补肾活血方联合卡左双多巴缓释片对帕金森病患者血清脂联素、肿瘤坏死因子、白细胞介素-6水平及认知功能的影响
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R742.5

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河南省中医管理局项目(20-21ZY2205)


Effect of Bushen Huoxue Prescription Combined with Carbidopa and Levodopa Sustained-Release Tablets on Levels of Adiponectin,TNF-α and IL-6 in Serum and Cognitive Function of Patients with Parkinson Disease
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    摘要:

    目的:观察补肾活血方联合卡左双多巴缓释片对帕金森病(PD) 患者认知功能及其血清脂联素、肿瘤坏死因子-α (TNF-α)、白细胞介素-6 (IL-6) 水平的影响。方法:选取72 例PD 患者按随机数字表法分治疗1 组和治疗2 组各36 例,另选取50 例同期体检健康人群为对照组。治疗1 组采用卡左双多巴缓释片治疗,治疗2 组采用卡左双多巴缓释片联合补肾活血方治疗。比较2 组治疗前后血清脂联素、TNF-α 及IL-6 水平变化,并采用简易智力状态检查量表(MMSE) 评估患者认知功能。结果:治疗前,治疗1 组与治疗2 组脂联素水平均较对照组低,2 组TNF-α、IL-6 水平均较对照组高,差异均有统计学意义(P<0.05);治疗1 组与治疗2 组脂联素、TNF-α、IL-6 水平比较,差异均无统计学意义(P>0.05)。治疗后,治疗1 组、治疗2 组脂联素水平均较治疗前升高,2 组TNF-α、IL-6 水平均较治疗前降低,差异有统计学意义(P<0.05);治疗2 组脂联素水平高于治疗1 组,TNF-α、IL-6 水平低于治疗1 组,差异均有统计学意义(P<0.05)。治疗前,治疗1 组与治疗2 组MMSE 量表中即时记忆力、语言能力、定向力、注意力和计算力、延迟回忆力评分及总分比较,差异无统计学意义(P>0.05);治疗后,2 组MMSE 量表各项评分及总分均较治疗前升高(P<0.05),且治疗2 组各项评分及总分升高较治疗1 组更显著(P<0.05)。结论:补肾活血方联合卡左双多巴缓释片能够明显提高PD 患者血清脂联素水平,降低炎症反应,提高患者认知功能,疗效优于单用卡左双多巴缓释片治疗。

    Abstract:

    Abstract: Objective: To observe the effect of Bushen Huoxue prescription combined with carbidopa and levodopa sustained- release tablets on levels of adiponectin, tumor necrosis factor- α(TNF- α) and Interleukin(IL- 6) in serum and cognitive function of patients with Parkinson disease(PD). Methods: A total of 72 cases of PD patients were selected and divided into the treatment group 1 and the treatment group 2 according to the random number table method,with 36 cases in each group; 50 people who had physical examinations in the same period and received healthy results were selected and included in the control group. The treatment group 1 was treated with carbidopa and levodopa sustained-release tablets,and the treatment group 2 was treated with carbidopa and levodopa sustained- release tablets and Bushen Huoxue prescription. Changes in levels of adiponectin,TNF- α and IL- 6 in serum in the two groups before and after treatment were compared. The cognitive function was evaluated by Mini- Mental State Examination(MMSE). Results: Before treatment, levels of adiponectin in the treatment group 1 and the treatment group 2 were decreased when compared with those in the control group, and levels of TNF- α and IL- 6 were increased, differences being significant(P<0.05); there was no significant difference being found in the comparison of levels of adiponectin,TNF-α and IL-6 between the treatment group 1 and the treatment group 2(P>0.05). After treatment,levels of adiponectin in the treatment group 1 and the treatment group 2 were increased when compared with those before treatment,and levels of TNF-α and IL-6 were decreased,the difference being significant(P<0.05);level of adiponectin in the treatment group 2 was higher than that in the treatment group 1,and levels of TNF- α and IL- 6 were lower than those in the treatment group 1, differences being significant(P<0.05). Before treatment,when compared scores of immediate memory,language,orientation,attention and calculation,and delayed recall as well as the total scores in MMSE scale between the treatment group 1 and the treatment group 2,there was no significance being found in the difference(P>0.05). After treatment,each score and the total score in MMSE scale in the two groups were increased when compared with those before treatment(P<0.05),and the increase of each score and the total score in the treatment group 2 was more significant than that in the treatment group 1(P<0.05). Conclusion:Bushen Huoxue prescription combined with carbidopa and levodopa sustained- release tablets can effectively enhance serum adiponectin of PD patients,reduce inflammation level and improve cognitive function. It has better curative effect than the simple application of carbidopa and levodopa sustained-release tablets.

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赵军伟,郭燕可.补肾活血方联合卡左双多巴缓释片对帕金森病患者血清脂联素、肿瘤坏死因子、白细胞介素-6水平及认知功能的影响[J].新中医,2022,54(8):72-76

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  • 在线发布日期: 2022-04-24
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