首页|司来吉兰片结合左旋多巴片对帕金森病患者血清相关指标、精神状态的影响

司来吉兰片结合左旋多巴片对帕金森病患者血清相关指标、精神状态的影响

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目的 探究司来吉兰片结合左旋多巴片对帕金森病(PD)患者血清相关指标、精神状态的影响.方法 选取2021 年2 月—2023年2 月高密市人民医院收治的 70 例PD患者为研究对象,按随机数字表法分为对照组与观察组,每组35例.对照组采用左旋多巴片治疗,观察组在对照组基础上联合司来吉兰片治疗,两组均持续治疗10 周.对比两组患者的血清相关指标、临床疗效、精神状态与认知功能及不良反应发生情况.结果 观察组治疗总有效率为 97.14%,高于对照组的 77.14%,差异有统计学意义(P﹤0.05).治疗后,观察组脑源性神经营养因子为(5.49±0.55)ng/mL、神经生长因子为(148.74±16.05)ng/mL、胰岛素生长因子为(118.65±12.74)ng/mL,均高于对照组的(4.84±0.26)ng/mL、(133.84±15.28)ng/mL、(101.09±10.58)ng/mL,组间差异有统计学意义(P﹤0.05);观察组精神症状全国量表评分为(11.47±1.65)分,低于对照组的(19.44±1.46)分,蒙特利尔认知评估量表评分为(26.94±2.85)分,高于对照组的(24.14±2.23)分,组间差异有统计学意义(P﹤0.05).两组不良反应发生率相比,差异无统计学意义(P﹥0.05).结论 司来吉兰片结合左旋多巴片治疗能够有效上调PD患者的BDNF、NGF、IGF-1 水平,促进患者精神状态改善,提高患者认知功能,且安全可行.
Effect of Silagilan Tablets Combined with Levodopa Tablets on Serum Related Indicators and Mental State in Patients with Parkinson's Disease
Objective To investigate the effect of Silagilan tablets combined with levodopa tablets on serum related indicators and mental state in patients with Parkinson's disease(PD).Methods 70 PD patients admitted to Gaomi People's Hospital from February 2021 to February 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with levodopa tablets,and the observation group was treated with Selegiline tablets on the basis of the control group.Both groups were treated for 10 weeks.The serum related indexes,clinical efficacy,mental state and cognitive function and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 97.14%,higher than 77.14% of the control group,and the difference was statistically significant(P﹤0.05).After treatment,the levels of brain-derived neurotrophic factor,nerve growth factor and insulin growth factor in the observation group were(5.49±0.55)ng/mL,(148.74±16.05)ng/mL and(118.65±12.74)ng/mL,respectively,the levels were higher than(4.84±0.26)ng/mL,(133.84±15.28)ng/mL and(101.09±10.58)ng/mL of the control group,and the differences between groups were statistically significant(P﹤0.05);the score of the national Scale of psychiatric symptoms in the observation group was(11.47±1.65)points,lower than(19.44±1.46)points in the control group,and the score of the Montreal Cognitive Assessment Scale was(26.94±2.85)points,higher than(24.14±2.23)points in the control group,and the differences between groups were statistically significant(P﹤0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P﹥0.05).Conclusion The combination of Silagilan tablets and levodopa tablets can effectively upregulate the levels of BDNF,NGF,and IGF-1 in PD patients,promote improvement in their mental state,enhance their cognitive function,and is safe and feasible.

Parkinson's diseaseSilaijilan tabletsLevodopa tabletsSerum related indicatorsMental stateCognitive functionAdverse reactions

单宝磊、张平

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高密市人民医院老年病科,山东高密 261500

高密市人民医院心内科,山东高密 261500

帕金森病 司来吉兰片 左旋多巴片 血清相关指标 精神状态 认知功能 不良反应

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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