya Editor: Xin Ya Review: Chen Hui For more information, please click: Hotspots|The doctors of the top three hospitals have disclosed that they have received huge rebates.
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