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MER联合Lead-DBS在帕金森病患者术后程控中的应用研究OA

Application Study of MER Combined with Lead-DBS in Postoperative Programming of Patients with Parkinson's Disease

中文摘要英文摘要

目的 探讨微电极记录(MER)联合多模态影像融合技术(Lead-DBS)多模态影像融合技术在帕金森病患者术后程控中的应用效果.方法 选取中国人民解放军联勤保障部队第九八八医院 2018 年 10 月至 2023 年 8 月期间收治的 60 例帕金森病患者,随机将其分为对照组和观察组.对照组患者根据脑深部电刺激术(DBS)专家程控共识逐个触点程控,观察组患者根据MER联合术后Lead-DBS多模态影像融合技术进行程控.比较两组术中操作时间、术后症状改善情况、生活质量评分、不良情绪及并发症发生率.结果 观察组术中操作时间少于对照组,差异具有统计学意义(P<0.05);干预前两组帕金森症状评分、帕金森病生活质量评分、不良情绪评分、并发症发生率差异均无统计学意义(P>0.05),干预后观察组帕金森症状评分、帕金森病生活质量评分、不良情绪评分、并发症发生率均低于对照组,差异均有统计学意义(P<0.05).结论 术中MER联合术后Lead-DBS多模态影像融合技术,结合患者症状针对性选择开机触点方法具有较高的可行性,可提高手术效率、改善患者预后,安全性良好.

Objective To explore the application effect of microelectrode recording(MER)combined with multimodal image fusion technology(Lead-DBS)in postoperative programming of patients with Parkinson's disease.Methods A total of 60 patients with Parkinson's disease treated in The 988th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from October 2018 to August 2023 were selected.They were randomly divided into the control group and the observation group.The control group patients were programmed one by one according to the consensus of deep brain stimulation(DBS)experts,and the observation group patients were programmed according to MER combined with postoperative Lead-DBS multimodal image fusion technology.The operation time,postoperative symptom improvement,quality of life score,negative emotions,and incidence of complications in the two groups were compared.Results The operation time of the observation group was less than that of the control group,with a statistically significant difference(P<0.05).Before intervention,there was no statistically significant difference in Parkinson's symptom score,Parkinson's disease quality of life score,negative emotion score,and incidence of complications between the two groups(P>0.05).After intervention,the Parkinson's symptom score,Parkinson's disease quality of life score,negative emotion score,and incidence of complications in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The intraoperative MER combined with postoperative Lead-DBS multimodal image fusion technology,combined with the patient's symptoms to selectively choose the on-point method,has a high feasibility,can improve the operation efficiency,improve the patient's prognosis,and has good safety.

刘明辉;杨新超;路小奇;田海港;郭效东

中国人民解放军联勤保障部队第九八八医院 神经外科,河南 郑州 450000

临床医学

MERLead-DBS帕金森病术后程控

MERLead-DBSparkinson's diseasepostoperative programming

《临床研究》 2024 (007)

11-14 / 4

10.12385/j.issn.2096-1278(2024)07-0011-04

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