丁苯酞治疗帕金森病合并抑郁症的临床效果分析

Clinical effect of butylphthalide in the treatment of Parkinsons disease with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

陕西省西安市周至县人民医院神经内科 ;

摘要
目的:探讨罹患帕金森且有抑郁症合并发生的患者应用丁苯酞给药方案治疗效果及预后恢复情况。方法:选取罹患帕金森病且有抑郁症合并发生的患者60例,均为我院2017年2月至2019年2月收治,采用随机数字表抽取法分组,就采取常规方案治疗(对照组,n=30)与采取加用丁苯酞给药方案治疗(观察组,n=30)总有效率、帕金森病症状恢复情况、抑郁症状恢复情况、血液学指标水平展开对比。结果:观察组帕金森并抑郁症患者总有效率经评定为96.67%,对照组经评定为76.67%,差异具有统计学意义(P<0.05)。两组开展治疗前,帕金森病评定量表(UPDRS)评分经测定无差异(P>0.05),治疗后各组测定值均有降低,且观察组降低程度较对照组更为显著,差异具有统计学意义(P<0.05)。两组开展治疗前,抑郁自评量表(HAMD)评分经测定无差异(P>0.05),治疗后,各组测定值均有降低,且观察组降低程度较对照组更为显著,差异具有统计学意义(P<0.05)。两组开展治疗前,血液学指标重组人帕金森蛋白7(PARK7)、神经营养因子3(NT-3)、C反应蛋白(CRP)经测定无差异(P>005),治疗后,PAPK7、CRP均有降低,NT-3均有升高,且观察组降低和升高程度较对照组更为显著,差异具有统计学意义(P<0.05)。结论:罹患帕金森且有抑郁症合并发生的患者应用丁苯酞给药方案治疗,可增强临床效果,改善帕金森及抑郁症状,保护神经细胞、对神经功能恢复具促进作用。
Abstract
Objective: To investigate the efficacy and prognosis of butylphthalide regimen in patients with Parkinsons disease and depression. Methods: 60 patients with Parkinsons disease and depression were selected and treated in our hospital from February 2017 to February 2019. The patients were divided into two groups by random number table extraction method. The total effective rate of routine treatment (control group, n=30) and butylphthalide administration (observation group, n=30) were compared. The recovery of symptoms, depressive symptoms and hematological indicators were compared. Results: The total effective rate of Parkinsons and depression patients in the observation group was 96.67% and 76.67% in the control group, the difference was statistically significant (P < 0.05). Before treatment, there was no difference in UPDRS score between the two groups (P > 0.05). After treatment, the measured values of each group decreased, and the degree of reduction in the observation group was more significant than that in the control group, with statistical significance (P < 0.05). Before treatment, there was no difference in the self-rating depression scale (HAMD) score between the two groups (P > 0.05). After treatment, the measured values of each group decreased, and the degree of reduction in the observation group was more significant than that in the control group, with statistical significance (P < 0.05). Before treatment, there was no difference in the hematological indexes of recombinant human Parkinson protein 7 (PARK7), neurotrophic factor 3 (NT-3), and C-reactive protein (CRP) between the two groups (P > 005). After treatment, both PAPK7 and CRP decreased and NT-3 increased, and the degree of decrease and increase in the observation group was more significant than that in the control group, the difference was statistically significant. Significance (P < 0.05). CONCLUSION: Butylphthalide regimen can enhance the clinical effect, improve Parkinsons and depressive symptoms, protect nerve cells and promote the recovery of nerve function in patients with Parkinsons disease and depression.
关键词
帕金森病;抑郁症;丁苯酞;总有效率;症状;血液学指标
KeyWord
Parkinsons disease; Depression; Butylphthalide; Total effective rate; Symptoms; Hematological indicators
基金项目
页码 540-542
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侯新鸽*. 丁苯酞治疗帕金森病合并抑郁症的临床效果分析 [J]. 国际精神病学杂志. 2020; 47; (3). 540 - 542.

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