首页|普拉克索对帕金森病患者生活质量量表评分和非运动症状影响的相关研究

普拉克索对帕金森病患者生活质量量表评分和非运动症状影响的相关研究

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目的:探讨普拉克索对帕金森病(PD)患者生活质量量表(PDQ-39)评分和非运动症状影响的相关研究.方法:选取2019年6月—2021年12月样本医院神经内科收治的128例PD患者作为研究对象,随机分为对照组62例和观察组66例.对照组患者采用多巴丝肼片口服治疗,观察组患者在对照组基础上加用普拉克索治疗.比较两组患者治疗前后PDQ-39评分、简易精神状态检查量表(MMSE)评分及汉密尔顿抑郁量表(HAMD)评分,比较两组患者排尿障碍、感觉异常、睡眠障碍、性功能障碍及便秘等非运动症状改善情况,比较两组患者药物不良反应发生情况.结果:治疗后,观察组患者PDQ-39、HAMD评分均低于对照组患者,差异有统计学意义(t=4.678、3.284,P<0.05),但两组患者MMSE评分比较,差异无统计学意义(t=5.581,P>0.05).治疗后,观察组患者排尿障碍、感觉异常、睡眠障碍及性功能障碍的发生率低于对照组患者,差异有统计学意义(x2=4.486、5.517、3.264、2.524,P<0.05),而两组患者便秘的发生率比较,差异无统计学意义(x2=6.521,P>0.05).两组患者失眠、低血压、心律失常、胃肠道反应等不良反应总发生率比较,差异无统计学意义(x2=0.182,P>0.05).结论:普拉克索治疗PD患者能够明显提高患者的生活质量,改善其排尿障碍、感觉异常、睡眠障碍、性功能障碍等非运动症状,临床效果显著.
Correlative Study of the Effect of Pramipexole on Quality of Life Scale Scores and Non-motor Symptoms in Patients with Parkinson's Disease
Objective:To study the effects of pramipexole on Quality of Life Scale(PDQ-39)scores and non-motor symptoms in patients with Parkinson's disease(PD).Methods:128 cases of PD patients admitted to the hospital from June 2019 to December 2021 were selected as study subjects and randomly divided into 62 cases in the control group and 66 cases in the observation group.The control group was treated with dobasic hydrazide tablets orally,and the observation group was treated with pramipexole on the basis of the control group.The PDQ-39 scores,the Brief Mental State Examination(MMSE)scores and the Hamilton Depression Scale(HAMD)scores were compared before and after the treatment of the two groups of patients,the improvement of the non-motor symptoms such as urinary disorders,sensory abnormalities,sleep disorders,sexual dysfunction,and constipation in the two groups were compared,and the incidence of the adverse drug reactions was compared between the two groups of patients.Results:After treatment,the PDQ-39 and HAMD scores of the observation group were lower than those of the control group,and the difference was statistically significant(t=4.678,3.284,P<0.05).There was no statistically significant difference between the MMSE scores of the two groups(t=5.581,P>0.05).After treatment,the incidence of urination disorder,sensory abnormality,sleep disorder and sexual dysfunction in the observation group was lower than that in the control group,and the difference was statistically significant(x2=4.486,5.517,3.264,2.524,P<0.05).The difference in the incidence of constipation between the two groups was not statistically significant(x2=6.521,P>0.05).The difference in the total incidence of adverse reactions such as insomnia,hypotension,cardiac arrhythmia and gastrointestinal reactions was not statistically significant when comparing the two groups(x2=0.182,P>0.05).Conclusion:Pramipexole treatment of PD patients can significantly improve their quality of life,improve their non-motor symptoms such as urinary disorders,sensory abnormalities,sleep disorders,sexual dysfunction,and the clinical effect is remarkable.

PramipexoleParkinson's diseaseNon-motor symptoms

王宗立、聂言臣、朱丽娜

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青岛市西海岸新区人民医院神经内科,山东 青岛 266400

湖州市交通医院神经内科,浙江 湖州 322000

齐齐哈尔市第一医院检验科,黑龙江 齐齐哈尔 161000

普拉克索 帕金森病 非运动症状

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(5)
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