The DBS treatment for Parkinson ‘ s disease, as it moves to the mid-term stage, is able to address the malfeasance of the drug treatment, control symptoms and improve the life-saving treatment of the patient, although the good effect of the treatment is the choice of a precise assessment and adaptation.
What was the main evaluation of Parkinson’s DBS before surgery?
1. Pre-operative skull nucleo-magnetic or CT tests are necessary: to check if there are any pathologies in the skull that may constitute surgical taboos or make the operation more difficult, such as brain atrophy; and to evaluate the selection of the target for the operation.
2. Resilient surgery: For the assessment of resistance, there is a need for tests related to surgery, such as electrocardiograms, liver and kidneys, to ensure that the patient can withstand the procedure.
Cognitive assessment: Since Parkinson’s patients need to undergo post-operative control in conjunction with a doctor, cognitive assessment is required, and the evaluation of cognitive function is recommended in the light of the summary assessment methodology recommended in the Pachinsonian dementia diagnosis and treatment guide of the Chinese Medical Association’s neurology section, as well as in the form of a simple mental state statement (MMSE), Montreal cognitive assessment form, Alzheimer’s assessment form – the cognitive component, and Wedge’s adult intelligence table.
4. Sports assessment: According to surgery includes the condition that there has been a good treatment of co-ordinated left-wing Doba; that there is currently no satisfactory control of the symptoms, that there has been a marked decline in the efficacy of the treatment or that there has been a difficult movement or agitation. So, before the operation, we’re going to do another motor function assessment to verify whether the left doppa is very responsive. Because good reaction predicts good DBS therapy. Campaign assessments use a uniform PD scale (UPDRS)-III as an evaluation tool. The test drug uses a combined left-wing doba standard tablet. When UPDRS improves by 30%, DBS therapy may be effective. The maximum improvement rate formula for UPDRS is: maximum improvement rate = (pre-dose baseline — minimum post-dose)/pre-dose baseline = 100 per cent.
Parkinson’s DBS pre-op assessment is important.
1. Accurate knowledge of patients, scientific analysis
By pre-operative assessment, the doctor is able to learn about the age, state of health, existence of the underlying disease, and is able to determine with precision the severity of the patient ‘ s symptoms, such as his or her pronunciation, physical retardation, tremors, constipation and insomnia, and to make a quantitative assessment of the patient ‘ s motor and non-motor symptoms, and to determine scientifically whether the patient is fit for the operation.
2. Avoid blind surgery and ensure its effectiveness
A small number of patients do not fit for the operation, and it is difficult not only to achieve the expected results but also to cause economic loss if the operation is not pre-operative. Thus, blind surgery can be avoided by pre-operative assessment. Some patients are fit for the procedure themselves and the procedure has reached the stage at which it should be performed, at which point the benefit of the procedure is very high. Pre-operative evaluation can then help this group of patients to detect the right time for surgery, to perform it in due course and to improve their quality of life.
