中醫(yī)治未病?帕金森抑郁和/或焦慮專家共識

吳成翰　周小炫　謝敏　林菊珊　高麗麗

摘要：《中醫(yī)治未病·帕金森抑郁和/或焦慮專家共識》（以下簡稱《共識》）由國家中醫(yī)藥管理局立項，中華中醫(yī)藥學(xué)會組織，并在中醫(yī)治未病標準制修訂專家總指導(dǎo)組和情志調(diào)理專家指導(dǎo)組的指導(dǎo)、監(jiān)督下實施。本《共識》內(nèi)容主要基于循證醫(yī)學(xué)原則，采用中醫(yī)文獻依據(jù)分級標準，結(jié)合專家問卷調(diào)查、專家論證、同行征求意見、臨床評價等，按照臨床診療指南編寫規(guī)則編寫。本《共識》提出了帕金森抑郁和/或焦慮的術(shù)語和定義、臨床特征、判斷依據(jù)及適用期、辨體質(zhì)偏頗類型、中醫(yī)藥干預(yù)和推薦方案等，供中醫(yī)臨床診療及中醫(yī)治未病參考使用。

關(guān)鍵詞：帕金森病;抑郁;焦慮;中醫(yī)治未病;專家共識

中圖分類號：R277.725 ???文獻標識碼：A??? 文章編號：1005-5304（2020）01-0001-05

DOI：10.3969/j.issn.1005-5304.201909018

開放科學(xué)（資源服務(wù)）標識碼（OSID）：

Expert Consensus for TCM Preventive Treatment of Diseases：Parkinson Depression and/or Anxiety

WU Chenghan¹， ZHOU Xiaoxuan²， XIE Min³， LIN Jushan¹， GAO Lili¹

1. Second Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350003， China; 2. Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350003， China;3. Fuzhou TCM Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou 350001， China

Abstract： Expert Consensus for TCM Preventive Treatment of Diseases： Parkinson Depression and/or Anxiety （hereinafter referred to as “the consensus”） was approved by the National Administration of TCM and organized by the China Association of Chinese Medicine. It was implemented under the direction and supervision of the expert group of TCM standard of preventive treatment of disease revision， as well as the emotional adjustment expert guidance group. The content of the consensus is mainly based on the principle of evidence-based medicine， using the classification criteria of TCM literature， combining the expert questionnaire survey， the expert argumentation， peer opinions， clinical evaluation and so on， compiling rules in accordance with clinical diagnosis and treatment guidelines. In the consensus， the terms and definitions of Parkinson depression and/or anxiety， clinical features， diagnostic basis and application period， differentiating the types of constitution bias， intervention and recommendation scheme of TCM were put forward for clinical diagnosis and treatment and preventive treatment of diseases of TCM.

Keywords： Parkinson disease; depression; anxiety; TCM preventive treatment of diseases; expert consensus

帕金森病（Parkinson disease，PD）是一種常見的慢性、進行性神經(jīng)變性疾病，目前尚無根治的權(quán)威報道。精神癥狀是PD除外運動癥狀最常見的臨床表現(xiàn)之一，隨著病情進展，患者常出現(xiàn)抑郁、焦慮等，不僅直接影響患者的精神情志健康，而且會進一步加重運動障礙，導(dǎo)致惡性循環(huán)，嚴重影響患者的身心健康。因此，早期及時干預(yù)PD患者相關(guān)精神障礙前驅(qū)期，對預(yù)防和延緩后期精神障礙疾病的發(fā)生發(fā)展意義重大。

針對疾病的早期防治，中醫(yī)治未病提出了“未病先防，既病防變”的防治原則^[1]。《中醫(yī)治未病·帕金森抑郁和/或焦慮專家共識》（以下簡稱《共識》）于2015年由國家中醫(yī)藥管理局立項，中華中醫(yī)藥學(xué)會組織，并在中醫(yī)治未病標準制修訂專家總指導(dǎo)組和情志調(diào)理專家指導(dǎo)組的指導(dǎo)、監(jiān)督下實施。……