补肾健脾通络法治疗帕金森的临床疗效及对炎症因子的作用
作者: |
1徐鸽,
1钱菊芬,
1黄玲玲,
1王亚东,
1张蓉
1 南京中医药大学附属张家港医院神经内科,江苏 张家港 215600 |
通讯: |
张蓉
Email: 493327286@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2021.10.019 |
摘要
目的:分析补肾健脾通络法治疗帕金森病(Parkinson’s disease,PD)的临床疗效及对炎症因子的影响。方法:选取2018年1月至2020年12月南京中医药大学附属张家港医院收治的80例PD患者,以双盲随机抽样法分为参照组与实验组(每组40例),参照组采纳临床常规治疗,实验组在参照组基础上采纳补肾健脾通络法治疗,对比两组临床疗效、统一帕金森评定量表(Unified Parkinson Rating Scale,UPDRS)评分、匹兹堡睡眠质量(Pittsburgh Sleep Quality Index,PSQI)评分、非运动症状问卷量表(PDNMS30 Questionnaire Scale,NMSQuest)评分、血清炎性因子水平。结果:实验组临床总有效率(95.00%)明显比参照组(62.50%)高;实验组治疗4周后,UPDRS评分、PSQI评分、NMSQuest评分、血清IL-1β、IL-6、TNF-α、IFN-γ水平均明显比参照组低,差异均有统计学意义(P<0.05)。参照组和实验组不良反应发生率为17.07%和14.63%,组间比较差异无统计学意义(P>0.05)。结论:补肾健脾通络法可有效改善PD患者病情,抑制炎症介质释放,临床疗效显著,值得借鉴。
关键词:
补肾健脾通络法;帕金森病;临床疗效;睡眠质量;炎症因子
Clinical effect of Bushen Jianpi Tongluo method on Parkinson’s disease and its effect on inflammatory factors
CorrespondingAuthor: ZHANG Rong Email: 493327286@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.10.019
Abstract
Objective: To analyze the clinical effect of the method of Bushen Jianpi Tongluo (invigorating the kidney, strengthening the spleen and clearing the collaterals) in the treatment of Parkinson’s disease (PD) and its effect on inflammatory factors. Methods: Eighty patients with PD admitted to our hospital from January 2018 to December 2020 were selected, and double blind random sampling method was used to divide them into a reference group and an experimental group (40 cases in each group). The reference group adopted routine clinical treatment, and the experimental group adopted the method of Bushen Jianpi Tongluo on the basis of the reference group. The clinical efficacy, Unified Parkinson Rating Scale (UPDRS) score, Pittsburgh Sleep Quality Index (PSQI) score, PDNMS30 Questionnaire Scale (NMSQuest) score, and serum inflammatory factors were compared between the two groups. Results: The total clinical effective rate of the experimental group (95.00%) was significantly higher than that of the reference group (62.50%). The UPDRS score, PSQI score, NMSQuest score, serum IL-1β, IL-6, TNF-α, and IFN-γ factors in the experimental group were significantly lower than those in the reference group after 4 weeks of treatment (P<0.05). The incidence of adverse reactions between the reference group and the experimental group was 17.07% and 14.63%, and there was no statistically significant difference between the groups (P>0.05). Conclusion: The method of invigorating the kidney, strengthening the spleen and dredging collaterals can effectively improve the condition of PD patients and inhibit the release of inflammatory mediators. The clinical effect is significant and it is worth learning.
Keywords:
Bushen Jianpi Tongluo method; Parkinson’s disease; clinical efficacy; sleep quality; inflammatory factors