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【科普】骑自行车可简单诊断帕金森氏症类型
荷兰奈梅亨大学的研究人员在新一期英国医学杂志《柳叶刀》（The Lancet）上报告说，他们请100多名帕金森氏症患者尝试骑自行车，然后与其实际医学诊断结果对照。结果发现，普通帕金森氏症患者中只有约4%的人不能骑自行车，而非典型帕金森氏症患者中有超过50%的人丧失了骑自行车的能力。
与普通帕金森氏症患者相比，非典型帕金森氏症患者往往在认知、记忆、动作协调能力等方面有更多问题，需要采取不同的治疗手段。研究人员说，骑自行车需要良好的平衡性和动作协调能力，因此非典型帕金森氏症患者往往会丧失这一能力。
据介绍，常规的帕金森氏症医学诊断，需要先给患者服用一系列针对普通帕金森氏症的药物，观察其反应。如这些药未显示出效果，再服用一系列针对非典型帕金森氏症的药物，再观察患者的生理反应，最终才能诊断出是那种类型。这一过程繁琐费事，有时还会耽误治疗时间，而通过骑自行车区别这个方法虽然并非100%准确，但简单易行，因此研究人员认为可将“骑车”诊断法与常规医学诊断配合使用。
帕金森氏症是一种常见于中老年人的神经系统疾病，主要症状是震颤、动作迟缓、肌肉僵硬等。
Doctors have written to The Lancet medical journal saying that asking a Parkinson's patient if they are still able to ride a bike is more valuable than many diagnostic tests.
The team from the Netherlands said those with standard Parkinson's were more likely to still be able to ride a bike, where as those with atypical Parkinson's were not.
Only four per cent of those with standard Parkinson's were unable to ride a bike compare with more than half of those with the atypical form of the condition.
Atypical Parkinson's is more likely to involve cognitive and memory problems as well as the tremor associated with the standard form of the disease, and may require a different treatment.
The letter signed by Drs Marjolein Aerts, Wilson Abdo, and Prof Bastiaan Bloem, of the Department of Neurology, in Parkinson Centre Nijmegen, Netherlands, said: “We suggest that the answer to one simple question—‘Can you still ride a bicycle?’—offers good diagnostic value for separating Parkinson’s disease from atypical parkinsonism.”
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作者:admin@医学,生命科学 2011-01-09 23:22
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