帕金森病衣架样疼痛及治疗策略  

Coat-hanger Ache in Parkinson Disease and Treatment Strategy

作　　者：孙虹[1] 管锦群[1] 王婷[1] 王姗姗[1] 杨扬[1] 王振福[1] 

机构地区：[1]解放军总医院南楼神经内科,北京100853

出　　处：《现代生物医学进展》2014年第36期7064-7066,共3页Progress in Modern Biomedicine

基　　金：解放军总医院科技创新苗圃基金项目(12KMM22)

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。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.

关 键 词：帕金森病 衣架样疼痛 体位性低血压 

分 类 号：R742.5[医药卫生—神经病学与精神病学]