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中医改善帕金森病患者的日常生活活动能力。

Traditional chinese medicine improves activities of daily living in Parkinson's disease.

机构信息

Department of Neurology, Shuguang Hospital, Shanghai University of TCM, 185, Pu-An Road, Shanghai 200021, China.

出版信息

Parkinsons Dis. 2011;2011:789506. doi: 10.4061/2011/789506. Epub 2011 May 17.

Abstract

We evaluated the effects of a traditional Chinese medicine (TCM), named Zeng-xiao An-shen Zhi-chan 2 (ZAZ2), on patients with Parkinson's disease (PD). Among 115 patients with idiopathic PD enrolled (mean age, 64.7 ± 10.2 years old), 110 patients (M = 65, F = 45; mean age, 64.9 ± 10.7 years old) completed the study. Patients took either ZAZ2 (n = 59) or placebo granule (n = 56) in a blind manner for 13 weeks while maintaining other anti-Parkinson medications unchanged. All participants wore a motion logger, and we analyzed the power-law temporal autocorrelation of the motion logger records taken on 3 occasions (before, one week, and 13 weeks after the drug administration). Drug efficacy was evaluated with the conventional Unified Parkinson Disease Rating Scale (UPDRS), as well as the power-law exponent α, which corresponds to the level of physical activity of the patients. ZAZ2 but not placebo granule improved the awake-sleep rhythm, the UPDRS Part II, Part II + III, and Part IV scores, and the α values. The results indicate that ZAZ2 improved activities of daily living (ADL) of parkinsonism and, thus, is a potentially suitable drug for long-term use.

摘要

我们评估了一种名为增消安神止颤 2 号(ZAZ2)的中药对帕金森病(PD)患者的影响。在纳入的 115 例特发性 PD 患者中(平均年龄 64.7 ± 10.2 岁),有 110 例患者(M = 65,F = 45;平均年龄 64.9 ± 10.7 岁)完成了研究。患者以盲法服用 ZAZ2(n = 59)或安慰剂颗粒(n = 56),同时保持其他抗帕金森药物不变,持续 13 周。所有参与者都佩戴了运动记录器,我们分析了 3 次(给药前、1 周和 13 周后)记录的运动记录器的幂律时间自相关。使用传统的统一帕金森病评定量表(UPDRS)以及对应于患者身体活动水平的幂律指数α来评估药物疗效。ZAZ2 而非安慰剂颗粒改善了觉醒-睡眠节律、UPDRS 第二部分、第二部分+第三部分和第四部分评分以及α值。结果表明,ZAZ2 改善了帕金森病的日常生活活动(ADL),因此是一种适合长期使用的潜在药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afef/3109418/eeb3f2e6a80e/PD2011-789506.001.jpg

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