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普拉克索联合多巴丝肼片治疗帕金森病患者的效果

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目的:观察普拉克索联合多巴丝肼片治疗帕金森病患者的效果.方法:选取 2019 年 1 月至 2020 年 12 月本院收治的152例帕金森病患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各76例.对照组采用多巴丝肼片治疗,观察组在对照组基础上联合普拉克索治疗,两组均连续治疗12周.比较两组临床疗效,治疗前后认知功能[蒙特利尔认知评分表(MoCA)]评分、症状[帕金森病统一评分量表(UPDRS)]评分、血清学指标[脑源性神经营养因子(BDNF)、去甲肾上腺素(NE)、5-羟色胺(5-HT)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 93.42%(71/76),高于对照组的 76.32%(58/76),差异有统计学意义(P<0.05);治疗后,观察组MoCA评分高于对照组,UPDRS评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组BDNF、NE、5-HT水平均高于对照组,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:普拉克索联合多巴丝肼片治疗帕金森病患者可提高治疗总有效率、认知功能评分和血清学指标水平,降低症状评分,效果优于单纯多巴丝肼片治疗.
Effects of Pramipexole combined with Levodopa and Benserazide hydrochloride tablets in treatment of patients with Parkinson's disease
Objective:To observe effects of Pramipexole combined with Levodopa and Benserazide hydrochloride tablets in treatment of patients with Parkinson's disease.Methods:A prospective study was conducted on 152 patients with Parkinson's disease admitted to this hospital from January 2019 to December 2020.They were divided into observation group and control group according to the random number table method,76 cases in each group.The control group was treated with Levodopa and Benserazide hydrochloride tablets,while the observation group was treated with Pramipexole on the basis of that of the control group.Both groups were treated continuously for 12 weeks.The clinical efficacy,the cognitive function[Montreal cognitive assessment(MoCA)]score,the symptoms[unified Parkinson's disease rating scale(UPDRS)]score,the serological indicators[brain-derived neurotrophic factor(BDNF),norepinephrine(NE),5-hydroxytryptamine(5-HT)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 93.42%(71/76),which was higher than 76.32%(58/76)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the MoCA score of the observation group was higher than that of the control group,the UPDRS score was lower than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of BDNF,NE and 5-HT in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Pramipexole combined with Levodopa and Benserazide hydrochloride tablets in the treatment of the patients with Parkinson's disease can improve the total effective rate,the cognitive function scores and the serological indicator levels,and reduce the symptom scores.Moreover,it is superior to single Levodopa and Benserazide hydrochloride tablets treatment.

Parkinson's diseasePramipexoleLevodopa and Benserazide hydrochloride tabletsCognitive functionSymptomSerologyAdverse reaction

刘素梅、马娜、牛智领、张盼盼、朱明振、刘远洪

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濮阳市人民医院神经内三科,河南 濮阳 457000

帕金森病 普拉克索 多巴丝肼片 认知功能 症状 血清学 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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