益气养血方加减治疗帕金森病气血亏虚证临床研究
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R277.7;R742.5

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Clinical Study on Modified Yiqi Yangxue Prescription for Parkinson Disease with Defi⁃ ciency of Qi and Blood Syndrome
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    摘要:

    目的:观察益气养血方加减治疗帕金森病(PD) 气血亏虚证患者的临床疗效。方法:将123 例气 血亏虚证PD 患者按随机数字表法分为观察组61 例与对照组62 例。观察组采用益气养血方加减治疗,对照组 采用常规西医治疗。比较2 组临床疗效及治疗期间不良反应发生情况,比较2 组治疗前后中医证候积分及帕金 森评定量表第三部分(UPDRSⅢ)、自主神经症状问卷量表(SCOPA-AUT)、汉密顿抑郁量表(HAMD)、匹兹 堡睡眠质量指数(PSQI) 量表评分,并比较2 组治疗前及治疗第2、4 周便秘严重程度评分(CCS)。结果:观 察组治疗总有效率93.44%,高于对照组79.03%(P<0.05)。治疗前,2 组肢体颤振、表情呆滞、智力减退、 少言懒语等中医证候积分比较,差异无统计学意义(P>0.05);治疗后,2 组上述中医证候积分均降低(P< 0.05),且观察组低于对照组(P<0.05)。治疗前,2 组UPDRSⅢ、SCOPA-AUT、HAMD、PSQI 评分比较,差 异无统计学意义(P>0.05);治疗后,2 组UPDRSⅢ、SCOPA-AUT、HAMD、PSQI 评分均降低(P<0.05), 且观察组低于对照组(P<0.05)。治疗前,2 组CCS 评分比较,差异无统计学意义(P>0.05);治疗后第2、 4 周,2 组CCS 评分均逐渐下降(P<0.05),且观察组同期CCS 评分低于对照组(P<0.05)。观察组不良反应 总发生率11.48%,低于对照组25.81%(P<0.05)。结论:益气养血方加减治疗PD 气血亏虚证,可显著改善 患者的神经功能、胃肠道功能和心理状态,提高其睡眠质量,降低不良反应发生率,有效改善预后。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Yiqi Yangxue Prescription for Parkinson disease (PD) with deficiency of qi and blood syndrome. Methods:A total of 123 cases of PD patients with deficiency of qi and blood syndrome were divided into the observation group and the control group according to the random number table method, with 61 and 62 cases in each group respectively. The observation group was treated with modified Yiqi Yangxue Prescription,and the control group was treated with routine western medicine. The clinical effects and the incidence of adverse reactions during treatment were compared between the two groups. Before and after treatment, traditional Chinese medicine syndrome scores and scores of Part Ⅲ in Unified Parkinson Disease Rating Scale (UPDRSⅢ) ,Scale for Outcomes in Parkinson disease for Autonomic Symptoms (SCOPA- AUT), Hamilton Depression Scale (HAMD) and Pittsburgh Sleep Quality Index (PSQI) were compared between the two groups. Before treatment and at the 2nd and 4th week after treatment,the Cleveland Constipation Score (CCS) was compared between the two groups. Results:The total effective rate of treatment was 93.44% in the observation group,higher than that of 79.03% in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of traditional Chinese medicine (TCM) syndrome scores of body flutter, dull expression, intelligent degeneration, and laziness to talk between the two groups (P>0.05). After treatment,the above TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the observation group were lower than those in the control group (P<0.05). Before treatment, there was no significant difference being found in the comparison of scores of UPDRSⅢ,SCOPA-AUT,HAMD and PSQI between the two groups (P>0.05). After treatment, the scores of UPDRS Ⅲ, SCOPA- AUT, HAMD and PSQI in the two groups were decreased (P<0.05), and the scores in the observation group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of CCS scores between the two groups (P>0.05). At the second and fourth week after treatment,the CCS scores in the two groups were gradually decreased (P<0.05),and the CCS score in the observation group was lower than that in the control group at the same time period (P<0.05). The total incidence of adverse reactions was 11.48% in the observation group, lower than that of 25.81% in the control group (P<0.05). Conclusion: Modified Yiqi Yangxue Prescription for PD with deficiency of qi and blood syndrome can significantly improve the neurological function, gastrointestinal function, psychological status, and sleep quality, reduce the incidence of adverse reactions,and effectively improve the prognosis.

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王亚宽,张理,张民旺,崔应麟.益气养血方加减治疗帕金森病气血亏虚证临床研究[J].新中医,2023,55(5):99-103

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  • 在线发布日期: 2023-03-15
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