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路易体痴呆治疗策略——美国路易体痴呆症协会

Treatment | Lewy Body Dementia Association
路易体痴呆治疗策略——美国路易体痴呆症协会
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2019-09-05 09:44
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路易体痴呆治疗策略——美国路易体痴呆症协会

LBD is a multi-system disease and typically requires a comprehensive treatment approach, meaning a team of physicians from different specialties, who collaborate to provide optimum treatment of each symptom without worsening other LBD symptoms.  It is important to remember that some people with LBD are extremely sensitive or may react negatively to certain medications used to treat Alzheimer’s or Parkinson’s in addition to certain over-the-counter medications. 

路易体痴呆症(LBD) 是多系统疾病,通常需要采用综合治疗方法。这就是说,应该由多专业医生组成医疗团队,采取相互协作方法选择最佳治疗方案,改善疾病症状。但要切切记住,有些路易体痴呆症患者对一些治疗阿尔茨海默氏症和帕金森病的药物,除非处方药外,极其敏感,甚至出现不良反应。

Cognitive Symptoms

认知障碍症状

Medications called cholinesterase inhibitors are considered the standard treatment for cognitive symptoms in LBD. These medications were developed to treat Alzheimer’s disease. However, some researchers believe that people with LBD may be even more responsive to these types of medications than those with Alzheimer’s.

治疗路易体痴呆症( LBD)认知障碍,通常采用胆碱酯酶抑制剂。这种药原用于治疗阿尔茨海默症,研究人员发现,路易体痴呆症患者比阿尔茨海默氏症对这些药物应答更好。

Movement Symptoms

运动障碍症状

Movement symptoms may be treated with a Parkinson’s medication called levodopa, but if the symptoms are mild, it may be best to not treat them in order to avoid potential medication side-effects.

运动障碍症状的治疗可采用治疗帕金森药物左旋多巴。如果症状轻微,就不必用药,避免药物潜在副作用。

Visual Hallucinations

视幻觉症状

If hallucinations are disruptive or upsetting, your physician may recommend a cautious trial of a newer antipsychotic medication. (Please see WARNING below.  Of note, the dementia medications called cholinesterase inhibitors have also been shown to be effective in treating hallucinations and other psychiatric symptoms of LBD. For more information on this topic, read LBDA's publication, "Treatment of Behavioral Symptoms: When to Consider Antipsychotic Medications"

视觉、幻觉症状给患者带来烦躁不安和焦虑苦恼,伤害不可小觑。用抗精神病药物医治视幻觉症状,医生必需慎重(请参阅下面的警告 )。必须说明的。胆碱酯酶抑制剂也能有效治疗幻觉和路易体痴呆症的精神症状。 有关这方面更多信息,请阅读LBDA的出版物 “治疗行为症状:如何使用抗精神病药物“

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