益气养阴通络方联合康复训练治疗气阴两虚型帕金森病临床研究
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R742.5

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Clinical Study on Yiqi Yangyin Tongluo Prescription Combined with Rehabilitation Train⁃ ing for Parkinson's Disease of Deficiency of Both Qi and Yin Type
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    摘要:

    目的:观察自拟益气养阴通络方联合康复训练治疗气阴两虚型帕金森病(PD) 的临床疗效。方 法:将120 例PD 患者纳入研究,按随机奇偶数法分为对照组和治疗组各60 例。对照组给予多巴丝肼片治 疗,治疗组采用益气养阴通络方联合康复训练治疗。治疗3 个月后评定2 组临床疗效、颤证功能障碍积分、自 主神经症状自评量表(SCOPA-AUT) 评分、PD 运动功能量表(MDRSPD) 评分及血清神经营养因子[脑源性 神经营养因子(BDNF)、胰岛素样生长因子1(IGF-1)、人神经营养因子3(NT-3)] 水平。结果:治疗组总 有效率为93.33%,高于对照组80.00%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组颤证功能障碍 积分比较,差异无统计学意义(P>0.05);治疗后,2 组颤证功能障碍积分均较治疗前降低(P<0.05),且治 疗组颤证功能障碍积分低于对照组(P<0.05)。治疗前,2 组SCOPA-AUT、MDRSPD 评分比较,差异无统计 学意义(P>0.05);治疗后,2 组上述2 项评分较治疗前明显降低(P<0.05),且治疗组2 项评分均低于对照 组(P<0.05)。治疗前,2 组血清BDNF、IGF-1、NT-3 水平比较,差异无统计学意义(P>0.05);治疗后, 2 组上述3 项指标均较治疗前升高(P<0.05),且治疗组3 项指标均明显高于对照组(P<0.05)。结论:益气 养阴通络方联合康复训练治疗PD 疗效确切,可减轻临床症状,改善患者自主神经症状与运动功能,并可调节 神经营养因子水平,从而延缓病情进展。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Yiqi Yangyin Tongluo Prescription combined with rehabilitation training for Parkinson disease (PD) of deficiency of both qi and yin type. Methods : A total of 120 cases of PD patients were enrolled into the study and divided into the control group and the treatment group according to odd-even number method,with 60 cases in each group. The control group was treated with Dobutazine Tablets,and the treatment group was treated with Yiqi Yangyin Tongluo Prescription combined with rehabilitation training. After 3- month treatment,clinical effects,the dysfunction scores of tremor syndrome, score of the Scales for Outcomes in Parkinson's Disease- Autonomic (SCOPA- AUT) and Motor Dysfunction Rating Scale for Parkinson's Disease (MDRSPD), and levels of serum neurotrophic factors [brain-derived neurotrophic factor (BDNF),insulin-like growth factor 1 (IGF-1),and human neurotrophic factor 3 (NT-3)] were evaluated in the two groups. Results:The total effective rate was 93.33% in the treatment group, higher than that of 80.00% in the control group, the difference being significant (P<0.05). Before treatment,there was no significant difference being found in the comparison of dysfunction scores of tremor syndrome between the two groups (P>0.05). After treatment,dysfunction scores of tremor syndrome in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the treatment group was lower than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of SCOPA- AUT and MDRSPD between the two groups (P>0.05). After treatment,the scores of SCOPA- AUT and MDRSPD in the two groups were significantly decreased when compared with those before treatment (P<0.05),and the two scores in the treatment 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 the levels of BDNF, IGF- 1, and NT- 3 in serum between the two groups (P>0.05). After treatment, the levels of BDNF,IGF- 1,and NT- 3 in the two groups were increased when compared with those before treatment (P<0.05),and the 3 indexes in the treatment group were significantly higher than those in the control group (P<0.05). Conclusion:Yiqi Yangyin Tongluo Prescription combined with rehabilitation training has a definite curative effect in treating PD and can relieve clinical symptoms, improve the autonomic nervous symptoms and motor function of patients, and regulate the levels of neurotrophic factors, thus delaying the progress of the disease.

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刘金玉,刘春花,吴思敏,郭照福.益气养阴通络方联合康复训练治疗气阴两虚型帕金森病临床研究[J].新中医,2023,55(10):27-31

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  • 在线发布日期: 2023-05-25
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