养血清脑丸治疗早期帕金森病临床研究
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R742.5

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湖州市科学技术局公益性技术应用研究项目(218GYB48)


Clinical Study on Yangxue Qingnao Pills for Early Parkinson Disease
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    摘要:

    目的:观察养血清脑丸治疗早期帕金森病患者的临床疗效及其对认知功能的影响。方法:选择帕 金森病患者76 例,按随机分配方式将患者分为2 组各38 例。对照组给予左旋多巴治疗,观察组在对照组治疗 方案的基础上加用养血清脑丸治疗,2 组均连续治疗12 周。比较2 组治疗前后认知功能的变化;测试并记录 2 组治疗前后额叶执行功能;观察2 组治疗前后日常生活能力;对比2 组治疗期间发生的不良反应以及临床疗 效。结果:治疗后,2 组简易精神状态检查(MMSE) 评分、蒙特利尔认知评估(MoCA) 评分、Barthel 指 数(BI) 评分均较治疗前升高,且观察组MMSE 评分、MoCA 评分、BI 评分较对照组升高,差异均有统计学意 义(P<0.05)。2 组词语流畅性测验较治疗前升高,连线测验较治疗前缩短,且观察组词语流畅性测验较对照 组升高,连线测验较对照组缩短,差异均有统计学意义(P<0.05)。2 组不良反应症状,以及总不良反应发生 率比较,差异均无统计学意义(P>0.05)。临床疗效总有效率观察组94.74%,对照组76.32%,2 组临床疗效 比较,差异有统计学意义(P<0.05)。结论:早期帕金森病患者采用养血清脑丸联合治疗可有效缓解认知功能 下降,提高患者日常生活能力,具有良好的安全性。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Yangxue Qingnao Pills for early Parkinson Disease and its effect on cognitive function. Methods: A total of 76 cases of patients with Parkinson Disease were divided into the two groups according to the randomized principle, with 38 cases in each group. The control group was treated with levodopa, and the observation group was additionally treated with Yangxue Qingnao Pills based on the treatment of the control group. Both groups were treated for 12 weeks. Before and after treatment,the changes in cognitive function were compared between the two groups,the frontal executive function were tested and recorded in the two groups;the activities of daily living were observed in the two groups. During treatment,the adverse reactions and clinical effects were compared in the two groups. Results: After treatment, the scores of MMSE, MoCA and BI in the two groups were increased when compared with those before treatment, and the scores of MMSE, MoCA and BI in the observation group were increased when compared with those in the control group, differences being significant (P<0.05). The results of Verbal Fluency Test in the two groups were increased when compared with those before treatment,and the results of Trail Making Test were shortened when compared with those before treatment; the result of Verbal Fluency Test in the observation group was increased when compared with that in the control group,and the result of Trail Making Test was shortened when compared with that in the control group, differences being significant (P<0.05). There was no significant difference being found in the comparison of the symptoms of adverse reactions and the total incidence of adverse reactions (P>0.05). The total clinical effective rate was 94.74% in the observation group and 76.32% in the control group, the difference being significant (P<0.05). Conclusion: The combination treatment of Yangxue Qingnao Pills for patients with early Parkinson Disease can effectively alleviate the decline of cognitive function, improve the abilities of daily living of patients, and have good safety.

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俞惠君.养血清脑丸治疗早期帕金森病临床研究[J].新中医,2023,55(8):53-57

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  • 在线发布日期: 2023-04-25
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