& shy; Eight years ago, Mr. Lin (alias), who was in his 50 s, had symptoms such as limb tremors, muscular rigidity, and slow movement. It would take a while to turn around and get something, it’s like playing back slow motion, like the sloth called “Lightning” in the recently hit movie Zootopia. After going to the hospital for examination, Mr. Lin was diagnosed with Parkinson’s disease.
& shy; Yesterday was the 20th “World Parkinson’s Disease Day”, and many hospitals in Fuzhou held free clinics. Many experts in Neurology and Neurosurgery in our province pointed out that the symptoms of Parkinson’s disease are complex, and correct diagnosis and accurate treatment are crucial. Therefore, it is not a single drug or operation that can be solved. It needs a scientific evaluation, as well as comprehensive treatment of neurology, surgery, rehabilitation, psychology and other disciplines.
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& shy; Ten years ago, 66-year-old Chen Lao Bo was diagnosed with Parkinson’s disease. Over the years, his illness has worsened progressively. At first, he felt that his left limb was stiff, his left hand was inflexible, and his left foot was difficult to move. He went to the hospital for treatment.
& shy; After taking the medicine, his left limb began to be flexible. Due to the good early clinical effects, Chen laobo did not continue to come to the hospital for diagnosis and treatment. He took the pharmacy to buy the medicine by himself. Recently, his right limb also began to be stiff. At present, he has taken 1-2 tablets of dobutamine each time. After taking the medicine, he can barely move for one hour. After maintaining for 3 hours, his limbs become stiff again, it’s like being poked by someone. In severe cases, you can only use wheelchair to move.
& shy; Later, Chen laobo came to the First Affiliated Hospital of Fujian Medical University for medical treatment. The assessment found that Chen laobo did suffer from Parkinson’s disease, but there had been motor complications with fluctuating symptoms-“end-of-dose phenomenon”, this means that he is in the late stage of the disease.
& shy; Treatment drug treatment is not ideal deep brain stimulation surgery to help
& shy; The Department of Neurology of the First Affiliated Hospital instructed Chen laobo to make further drug adjustment, but the improvement of symptoms was not ideal. Subsequently, the Department of Neurology also combined with Professor Kant’s team of neurosurgery to conduct a comprehensive preoperative evaluation of Chen laobo, formulate a precise operation plan for patients, and confirm the operation target, three-dimensional deep brain stimulation (DBS) was performed.
& shy; At present, Lao Bo Chen’s postoperative symptoms are improved. Taking only half a tablet of DOPA hydrazine three times a day can maintain a normal life for one day.
& shy; Professor Kant said: “In the treatment of Parkinson’s disease, surgical installation of brain pacemaker therapy and drug therapy complement each other. Early diagnosis, early guidance, standardized treatment and whole-course management of Parkinson’s disease are helpful for Parkinson’s patients to improve their quality of life and return to society.”
& shy; Professor Wang Ning further pointed out that at present, the treatment of Parkinson’s disease emphasizes more precision, no matter for patients with early to middle and late stages of Parkinson’s disease, the whole scientific management is emphasized. In fact, through correct diagnosis, long-term follow-up, appropriate drug adjustment, surgery, rehabilitation exercise, psychological counseling and other comprehensive treatment, the quality of life of patients can be effectively improved.
& shy; Data will get this disease at the age of 60? No! There is a tendency to be younger
& shy; According to the chief physician of Colin Xikang in Neurology of Fujian provincial government hospital, more than 1% of the elderly over 60 years old in China suffer from Parkinson’s disease, about 1.7 percent of the elderly population over 65 years old suffer from Parkinson’s disease, and the prevalence rate over 70 years old reaches 3%-5%, which is the second tumor, the “third killer” of middle-aged and elderly people after cardiovascular and cerebrovascular diseases, and there are nearly 100,000 new cases every year.
& shy; Although the high incidence of Parkinson’s disease is over 60 years old, in recent years, patients with Parkinson’s disease are becoming younger. World Health Organization experts predict that the number of patients with Parkinson’s disease in China will reach 5 million in 2030, patients with adolescent-use Parkinson’s disease account for 10% of the total number.
& shy; The reporter learned from the neurology clinics of many hospitals that it is not uncommon for patients who are four or five years old in the hospital at present, and even patients around 30 years old occasionally receive medical treatment.
& shy; Lin Xikang reminded that apart from tremors, the fragrance and odor can’t be distinguished, the movements are slow, the smaller the words are written, the more rigid the expression is like a mask face, panic gait (walking with feet dragging) and so on are all warnings of Parkinson’s disease.
& shy; At present, the medical profession has no exact answer to the etiology, pathogenesis and prevention of this disease. Although this disease is not fatal, it will accompany for life, seriously affecting the patients’ working ability and quality of life. Therefore, correct diagnosis, accurate treatment and rehabilitation of Parkinson’s disease are crucial.