首页|吉林市区帕金森病非运动症状的临床对照研究

吉林市区帕金森病非运动症状的临床对照研究

A controlled clinical study of non-motor symptoms of Parkinson disease in urban areas of Jilin Province

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目的 通过对吉林市区帕金森非运动症状的调查,探索常见非运动症状类型及治疗方案,为吉林市区帕金森患者的流行病学调查及有效诊疗方案提供科学依据.方法 收集北华大学附属医院、吉林医药学院附属医院神经内科住院及门诊帕金森病患者共90例,以概率均等原则随机分到观察组和对照组中.应用统一的调查问卷对患者进行分类调查,选取最常见的2种非运动症状(焦虑、便秘).给予观察组患者美多芭联合普拉克索治疗.对照组中帕金森病焦虑症状患者给予美多芭联合盐酸舍曲林治疗;帕金森病便秘患者给予美多芭联合乳果糖及莫沙必利治疗.两组均在治疗前后评估非运动症状量表.对所有的数据进行整理分析.结果 在给予对症治疗后,应用美多芭联合普拉克索治疗6个月后非运动症状焦虑、便秘均较前改善,组间比较差异有统计学意义(P<0.05).结论 美多芭联合普拉克索治疗能有效改善患者运动症状及部分非运动症状,尽可能地延缓PD疾病进展.
Objective To investigate the non-motor symptoms of Parkinson disease in urban areas of Jilin Prov-ince,and explore the common types of non-motor symptoms and treatment plans,and to provide a scientific basis for re-searching the epidemiology and treatment of Parkinson disease in urban areas of Jilin Province.Methods We enrolled 90 patients with Parkinson's disease at the outpatient and inpatient departments of neurology of the Affiliated Hospital of Bei-hua University and the Affiliated Hospital of Jilin Medical University.They were randomly assigned into observation group and control group.A questionnaire was used to survey the two most common non-motor symptoms(anxiety and constipa-tion).The observation group was treated with Madopar combined with pramipexole,while in the control group,patients with anxiety received Madopar combined with sertraline hydrochloride,and those with constipation were given Madopar combined with lactulose and mosapride.The two groups were evaluated using non-motor symptom scales before and after treatment.Statistical analyses were performed.Results Anxiety and constipation were significantly resolved after 6 months of treatment with Madopar combined with pramipexole,and there were significant differences between the two groups(P<0.05).Conclusion Madopar combined with pramipexole can effectively improve the motor symptoms and some non-motor symptoms of patients with Parkinson disease,delaying the progression of this disease as much as possible.

Parkinson diseaseNon-motor symptomAnxietyConstipationNMSEUPDRS

张贺、张硕、姜立刚

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吉林医药学院附属医院神经内科,吉林 吉林 132000

帕金森病 非运动症状 焦虑 便秘 NMSE UPDRS

吉林省教育厅"十三五"科技项目吉林省中医药管理局中风与神经退行性疾病中西医症治重点研究室项目吉林市科技局科技创新发展医疗卫生指导性项目

JJKH20200459KJ2022-Z-7020230406106

2024

中风与神经疾病杂志
吉林大学

中风与神经疾病杂志

CSTPCD
影响因子:0.754
ISSN:1003-2754
年,卷(期):2024.41(2)
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