首页|镇肝熄风汤联合美多芭及普拉克索治疗肝肾不足型帕金森病的效果

镇肝熄风汤联合美多芭及普拉克索治疗肝肾不足型帕金森病的效果

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目的 探讨镇肝熄风汤联合美多芭及普拉克索治疗肝肾不足型帕金森病(PD)的临床效果.方法 选取2019年12 月—2021 年 12 月江西省人民医院收治的 130 例肝肾不足型PD患者为研究对象,按随机数字表法将其分为对照组与观察组,各 75 例.对照组采用美多芭及普拉克索治疗,观察组在对照组基础上加用镇肝熄风汤治疗,两组均持续治疗 3 个月.比较两组临床疗效、帕金森综合评分量表(UPDRS)评分、中医证候积分、神经递质水平及不良反应发生情况.结果 观察组治疗总有效率为 93.33%,高于对照组的 82.67%,差异有统计学意义(P<0.05).治疗后,观察组UPDRSⅠ、Ⅱ、Ⅲ部分评分均低于对照组,颤振少动、肢体拘痉、颈背强直、步态拖拉积分均低于对照组,5-羟色胺、多巴胺水平均高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 镇肝熄风汤联合美多芭及普拉克索可提高PD治疗效果,降低患者UPDRS评分,加快疾病症状消失,纠正神经递质紊乱,且不增加不良反应发生率.
The Effect of Zhengan Xifeng Decoction Combined with Medobar and Pramipexole in the Treatment of Parkinson's Disease with Liver and Kidney Deficiency
Objective To investigate the clinical effect of Zhengan Xifeng Decoction combined medobar and pramipexole in the treatment of Parkinson's disease(PD)with liver and Ridney deficiency.Methods 130 patients with liver and kidney deficiency type PD admitted to Jiangxi Provincial People's Hospital from December 2019 to December 2021 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 75 cases in each group.The control group was treated with metoba and pramexol,and the observation group was treated with Zhengan Xifeng Decoction on the basis of the comtrol group for 3 months.The clinical efficacy,Parkinson's Comprehensive Score Scale(UPDRS)score,TCM syndrome score,neurotransmitter level and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 93.33%,which was higher than 82.67%of the control group,and the difference was statistically significant(P<0.05).After treatment,the UPDRS Ⅰ,Ⅱ,and Ⅲ scores in the observation group were lower than those in the control group,and the scores of tremors,limb spasms,neck and back stiffness,and gait dragging were lower than those in the control group,the levels of serotonin and dopamine were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Zhengan Xifeng Decoction with metobar and pramiperole can improve the therapeutic effect of PD,reduce UPDRS score,accelerate the disappearance of disease symptoms,and correct neurotransmitter disorders,and do not increase the incidence of adverse reactions.

Parkinson's diseaseZhengan Xifeng DecoctionMedobarPramipexole

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江西省人民医院神经内科,江西南昌 330006

帕金森病 镇肝熄风汤 美多芭 普拉克索

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(4)
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