首页|镇肝熄风汤联合多巴丝肼片治疗肝肾不足型帕金森病患者的效果

镇肝熄风汤联合多巴丝肼片治疗肝肾不足型帕金森病患者的效果

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目的:观察镇肝熄风汤联合多巴丝肼片治疗肝肾不足型帕金森病患者的效果.方法:回顾性分析 2021 年 11 月至 2023 年11 月该院收治的 65 例帕金森病患者的临床资料,根据治疗方法不同将其分为对照组(n=32)和观察组(n=33).对照组给予多巴丝肼片治疗,观察组在对照组基础上联合镇肝熄风汤治疗.比较两组临床疗效、治疗前后生命质量[帕金森病统一评分量表(UPDRS)]评分、神经细胞因子[脑源性神经营养因子(BDNF)、中枢神经特异蛋白(S100β)、神经营养因子-3(NT-3)]水平和不良反应发生率.结果:观察组治疗总有效率为 87.88%(29/33),高于对照组的 65.62%(21/32),差异有统计学意义(P<0.05);治疗后,两组日常生活能力、精神与情感障碍、运动体征等各项UPDRS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组BDNF、NT-3 水平均高于治疗前,且观察组高于对照组,两组S100β水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组治疗期间均未发生明显不良反应.结论:镇肝熄风汤联合多巴丝肼片治疗肝肾不足型帕金森病患者,可提高临床疗效,改善患者生命质量和神经功能,效果优于单纯多巴丝肼片治疗.
Effects of Zhengan Xifeng decoction combined with Levodopa and Benserazide hydrochloride tablets in treatment of patients with Parkinson's disease of liver and kidney deficiency type
Objective:To observe effects of Zhengan Xifeng decoction combined with Levodopa and Benserazide hydrochloride tablets in treatment of patients with Parkinson's disease of liver and kidney deficiency type.Methods:The clinical data of 65 patients with Parkinson's disease admitted from November 2021 to November 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=32)and observation group(n=33).The control group was treated with Levodopa and Benserazide hydrochloride tablets,while the observation group was treated with Zhengan Xifeng decoction on the basis of that of the control group.The clinical efficacy,the quality of life[unified Parkinson's disease rating scale(UPDRS)]score before and after the treatment,the cytokine indicators[brain-derived neurotrophic factor(BDNF),central nervous system specific protein(S100β),neurotrophic factor-3(NT-3)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 87.88%(29/33),which was higher than 65.62%(21/32)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the UPDRS scores of daily living ability,mental and emotional disorders,and motor signs in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of BDNF and NT-3 in the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the levels of S100β in the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).No obvious adverse reactions occurred in the two groups during the treatment.Conclusions:Zhengan Xifeng decoction combined with Levodopa and Benserazide Hydrazine tablets in the treatment of Parkinson's disease of liver and kidney deficiency type can improve the clinical efficacy,improve the quality of life and the neurological function.Moreover,it is superior to simple Levodopa and Benserazide hydrochloride tablets treatment.

Zhengan Xifeng decoctionLevodopa and Benserazide hydrochloride tabletsParkinson's diseaseLiver and kidney deficiencyCytokineAdverse reaction

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柘城中医院脑病科,河南 柘城 476200

镇肝熄风汤 多巴丝肼片 帕金森病 肝肾不足 细胞因子 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(13)