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加味三味汤治疗帕金森病非运动症状临床疗效

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目的:探讨加味三味汤治疗帕金森病患者的非运动症状方面的临床疗效,以期获得更好的治疗效果及临床经验.方法:选取符合标准的50例帕金森病患者,随机分为对照组与实验组,每组各25例,对照组予以多巴丝肼片治疗;实验组在此基础上加用加味三味汤治疗,治疗一疗程后,比较两组患者的新版世界运动障碍学会帕金森病综合量表(MDS-UPDRS)中的日常生活非运动症状与运动症状量表中的震颤、动作迟缓、认知功能、焦虑、抑郁、饮水呛咳、夜尿、失眠、嗜睡、便秘、疲惫感、口角流涎十二项指标的综合评估.结果:在治疗前,两组患者所选取指标的综合评分没有统计学意义(P>0.05);治疗后,实验组患者的综合评分相较于对照组评分减少,有统计学意义(P<0.05).并且两组患者的评分下降率也有统计学意义(P<0.01).结论:加味三味汤可改善帕金森病患者的非运动症状,延缓病情进展.
Clinical Efficacy of Modified Sanwei Decoction in the Treatment of Non-motor Symptoms of Parkinson's Disease
Objective: To explore the clinical efficacy of Modified Sanwei Decoction in treating non-motor symptoms in patients with Parkinson's disease, in order to obtain better therapeutic effects and clinical experience. Methods: 50 patients with Parkinson's disease who met the criteria were selected and randomly divided into a control group and an experimental group, with 25 cases in each group. The control group was treated with dobaserazine tablets; the experi-mental group was treated with modified Sanwei decoction on this basis. , after one course of treatment, the daily non-motor symptoms in the new version of the World Movement Disorder Society Parkinson's Disease Scale (MDS-UPDRS) and the motor symptom scale in the two groups of patients were compared, including tremor, bradykinesia, cognitive function, A comprehensive assessment of twelve indicators including anxiety, depression, coughing when drinking water, nocturia, insomnia, drowsiness, constipation, fatigue, and drooling at the corners of the mouth. Results: Before treatment, there was no statistical difference or significance in the comprehensive scores of the selected indicators be-tween the two groups of patients (P>0.05); after treatment, the comprehensive scores of the patients in the experimental group were reduced compared with the scores in the control group, and there was a statistical difference and signifi-cance. significance (P<0.05). There is also a statistical difference and significance in the score decline rate between the two groups of patients (P<0.01). Conclusion: Modified Sanwei Decoction can improve non-motor symptoms and delay the progression of Parkinson's disease.

Modified Sanwei DecoctionParkinson's diseaseNon-motor symptomsTremor syndromeTraditional Chinese medicine therapyBrain-gut axis

张鹏、谭子虎

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湖北中医药大学 湖北武汉 430061

湖北中医药大学附属湖北省中医院 湖北武汉 430061

加味三味汤 帕金森病 非运动症状 颤证 中医药疗法 脑-肠轴

武汉市科技计划应用基础前沿项目

2020020601012244

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(3)
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