Department of Encephalopathy 2, Cangzhou Hospital of Integrated TCM-WM of Hebei, Cangzhou, 061000, Hebei, China.
Department of Encephalopathy 2, Cangzhou Hospital of Integrated TCM-WM of Hebei, Cangzhou, 061000, Hebei, China.
Parkinsonism Relat Disord. 2024 Jun;123:106560. doi: 10.1016/j.parkreldis.2024.106560. Epub 2024 Mar 18.
This study aimed to verify whether the combined use of Da Dingfengzhu and Western medicine in treating Parkinson's disease (PD) can lead to therapeutic efficacy and symptom alleviation, thereby achieving a complementary and synergistic effect.
In this study, 158 patients were initially enrolled, with 116 eligible patients randomly divided into a control and an observation group. The control group received levodopa/benserazide and pramipexole, while the observation group received Da Dingfengzhu combined with levodopa/benserazide and pramipexole for 12 weeks. Baseline patient characteristics, adverse reactions, and blood samples were collected at baseline and 12 weeks post-treatment. The Unified Parkinson's Disease Rating Scale (UPDRS) was used to assess symptom severity at baseline, four weeks into treatment, and 12 weeks post-treatment.
Adverse reactions during treatment were similar in both groups, suggesting that the combined therapy in the observation group did not increase adverse effects. Both groups showed improvements in UPDRS scores, with the observation group displaying more significant symptom alleviation at 4 and 12 weeks. Moreover, the observation group exhibited more pronounced increases in serum neurotrophic factor-3 and dopamine levels and greater reductions in oxidative stress and inflammatory response markers.
In conclusion, the combination of Da Dingfengzhu with levodopa/benserazide and pramipexole for treating PD shows significant clinical potential and is worthy of broader application.
本研究旨在验证大定风珠联合西药治疗帕金森病(PD)能否增效减毒,达到协同互补作用。
本研究共纳入 158 例患者,其中 116 例合格患者被随机分为对照组和观察组。对照组给予左旋多巴/苄丝肼和普拉克索治疗,观察组给予大定风珠联合左旋多巴/苄丝肼和普拉克索治疗,疗程 12 周。于基线和治疗 12 周时采集患者的基本情况、不良反应和血样,采用帕金森病统一评分量表(UPDRS)评估患者的症状严重程度。
两组治疗过程中的不良反应相似,表明观察组联合治疗并未增加不良反应。两组患者的 UPDRS 评分均有所改善,观察组在治疗 4 周和 12 周时的症状缓解更为显著。此外,观察组的血清神经营养因子-3 和多巴胺水平升高更为明显,氧化应激和炎症反应标志物降低更为显著。
综上所述,大定风珠联合左旋多巴/苄丝肼和普拉克索治疗 PD 具有显著的临床潜力,值得更广泛的应用。