首页|帕宁Ⅰ号方治疗帕金森病阳虚生风、湿瘀痹阻证42例临床观察

帕宁Ⅰ号方治疗帕金森病阳虚生风、湿瘀痹阻证42例临床观察

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目的:观察帕宁Ⅰ号方治疗帕金森病(PD)阳虚生风、湿瘀痹阻证的临床疗效.方法:将42例阳虚生风、湿瘀痹阻型PD患者根据就诊时间分为2组,治疗3个月组(22例)、治疗6个月组(20例),疗程分别为3个月、6个月.采用西医常规疗法联合帕宁Ⅰ号方治疗.观察中医证候积分、统一帕金森病评定量表第三部分(UPDRSⅢ)评分、帕金森病非运动症状评价量表(NMSS)评分、每日左旋多巴等效剂量(LEDD)及不良反应发生情况.结果:总有效率治疗3个月组为72.73%(16/22),治疗6个月组为100.00%(20/20),组间相比,差异有统计学意义(P<0.05).治疗后,2组中医证候积分、UPDRS Ⅲ评分、NMSS评分、LEDD均较治疗前下降,且治疗6个月组低于治疗3个月组,组内与组间比较,差异均有统计学意义(P<0.01).2组在治疗过程中均无不良反应发生.结论:采用西医常规疗法联用帕宁Ⅰ号方治疗阳虚生风、湿瘀痹阻型PD患者可以改善运动症状和非运动症状,缓解中医症状,延缓病情,且随着治疗时间的延长,疗效更为明显.
Clinical effect of Paning prescription I in treatment of Parkinson's disease with wind syndrome due to Yang deficiency and dampness-stasis obstruction:An analysis of 42 cases
Objective:To investigate the clinical effect of Paning prescription I in the treatment of Parkin-son's disease(PD)with wind syndrome due to Yang deficiency and dampness-stasis obstruction.Methods:A total of 42 PD patients with wind syndrome due to Yang deficiency and dampness-stasis obstruction were divided into 3-month treatment group with 22 patients and 6-month treatment group with 20 patients according to the time when they attended the hospital,and the course of treatment was 3 and 6 months,respectively.All patients received con-ventional Western medicine treatment combined with Paning prescription Ⅰ.The two groups were observed in terms of traditional Chinese medicine(TCM)syndrome score,Unified Parkinson's Disease Rating Scale Part Ⅲ(UP-DRS Ⅲ)score,non-motor symptom scale(NMSS)score for PD,levodopa equivalent daily dose(LEDD),and ad-verse reactions.Results:There was a significant difference in overall response rate between the 3-month treatment group and the 6-month treatment group[72.73%(16/22)vs 100.00%(20/20),P<0.05].After treatment,both groups had significant reductions in TCM syndrome score,UPDRS Ⅲ score,NMSS score,and LEDD,and the 6-month treatment group had significantly lower indicators than the 3-month treatment group(P<0.01).No adverse reaction was observed in either group during treatment.Conclusion:In the treatment of PD with wind syndrome due to Yang deficiency and dampness-stasis obstruction,conventional Western medicine treatment combined with Pa-ning prescription I can improve motor symptoms and non-motor symptoms,alleviate TCM symptoms,and delay dis-ease progression,with a more significant clinical effect with the increase in the time of treatment.

Parkinson's diseasewind syndrome due to Yang deficiency and dampness-stasis obstruc-tionintegrated traditional Chinese and Western medicine therapyPaning prescription Ⅰ

陈彦君、周胜强、曾洁、刘芳

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湖南中医药大学,湖南 长沙,410208

湖南省中西医结合医院,湖南 长沙,410006

帕金森病 阳虚生风、湿瘀痹阻证 中西医结合疗法 帕宁Ⅰ号方

2024

湖南中医杂志
湖南省中医药研究院

湖南中医杂志

影响因子:0.484
ISSN:1003-7705
年,卷(期):2024.40(9)