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司来吉兰联合左旋多巴治疗帕金森患者的效果分析

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目的 分析司来吉兰联合左旋多巴治疗帕金森患者的效果.方法 将 2019 年 1 月至 2023 年 1 月我院收治的 108 例帕金森患者随机分为常规组和观察组各 54 例.常规组口服左旋多巴治疗,观察组在常规组基础上采用司来吉兰治疗.比较两组的临床疗效、统一帕金森氏病综合量表(UPDRS)评分和神经营养因子水平.结果 观察组治疗总有效率为 98.15%,高于常规组的81.48%(P<0.05).治疗后,观察组UPDRS-Ⅰ、UPDRS-Ⅱ、UPDRS-Ⅲ评分均低于常规组(P<0.05).治疗后,观察组神经生长因子(NGF)、脑源性神经营养因子(BDNF)、β淀粉样蛋白 1-42(Aβ1-42)水平均高于常规组(P<0.05).结论 司来吉兰联合左旋多巴治疗帕金森患者的疗效显著,可显著降低UPDRS评分,提高神经营养因子水平.
Analysis on the Effect of Selegiline Combined with Levodopa in the Treatment of Patients with Parkinson's Disease
Objective To analyze the effect of selegiline combined with levodopa in the treatment of patients with Parkinson's disease.Methods 108 patients with Parkinson's disease admitted to our hospital from January 2019 to January 2023 were randomly divided into routine group and observation group,with 54 cases in each group.The routine group was treated with oral levodopa,and the observation group was treated with selegiline on the basis of the routine group.The clinical efficacy,UPDRS scores and neurotrophic factor levels were compared between the two groups.Results The total effective rate of treatment in the observation group was 98.15%,higher than 81.48%in the routine group(P<0.05).After treatment,the UPDRS-Ⅰ,UPDRS-Ⅱand UPDRS-Ⅲscores of the observation group were lower than those of the routine group(P<0.05).After treatment,the NGF,BDNF and Aβ1-42 levels of the observation group were higher than those of the routine group(P<0.05).Conclusions Selegiline combined with levodopa has significant effect in the treatment of patients with Parkinson's disease,which can significantly reduce the UPDRS scores and improve the neurotrophic factor levels.

SelegilineLevodopaParkinson's disease

司昊天、任虹宇、王晓斌、张小广、马建功

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河南大学第一附属医院神经外科,河南开封 475000

司来吉兰 左旋多巴 帕金森

河南省医学科技攻关计划(联合共建)项目

LHGJ20190509

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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