The Incidence And Treatment Of Parkinson's Disease in Shaanxi, And The Principle And Reliability Of Brain Pacemaker Surgery?

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When it comes to Parkinson's disease, the first thing that comes to mind is that the hands of the elderly are shaking and the body is stiff and unresponsive. And its harm is not only that, it is more that patients suffer from Parkinson's disease for a long time, the fear of losing the original control of life, the disappointment of the ability to act, and the guilt of the family. In fact, not healthy friends can understand. Therefore, this disease and this group really need our attention!

So what is Parkinson's disease? What is the current medical treatment rate?

Parkinson's disease is a common neurological disease that occurs in middle-aged and elderly people. It is mainly characterized by four symptoms: shaking, stiffness, bradykinesia, and abnormal posture. Most patients are also accompanied by a certain degree of anxiety, depression, insomnia, and other non-motor symptoms. It affects the self-care and quality of life of patients and brings a heavy burden to the family and society. The incidence rate among people over 60 years old in my country is more than 1%. With the advent of an aging society, the prevalence of Parkinson's disease is increasing. At present, there are about 4 million patients in the world, and there are about 2 million patients in China. Due to the hidden early symptoms of Parkinson's disease, the lack of basic knowledge of patients, the lack of specialized Parkinson's disease clinics in many medical institutions, and the lack of Parkinson's disease by doctors in other departments The diagnosis and treatment are not well understood. More than 60% of the patients are misdiagnosed and mistreated in the early stage, and there is no standardized treatment. It can be seen that the medical treatment rate and treatment rate of Parkinson's disease patients are still low.

In the late stage of Parkinson's disease, the patient develops dyskinesia complications after taking medicine, and has agitation (dyskinesis); he can't move without taking medicine; after taking medicine, the movement aggravates, forming a vicious circle. At this time, simply relying on medicine has Cornered. However, the treatment of brain pacemakers has interrupted the above vicious circle for Parkinson's disease, especially the treatment of motor complications.

The treatment of Parkinson's disease has more limitations in medicine. For doctors who treat Parkinson's disease, patients need help and comfort all the time. Because Parkinson's torment is not only physical but also mental torment. Quite a few patients will have depression in the later stage and even lead to Parkinson's Alzheimer's.

Who gets Parkinson's disease? What is the incidence and treatment situation in Shaanxi?

With such a high incidence, is there any way to prevent it? Which groups are at high risk? Nowadays, the development of Parkinson's disease is very serious, and it has become the third-largest killer that seriously threatens the physical and mental health of the elderly after "cardio-cerebrovascular disease" and "senile dementia". Generally, there are several high-risk groups of Parkinson's disease. Features:

1. The elderly: The average age is about 60 years old, and the incidence of young patients is also rising;

2. High-pressure work: people with a heavy burden of mental work are more prone to

3. People who frequently use or come into contact with poisons and chemicals;

4. Immediate relatives of patients with Parkinson's disease have an increased risk of 4%-9%.

Professor Chen Wei introduced: In the long-term clinical treatment process, we are also constantly exploring whether there is a better treatment method, a more convenient model for patients to seek medical treatment, and better medical resources to provide such a group of special needs care and help. patient service. With such appeals and thoughts.

Our functional neurosurgery Parkinson's disease research group once conducted standardized treatment and quality of life surveys on more than 1,100 Parkinson's disease patients in Shaanxi Province and more than 20 surrounding counties and cities using outpatient medical records, follow-up, and household surveys. It was found that about 30% of the patients were misdiagnosed or undiagnosed, 72.1% of the patients had irregular medication, and 60% of the patients did not understand the surgical treatment. Nearly half of the patients who were suitable for surgical treatment lost the chance of surgical treatment, and more than 90% of them lost the chance of surgical treatment. The quality of life of patients with Parkinson's disease is severely affected, which is a result that is sad and sad, but it provides a clear direction for our future work.

Our Parkinson's Disease Care Center of the First Affiliated Hospital of Xi'an Jiaotong University can provide patients with a series of one-stop services such as diagnosis, treatment, rehabilitation, and nursing. On the one hand, in order to reduce the difficulty of seeing a doctor, patients no longer need to run around; on the other hand, we have strengthened the treatment and management of Parkinson's patients, carried out academic integration, and brought together multiple departments, which not only saves medical resources but also improves medical care. and service level. The team and volunteers of the center manage, popularize, educate and guide patients and fellow patients, and strengthen the interaction and mutual assistance between patients.

What is the latest method of treatment in the world? How do we treat it? What is the principle and reliability of brain pacemaker surgery?

Regarding the treatment methods of Parkinson's disease, including drug therapy, surgery, exercise therapy, psychological counseling, and nursing care, drug therapy is the first choice, while surgery is an effective supplement to drug therapy. The currently used treatment methods, whether the drug or surgical treatment, can only improve the symptoms of patients, but cannot prevent the development of the disease, let alone cure. Therefore, treatment must not only be based on the present but also require long-term management to achieve long-term benefits. There is no absolute fixed pattern for the treatment of Parkinson's disease, as symptoms may vary from patient to patient, and there may be differences in sensitivity to treatment. Different patients have different needs for treatment, and the same patient has different needs for treatment at different stages of the disease. The treatment of PD advocates full management, early detection, early protection, and individualized treatment to delay disease progression and improve the quality of life of patients.

At present, the only recommended method for surgical treatment is deep brain stimulation surgery, commonly known as brain pacemaker surgery. It implants electrodes in specific areas of the brain to send electrical pulses to stimulate the relevant nerve nuclei in the brain that control movement, inhibiting the Abnormal brain nerve signals in Parkinson's disease symptoms. Thereby improving the symptoms of Parkinson's disease, allowing patients to restore the original activity and self-care ability.

1. Minimally invasive, high safety

DBS surgery does not require craniotomy and only needs to be drilled in the skull to complete, with little damage, quick recovery, and relatively safe.

2. The curative effect is clear

It can significantly improve symptoms such as stiffness, tremor, and bradykinesia in patients with Parkinson's disease; it can reduce the oral dose of levodopa drugs; significantly improve the complications such as dyskinesia and movement fluctuations in patients with Parkinson's disease.

3. Reversible and adjustable

DBS operation does not damage the nerve nucleus, can avoid irreversible serious complications caused by the destruction of the nerve nucleus, and can adjust the voltage, current, frequency, etc. according to the development of the disease after surgery. good symptom control. Because it does not destroy brain tissue, brain pacemaker therapy also preserves the opportunity for patients to receive other new treatments in the future.