社区医师在帕金森病早期诊断中的作用

Role of Community Physicians in Early Diagnosis of Parkinson's Disease

帕金森病(PD)是一种慢性中枢神经系统退行性疾病,随着病情发展症状逐渐加重,可致残,严重影响患者生活质量。常用的治疗手段只能改善症状,很少能阻止病情的发展,更无法治愈。尽早诊断并采取神经保护性治疗可延缓疾病的发展,控制患者的症状。专科医师通过对PD患者非运动症状(NMS)的掌握以及各种新的诊断技术的运用,在早期诊断方面有了一定进展,但是因专科医师数量有限及新型诊断技术成本较高,难以大范围做到PD患者的早期诊断。社区医师以其庞大的队伍和独特的工作性质在PD早期诊断中可发挥重要作用,如果能加强社区医师对PD早期诊断的意识,充分调动起广大社区医师的积极性,发挥其优势,主动参与PD的早期筛查诊断工作,将有利于对PD患者进行早期保护治疗,改善患者生活质量。

Parkinson＇s disease（ PD）,a chronic degenerative disease of the central nervous system and aggravating gradually with the progression of disease,may cause disability and affect patients＇ quality of life（ QOL） seriously.The common treatments can only improve symptoms but can rarely stop the disease progresses,let alone cure.Early diagnosis and nerve neuroprotective treatment can delay disease progression and control patients＇ symptoms.Some progress in early diagnosis has been achieved through the master of non- motor symptom（ NMS） and various new diagnostic technology,but it is difficult to do early diagnoses in a wide range due to lack of specialists and high costs of new diagnostic technology.Community doctors can play an important role in PD early diagnosis due to their enormous quantity and their unique work nature.Strengthening community doctors＇ awareness of PD early diagnosis,fully mobilizing their enthusiasm,exploiting their advantages,participating in PD early screening and diagnosis will be in favor of PD patients＇ early protective treatment and improve their QOL.