首页|芪参还五胶囊联合多巴丝肼治疗气虚血瘀型帕金森病临床疗效及对血清胱抑素C与同型半胱氨酸的影响

芪参还五胶囊联合多巴丝肼治疗气虚血瘀型帕金森病临床疗效及对血清胱抑素C与同型半胱氨酸的影响

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目的 观察芪参还五胶囊联合多巴丝肼治疗气虚血瘀型帕金森病(PD)临床疗效.方法 将我院气虚血瘀型PD患者90例随机分为观察组与对照组各45例.对照组给予常规治疗+多巴丝肼,观察组在对照组治疗基础上加用芪参还五胶囊.比较两组临床疗效,帕金森综合评定量表(UPDRS)、中医主要症状及日常生活能力(ADL)的评分、血清胱抑素C(Cysc)与同型半胱氨酸(Hcy)的含量.结果 治疗后,观察组总有效率显著高于对照组(P<0.05);两组UPDRS、中医主要症状评分低于治疗前,观察组UPDRS评分、中医主要症状积分低于对照组(P<0.05);两组ADL评分高于治疗前,观察组ADL评分高于对照组(P<0.05);两组CysC、Hcy含量低于治疗前,观察组CysC、Hcy含量低于对照组(P<0.05).结论 芪参还五胶囊联合多巴丝肼治疗气虚血瘀型PD,可有效阻断病情进展,改善中医临床主要症状,提高患者日常生活能力,下调CysC、Hcy含量.
Clinical study on Qishen Huanwu Capsules combined with dopamine hydrazine in treatment of Parkinson's Disease of qi deficiency and blood stasis type and its effect on serum cystatin C and homocysteine
Objective To observe the clinical effect of Qishen Huanwu Capsules combined with dopamine hydrazine in treatment of Parkinson's Disease(PD)with qi deficiency and blood stasis.Methods Ninety patients with qi deficiency and blood stasis type of PD were randomly divided into observation group and control group,with 45 cases in each group.Control group was treated with conventional therapy and dopamine hydrazine,while observation group was treated with Qishen Huanwu Capsules on the basis of control group.The clinical efficacy of the two groups,including the scores of Parkinson's Comprehensive Rating Scale(UPDRS),the scores of the main symptoms of TCM and ability of daily living(ADL),and the levels of serum cystatin C(Cysc)and homocysteine(Hcy)were compared.Results After treatment,the total effective rate of observation group was significantly higher than that of control group(P<0.05);the UPDRS and TCM main symptom scores of both groups were lower than before treatment,and were lower in observation group than control group(P<0.05);the ADL scores of both groups were higher than before treatment,and were higher in observation group than control group(P<0.05);the levels of CysC and Hcy in both groups were lower than before treatment,and were lower in observation group than control group(P<0.05).Conclusion Qishen Huanwu Capsules combined with dopamine hydrazine is effective in treatment of qi deficiency and blood stasis type PD,effectively blocking the progression of the disease,improving the main clinical TCM symptoms,improving patients'daily living ability,and down-regulating the contents of CysC and Hcy.

Parkinson's DiseaseQi deficiency and blood stasis typeQishen Huanwu CapsulesDopamine hydrazineCystatin CHomocysteine

刘晓龙、袁春晓、段洪波、单永琳、闫佳佳

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河北省沧州中西医结合医院,河北沧州 061000

帕金森病 气虚血瘀型 芪参还五胶囊 多巴丝肼 胱抑素C 同型半胱氨酸

河北省中医药局科研项目

2021295

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(1)
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