| 孙虹 管锦群 王婷 王姗姗 杨扬 王振福.帕金森病衣架样疼痛及治疗策略[J].,2014,14(36):7064-7066 |
| 帕金森病衣架样疼痛及治疗策略 |
| Coat-hanger Ache in Parkinson Disease and Treatment Strategy |
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| DOI： |
| 中文关键词: 帕金森病 衣架样疼痛 体位性低血压 |
| 英文关键词: Parkinson disease Coat-hanger ache Orthostatic hypotension |
| 基金项目:解放军总医院科技创新苗圃基金项目（12KMM22） |
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| 中文摘要: |
| 目的：衣架样疼痛（coat-hanger ache, CHA）是帕金森病（Parkinson disease, PD）疼痛的一个少见类型，本文研究帕金森病合并
衣架样疼痛的血压状况及治疗策略。方法：本文以15 例伴有CHA 的PD 患者为研究对象，以不伴有CHA 年龄、性别大致匹配的
PD病人为对照，观察两组病人卧立位血压的变化及CHA组直立后出现疼痛的时间和评分，找到相应的治疗措施。结果：CHA组
伴有体位性低血压（orthostatic hypotension, OH）的比例为80%，明显高于对照组（33%），站立后出现疼痛的时间为7.2± 1.2，疼痛
评分为3.5± 2.1，给予改善OH的物理及药物治疗，大部分DHA 病人有效。结论：PD 病人伴有CHA 可能与OH 有关，改善血压状
况后部分有效。 |
| 英文摘要: |
| Objective:Coat-hanger ache (CHA) is a rare type of pain in Parkinson disease (PD). The aim is to investigate the
change of blood pressure in PD patients with CHA and the treatment strategy.Methods:15 PD patients with CHA compared with
non-CHA PD group. All patients were given supine-standing blood pressure measure. Time of CHA appearance from standing up was
calculated.Results:80% CHA group patients coupled with OH, obviously higher than non-CHA PD group. The time from standing to
CHA appearance was 7.2± 1.2. Pain score was 3.5± 2.1. Most of CHA patients was relieved after physical and drug therapy of OH.Conclusion:PD patients coupled with CHA is probably related to OH. Improving OH state is effective for PD coupled with CHA. |
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