\n
\u9019\u662f\u4e00\u500b\u975e\u5e38\u56b4\u8085\u4e14\u4ee4\u4eba\u63ea\u5fc3\u7684\u554f\u984c\u3002\u5c0d\u65bc\u8a31\u591a\u6df1\u53d7\u85e5\u7269\u526f\u4f5c\u7528\uff08\u5982\u5e7b\u89ba\u3001\u7570\u52d5\u75c7\uff09\u56f0\u64fe\u7684\u60a3\u8005\u6216\u5bb6\u5c6c\u4f86\u8aaa\uff0c\u6709\u6642\u78ba\u5be6\u6703\u7522\u751f\u300c\u5982\u679c\u4e0d\u6cbb\u7642\u6703\u600e\u6a23\u300d\u7684\u5ff5\u982d\u3002<\/p>\n\n\n\n
\u76f4\u63a5\u56de\u7b54\u60a8\u7684\u7591\u554f\uff1a\u5df4\u91d1\u68ee\u6c0f\u75c7\uff08PD\uff09\u672c\u8eab\u901a\u5e38\u4e0d\u6703\u76f4\u63a5\u5c0e\u81f4\u6b7b\u4ea1<\/strong>\uff0c\u4f46\u5982\u679c\u4e0d\u63a5\u53d7\u4efb\u4f55\u85e5\u7269\u6216\u91ab\u7642\u5e72\u9810\uff0c\u60a3\u8005\u7684\u9810\u671f\u58fd\u547d\u6703\u660e\u986f\u7e2e\u77ed<\/strong>\uff0c\u4e14\u751f\u547d\u7684\u6700\u5f8c\u968e\u6bb5\u901a\u5e38\u4f34\u96a8\u8457\u6975\u9ad8\u7684\u75db\u82e6\u8207\u5931\u80fd\u3002<\/p>\n\n\n\n\u4ee5\u4e0b\u662f\u6839\u64da\u91ab\u5b78\u6587\u737b\u8207\u81e8\u5e8a\u89c0\u5bdf\uff0c\u95dc\u65bc\u300c\u4e0d\u6cbb\u7642\u300d\u60c5\u6cc1\u4e0b\u7684\u81ea\u7136\u75c5\u7a0b\u7d00\u9304\uff1a<\/p>\n\n\n\n
\n\n\n\n1. \u5b58\u6d3b\u6642\u9593\u7684\u6578\u64da\uff08\u53c3\u8003\u524d\u5de6\u65cb\u591a\u5df4\u6642\u4ee3\uff09<\/h3>\n\n\n\n
\u5728 1960 \u5e74\u4ee3\u5de6\u65cb\u591a\u5df4\uff08Levodopa\uff09\u5c1a\u672a\u554f\u4e16\u524d\uff0c\u91ab\u5b78\u754c\u7d00\u9304\u4e86 PD \u60a3\u8005\u7684\u81ea\u7136\u75c5\u7a0b\uff1a<\/p>\n\n\n\n
\n- \u5e73\u5747\u5b58\u6d3b\u6642\u9593\uff1a<\/strong> \u5f9e\u8a3a\u65b7\u5f8c\u7684\u78ba\u8a3a\u8d77\u7b97\uff0c\u4e0d\u6cbb\u7642\u7684\u60a3\u8005\u5e73\u5747\u5b58\u6d3b\u7d04 7 \u81f3 15 \u5e74<\/strong>\u3002<\/li>\n\n\n\n
- \u6b7b\u4ea1\u7387\uff1a<\/strong> \u672a\u7d93\u6cbb\u7642\u7684\u60a3\u8005\uff0c\u5176\u6b7b\u4ea1\u7387\u901a\u5e38\u662f\u540c\u9f61\u5065\u5eb7\u4eba\u7684 3 \u500d<\/strong> \u4ee5\u4e0a\u3002<\/li>\n\n\n\n
- \u73fe\u4ee3\u5c0d\u6bd4\uff1a<\/strong> \u5728\u73fe\u4ee3\u91ab\u7642\u4ecb\u5165\u4e0b\uff0c\u591a\u6578 PD \u60a3\u8005\u7684\u58fd\u547d\u53ef\u4ee5\u7e2e\u77ed\u5230\u63a5\u8fd1\u4e00\u822c\u4eba\u7684\u5e73\u5747\u9918\u547d\u3002<\/li>\n<\/ul>\n\n\n\n
2. \u70ba\u4ec0\u9ebc\u300c\u4e0d\u6cbb\u7642\u300d\u6703\u5c0e\u81f4\u6b7b\u4ea1\uff1f<\/h3>\n\n\n\n
\u5df4\u91d1\u68ee\u6c0f\u75c7\u4e0d\u53ea\u662f\u300c\u624b\u6296\u300d\uff0c\u5b83\u6703\u9010\u6f38\u525d\u596a\u8eab\u9ad4\u6240\u6709\u7684\u81ea\u52d5\u5316\u529f\u80fd\u3002\u4e0d\u670d\u85e5\u3001\u4e0d\u6cbb\u7642\u5c0e\u81f4\u6b7b\u4ea1\u7684\u5e38\u898b\u539f\u56e0\u5305\u62ec\uff1a<\/p>\n\n\n\n
\n- \u5438\u5165\u6027\u80ba\u708e\uff08\u6700\u4e3b\u8981\u6b7b\u56e0\uff09\uff1a<\/strong> \u7531\u65bc\u541e\u56a5\u808c\u8089\u5931\u8abf\uff0c\u98df\u7269\u6216\u553e\u6db2\u5bb9\u6613\u8aa4\u5165\u6c23\u7ba1\u9032\u5165\u80ba\u90e8\uff0c\u9020\u6210\u56b4\u91cd\u611f\u67d3\u3002\u4e0d\u6cbb\u7642\u7684\u60a3\u8005\u901a\u5e38\u5728\u75c5\u7a0b\u4e2d\u5f8c\u671f\u6703\u5b8c\u5168\u5931\u53bb\u541e\u56a5\u80fd\u529b\u3002<\/li>\n\n\n\n
- \u8dcc\u5012\u5f15\u767c\u7684\u4f75\u767c\u75c7\uff1a<\/strong> \u56b4\u91cd\u7684\u808c\u8089\u50f5\u76f4\u8207\u5e73\u8861\u55aa\u5931\uff0c\u6703\u5c0e\u81f4\u60a3\u8005\u983b\u7e41\u8dcc\u5012\u3002\u9aa8\u6298\uff08\u7279\u5225\u662f\u9ad6\u90e8\u9aa8\u6298\uff09\u5f8c\u7684\u9577\u671f\u81e5\u5e8a\u5e38\u8a98\u767c\u8925\u7621\u3001\u5c3f\u9053\u611f\u67d3\u6216\u80ba\u6813\u585e\u3002<\/li>\n\n\n\n
- \u71df\u990a\u4e0d\u826f\u8207\u8870\u7aed\uff1a<\/strong> \u541e\u56a5\u56f0\u96e3\u52a0\u4e0a\u8178\u80c3\u8815\u52d5\u6975\u5ea6\u7de9\u6162\uff0c\u6703\u5c0e\u81f4\u9ad4\u91cd\u5287\u964d\u8207\u514d\u75ab\u529b\u5d29\u6f70\u3002<\/li>\n<\/ul>\n\n\n\n
3. \u4e0d\u6cbb\u7642\u7684\u300c\u751f\u6d3b\u54c1\u8cea\u300d\u9032\u7a0b<\/h3>\n\n\n\n
\u5982\u679c\u9078\u64c7\u5b8c\u5168\u4e0d\u670d\u85e5\uff0c\u75c5\u7a0b\u901a\u5e38\u6703\u52a0\u901f\u9032\u5165\u4ee5\u4e0b\u968e\u6bb5\uff1a<\/p>\n\n\n\n
\n- \u65e9\u671f\uff1a<\/strong> \u52d5\u4f5c\u7de9\u6162\uff0c\u9010\u6f38\u5931\u53bb\u5de5\u4f5c\u80fd\u529b\u8207\u81ea\u7406\u80fd\u529b\u3002<\/li>\n\n\n\n
- \u4e2d\u671f\uff1a<\/strong> \u51fa\u73fe\u56b4\u91cd\u7684\u300c\u51cd\u7d50\u6b65\u614b\u300d\uff0c\u5bb9\u6613\u56e0\u5931\u53bb\u91cd\u5fc3\u800c\u6454\u50b7\uff1b\u65e5\u5e38\u751f\u6d3b\uff08\u5982\u6d17\u6fa1\u3001\u7a7f\u8863\uff09\u9700\u5168\u4eba\u7167\u9867\u3002<\/li>\n\n\n\n
- \u5f8c\u671f\uff1a<\/strong> \u7d42\u65e5\u56f0\u5728\u8f2a\u6905\u6216\u5e8a\u4e0a\uff0c\u8eab\u9ad4\u5448\u8737\u66f2\u72c0\uff08\u50f5\u76f4\uff09\uff0c\u7121\u6cd5\u81ea\u884c\u7ffb\u8eab\u3002<\/li>\n<\/ol>\n\n\n\n
\n\n\n\n4. \u91ab\u7642\u5e72\u9810\u7684\u771f\u6b63\u76ee\u7684\uff1a\u4e26\u975e\u53ea\u662f\u300c\u6d3b\u8457\u300d<\/h3>\n\n\n\n
\u73fe\u4ee3\u91ab\u5b78\u5c0d PD \u7684\u6cbb\u7642\u76ee\u6a19\u4e26\u975e\u50c5\u50c5\u662f\u300c\u5ef6\u9577\u751f\u547d\u300d\uff0c\u66f4\u91cd\u8981\u7684\u662f**\u300c\u5ef6\u9577\u81ea\u4e3b\u751f\u6d3b\u7684\u6642\u9593\u300d**\u3002<\/p>\n\n\n\n
\n\u70ba\u4ec0\u9ebc\u60a3\u8005\u6216\u5bb6\u5c6c\u60f3\u653e\u68c4\u6cbb\u7642\uff1f<\/strong><\/p>\n\n\n\n\u5f88\u591a\u6642\u5019\u662f\u56e0\u70ba\u85e5\u7269\u526f\u4f5c\u7528<\/strong>\uff08\u5982\u60a8\u63d0\u5230\u7684\uff1a\u5e7b\u89ba\u3001\u767c\u71b1\u3001\u8996\u89ba\u554f\u984c\uff09\u3002\u5982\u679c\u662f\u56e0\u70ba\u9019\u4e9b\u526f\u4f5c\u7528\u800c\u60f3\u505c\u6b62\u6cbb\u7642\uff0c\u91ab\u5b78\u4e0a\u901a\u5e38\u6709\u5176\u4ed6\u8def\u5f91\uff1a<\/p>\n\n\n\n\n- \u85e5\u7269\u8abf\u6574\uff1a<\/strong> \u63db\u6210\u7de9\u91cb\u5291\u578b\u6216\u6e1b\u5c11\u7279\u5b9a\u8a98\u767c\u5e7b\u89ba\u7684\u85e5\u7269\u3002<\/li>\n\n\n\n
- \u5b89\u5be7\u7642\u8b77 (Palliative Care)\uff1a<\/strong> \u5982\u679c\u60a3\u8005\u5df2\u9032\u5165\u6975\u665a\u671f\uff0c\u6cbb\u7642\u91cd\u9ede\u6703\u5f9e\u300c\u589e\u52a0\u904b\u52d5\u80fd\u529b\u300d\u8f49\u5411\u300c\u7de9\u89e3\u4e0d\u9069\u300d\uff08\u5982\u6e1b\u5c11\u53e3\u4e7e\u3001\u63a7\u5236\u7126\u616e\u3001\u5354\u52a9\u541e\u56a5\u5b89\u5168\uff09\u3002<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n
\n\n\n\n\u6211\u7684\u5efa\u8b70<\/h3>\n\n\n\n
\u82e5\u60a8\u662f\u56e0\u70ba\u770b\u5230\u60a3\u8005\u6df1\u53d7\u5e7b\u89ba\u56f0\u64fe\uff0c\u6216\u662f\u4e0d\u5fcd\u770b\u4ed6\u53d7\u85e5\u7269\u526f\u4f5c\u7528\u6298\u78e8\u800c\u8003\u616e\u505c\u6b62\u6cbb\u7642\uff0c\u8acb\u52d9\u5fc5\u5148\u8207\u91ab\u5e2b\u8a0e\u8ad6**\u300c\u5b89\u5be7\u6e1b\u91cf\u65b9\u6848\u300d\uff0c\u800c\u975e\u76f4\u63a5\u5b8c\u5168\u505c\u85e5\u3002\u7a81\u7136\u505c\u6389\u5df4\u91d1\u68ee\u6c0f\u75c7\u85e5\u7269\u53ef\u80fd\u6703\u5f15\u767c<\/strong>\u300c\u6297\u7cbe\u795e\u75c5\u85e5\u7269\u60e1\u6027\u75c7\u5019\u7fa4\u300d**\uff0c\u9019\u662f\u4e00\u7a2e\u6703\u5371\u53ca\u751f\u547d\u7684\u56b4\u91cd\u53cd\u61c9\u3002<\/p>\n\n\n\n\u60a8\u662f\u5426\u60f3\u4e86\u89e3\uff0c\u5728\u4e0d\u589e\u52a0\u5e7b\u89ba\u7684\u524d\u63d0\u4e0b\uff0c\u6709\u54ea\u4e9b\u8f14\u52a9\u65b9\u6cd5\uff08\u5982\u7269\u7406\u6cbb\u7642\u6216\u74b0\u5883\u6539\u88dd\uff09\u53ef\u4ee5\u6e1b\u8f15\u60a3\u8005\u7684\u75db\u82e6\uff1f<\/strong><\/p>\n<\/div>\n\n\n\n\n
This is a very serious and distressing question. For many patients and their families suffering from the side effects of medication (such as hallucinations and dyskinesia), the thought of “what would happen if we didn’t treat it” sometimes arises.<\/p>\n\n\n\n
To answer your question directly: Parkinson’s disease (PD) itself usually does not directly cause death<\/strong>, but without any medication or medical intervention, the patient’s life expectancy will be significantly shortened<\/strong>, and the final stages of life are usually accompanied by extremely high levels of suffering and disability.<\/p>\n\n\n\nThe following is a record of the natural course of the disease under “no treatment” conditions, based on medical literature and clinical observations:<\/p>\n\n\n\n
\n\n\n\n1. Survival Time Data (Referencing the Pre-Levodopa Era)<\/h3>\n\n\n\n
Before the advent of levodopa in the 1960s, the medical community recorded the natural course of PD patients:<\/p>\n\n\n\n
\n- Mean Survival Time:<\/strong> From the date of diagnosis, untreated patients survived an average of approximately 7 to 15 years<\/strong>.<\/li>\n\n\n\n
- Morality Rate:<\/strong> The mortality rate of untreated patients was typically more than 3 times<\/strong> higher than that of healthy individuals of the same age.<\/li>\n\n\n\n
- Modern Comparison:<\/strong> With modern medical intervention, the lifespan of most Parkinson’s disease (PD) patients can be shortened to near the average life expectancy of the general population.<\/li>\n<\/ul>\n\n\n\n
2. Why Does “No Treatment” Lead to Death?<\/h3>\n\n\n\n
Parkinson’s disease is not just about “hand tremors”; it gradually robs the body of all its automatic functions. Common causes of death due to lack of medication and treatment include:<\/p>\n\n\n\n
\n- Aspiration Pneumonia (Leading Cause of Death):<\/strong> Due to swallowing muscle incoordination, food or saliva can easily enter the trachea and then the lungs, causing serious infection. Untreated patients usually lose the ability to swallow completely in the later stages of the disease.<\/li>\n\n\n\n
- Complications from Falls:<\/strong> Severe muscle rigidity and loss of balance can lead to frequent falls. Prolonged bed rest after fractures (especially hip fractures) often induces bedsores, urinary tract infections, or pulmonary embolism.<\/li>\n\n\n\n
- Malnutrition and Exhaustion:<\/strong> Difficulty swallowing combined with extremely slow gastrointestinal motility can lead to drastic weight loss and immune system collapse.<\/li>\n<\/ul>\n\n\n\n
3. The Progression of “Quality of Life” Without Treatment<\/h3>\n\n\n\n
If medication is completely discontinued, the disease progression typically accelerates to the following stages:<\/p>\n\n\n\n
\n- Early Stage:<\/strong> Slowed movements, gradually losing the ability to work and care for oneself.<\/li>\n\n\n\n
- Mid-Stage Stage:<\/strong> Severe “frozen gait” develops, making one prone to falls due to loss of balance; daily activities (such as bathing and dressing) require full-time care.<\/li>\n\n\n\n
- Late Stage:<\/strong> Confined to a wheelchair or bed all day, the body is curled up (rigid), unable to turn over independently.<\/li>\n<\/ol>\n\n\n\n
\n\n\n\n4. The True Purpose of Medical Intervention: Not Just “Living”<\/h3>\n\n\n\n
Modern medicine’s treatment goal for PD is not merely “prolonging life,” but more importantly, “prolonging the time spent living independently.”<\/strong><\/p>\n\n\n\n\nWhy do patients or their families want to give up treatment?<\/strong><\/p>\n\n\n\nOften it’s because of drug side effects<\/strong> (such as the hallucinations, fever, and visual problems you mentioned). If you wish to discontinue treatment due to these side effects, there are usually other medical pathways:<\/p>\n\n\n\n\n- Medication Adjustment:<\/strong> Switching to a sustained-release formulation or reducing the dosage of specific hallucination-inducing medications.<\/li>\n\n\n\n
- Palliative Care:<\/strong> If the patient is in a very advanced stage, the focus shifts from “increasing motor function” to “relieving discomfort” (such as reducing dry mouth, controlling anxiety, and assisting with swallowing safely).<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n
><\/p>\n\n\n\n
><\/h2>\n\n\n\nMy Advice<\/h3>\n\n\n\n
If you are considering discontinuing treatment because you see the patient suffering from hallucinations or cannot bear to see them tormented by medication side effects, please be sure to discuss a “Palliative Care tapering plan”<\/strong> with your doctor first, rather than stopping the medication completely. Abruptly stopping Parkinson’s medication may trigger “Antipsychotic Medication Malignant Syndrome”<\/strong>, a life-threatening reaction.<\/p>\n\n\n\nWould you like to know what supportive methods (such as physical therapy or environmental modifications) can alleviate the patient’s suffering without increasing hallucinations?<\/strong><\/p>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"How long do Parkinson’s disease patients survive […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-109","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"admin","author_link":"https:\/\/lovejade.org\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"How long do Parkinson’s disease patients survive ...","_links":{"self":[{"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/posts\/109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lovejade.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=109"}],"version-history":[{"count":2,"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/posts\/109\/revisions"}],"predecessor-version":[{"id":111,"href":"https:\/\/lovejade.org\/index.php?rest_route=\/wp\/v2\/posts\/109\/revisions\/111"}],"wp:attachment":[{"href":"https:\/\/lovejade.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lovejade.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lovejade.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}