深腦刺激術 改善巴金森症Deep brain stimulation for Parkinson's disease to improve

深腦刺激術 改善巴金森症 【范振和】台灣花蓮慈濟醫院神經醫學中心至今已完成100多例深腦部刺激手術，不僅建立完整的術前評估模式，更能透過調整晶片放電位置與藥物治療，有效改善病患情緒，突破性的研究成果。 該院神經醫學中心主任陳新源指出，巴金森症與許多的動作障礙疾病患者一樣，病人的神智清楚，但身體卻像是被禁錮般不聽使喚，行動與日常的生活都需要別人扶助。 巴金森症是僅次於失智症第二個常見的神經退化疾病，臨床表現包括顫抖、僵硬及動作遲緩，1990年起深腦部刺激術的發明逐漸取代了燒灼術，在21世紀成為手術治療的主流。 台灣花蓮慈濟醫院成立全台第一個跨科部的巴金森治療與研究中心，截至目前該醫院也是台灣單一醫學中心巴金森深腦部刺激手術量最多的醫院，均能將晶片精確植入視丘下核，並以全身麻醉取代國外的半身麻醉模式，研究成果獲國際肯定。 3年前，醫師蔡昇宗發現有一病患在完成深腦部刺激術後，雖然動作障礙獲得改善，但追蹤觀察術後病人，出現情緒控制的心理問題，常與家人爭吵。最後，他以術後追蹤一年以上的病人為研究對象，38例中有8人發生情緒管理問題。 於是，巴金森治療與研究中心針對這8人的腦部晶片，調整放電區域與藥物治療，病人情緒問題隨即獲得改善，這項突破性的研究成果，讓深層腦部刺激術更加完美。 2008-09-09 Deep brain stimulation for Parkinson's disease to improve [Taiwan] and Fan Zhenshui Hualien Tzu Chi Hospital Medical Center nerve have been completed more than 100 cases of deep brain stimulation surgery, not only establish a complete preoperative evaluation mode, the chip can discharge through the adjustment of positions and drug treatment, patients improved mood, Breakthrough in the research results. Of the hospital medical director of the Center for Shin-Yuan Chen pointed out that Parkinson's disease and many of the obstacles to movements in patients with the disease, the patient's Shenzhi clear, but the body as it was being detained as Butingshihuan, operations and day-to-day life need to help others. Parkinson disease is second only to dementia second common neurodegenerative diseases, clinical manifestations including trembling, rigid and slow movements, in 1990 from the deep-brain stimulation of the invention gradually replaced the burning of that in the 21st century surgery Treatment of the mainstream. Taiwan's Hualien Tzu Chi Hospital to set up a cross-section of Taiwan Branch of the Parkinson's Treatment and Research Center, as at present the hospital is also a single medical center in Taiwan Parkinson deep brain stimulation surgery in most hospitals, the chip can be implanted precision Under the hypothalamus, and general anesthesia to replace the foreign narcotic bust pattern of international research results affirmed. Three years ago, Dr. Cai or were found in a patient after completion of deep brain stimulation, although the obstacles to improved action, but follow-up observation of patients after, in the psychological problems of emotional control, and often quarrel with their families. Finally, he more than a year to follow up patients for the study, 38 cases, eight people in emotional management. Thus, Parkinson treatment and research center for the eight people the brain chip, adjusted discharge region and drug treatment, the patient immediately to improve their emotional problems, this groundbreaking research, deep brain stimulation of the more perfect. 2008-09-09 For more information, see World Journal News ePaper

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