中国帕金森病步态障碍管理专家共识  

Consensus on the management of gait disorders in Parkinson′s disease in China

作　　者：中华医学会神经病学分会帕金森病及运动障碍学组 中国医师协会神经内科医师分会帕金森病及运动障碍学组 陈生弟[2] 张克忠[3] 陈海波[4] 王丽娟[5] 高超 黄沛[6] 司倩倩 Chinese Society of Parkinson′s Disease and Movement Disorders;Parkinson′s Disease and Movement Disorder Section of Neurologist Branch of Chinese Medical Doctor Association;Zhang Kezhong;Chen Haibo;Wang Lijuan(不详;Department of Neurology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Neurology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Neurology,Guangdong Provincial People's Hospital,Guangzhou 510080,China)

机构地区：[1]不详 [2]上海交通大学医学院附属瑞金医院神经内科,上海200025 [3]南京医科大学第一附属医院神经内科,南京210029 [4]北京医院(国家老年医学中心中国医学科学院老年医学研究院)神经内科,北京100730 [5]广东省人民医院神经内科,广州510080 [6]上海交通大学医学院附属瑞金医院 [7]南京医科大学第一附属医院

出　　处：《中华神经科杂志》2025年第3期228-243,共16页Chinese Journal of Neurology

摘　　要：步态障碍是帕金森病常见的运动症状,尤其当疾病进展至中晚期,出现慌张步态、冻结步态以及姿势平衡障碍时,已成为导致帕金森病患者跌倒以及致残的重要原因,给患者的生活带来严重影响。近年来,帕金森病步态障碍的发病机制、临床评估和治疗方法均取得新进展,特别是非药物治疗手段在帕金森病步态障碍的应用日益受到人们的重视。为更好地指导我国神经科医师的临床实践,中华医学会神经病学分会帕金森病及运动障碍学组和中国医师协会神经内科医师分会帕金森病及运动障碍学组的专家通过系统评价近年来国内外发表的帕金森病步态障碍领域相关循证医学证据,特制订《中国帕金森病步态障碍管理专家共识》,进一步规范我国帕金森病步态障碍的诊断与治疗。Gait disorders are common motor symptoms of Parkinson′s disease(PD).Especially as the disease progresses to the advanced stage,patients may develop festination,freezing of gait,and postural and balance impairments,which are major causes of falls and disability in PD,severely impacting their lives.In recent years,there have been new advancements in pathogenesis,clinical assessments,and therapies of gait disorders in PD.Of note,non-pharmacological therapies for gait disorders in PD have gained increasing attention.To better guide and standardize the clinical practice in the diagnosis and treatment of gait disorders in PD,the experts from the Chinese Society of Parkinson′s Disease and Movement Disorders,Parkinson′s Disease and Movement Disorder Section of Neurologist Branch of Chinese Medical Doctor Association formulate the"Consensus on the management of gait disorders in Parkinson′s disease in China"based on recent evidence-based studies on gait disorders in PD published both nationally and internationally.

关 键 词：帕金森病 步态障碍 冻结步态 平衡受损 

分 类 号：R742.5[医药卫生—神经病学与精神病学]