帕金森病需要与下列疾病进行鉴别:
继发性帕金森综合征:某些药物中毒、感染、脑血管病、代谢性疾病、脑外伤等可引起继发性帕金森综合征,临床表现与帕金森病相似,通过药物治疗、脑部CT、核磁共振成像等检查可进行鉴别。
血管性帕金森综合征:多见于中老年人,有脑血管病的危险因素,如高血压、高血脂、糖尿病等,临床表现与帕金森病相似,通过脑血管病相关的检查可进行鉴别。
治疗
帕金森病的治疗原则是以药物治疗为主,手术治疗为辅,药物治疗方面,左旋多巴制剂仍然是最有效的药物,如症状加重,可在医师指导下调整药物;手术治疗方面,脑深部电刺激术可明显改善患者的症状,提高生活质量。
该疾病的中医治疗暂无循证医学证据支持,但一些中医治疗方法或药物可缓解症状,建议到正规医疗机构,在医师指导下治疗。
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