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帕金森病的治疗:临床试验的系统评价

Treatment for Parkinson Disease: A Systematic Review of Clinical Trials.

作者信息

Hammoud Fatima, Ismail Ali, Zaher Reem, El Majzoub Rania, Abou-Abbas Linda

机构信息

Faculty of Medical Sciences, Neuroscience Research Center, Lebanese University, Beirut, Lebanon.

Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

出版信息

Parkinsons Dis. 2025 Aug 18;2025:1319419. doi: 10.1155/padi/1319419. eCollection 2025.

DOI:10.1155/padi/1319419
PMID:40860042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12377966/
Abstract

Research into alternative treatments for Parkinson's disease (PD) is gaining increasing attention. (), a plant traditionally used in Ayurvedic medicine, contains a significant amount of L-dopa (4%-6%), the primary active component of conventional levodopa (LD) therapy-the gold standard treatment for PD. is also recognized for its anti-inflammatory, antioxidant, antiapoptotic, and antiparkinsonian properties, which collectively suggest therapeutic benefits for individuals with PD. This systematic review aims to investigate the efficacy and safety of in managing symptoms of PD. A comprehensive search was conducted in PubMed, Embase, and Web of Science for clinical trials published up to February 2024. Studies comparing to LD were included. Quality assessment was performed, and findings were synthesized narratively. Out of 466 articles identified, 5 clinical trials involving a total of 108 participants (mean age: 60 years) were included. Quality assessment rated one study as high quality, one as having some concerns, and three as low quality. Despite heterogeneity in interventions, the findings consistently showed improvements in PD symptoms and therapy-related complications. Treatment with was associated with a shorter time to reach the "on" disease stage, prolonged duration of this stage, and fewer adverse events, with no dyskinesia reported. shows promise in improving motor symptoms and reducing therapy complications in PD patients. However, current clinical evidence is limited, and further high-quality trials are needed to confirm its efficacy and safety.

摘要

对帕金森病(PD)替代疗法的研究正日益受到关注。(此处原文缺失具体植物名称),一种传统上用于阿育吠陀医学的植物,含有大量左旋多巴(4%-6%),这是传统左旋多巴(LD)疗法的主要活性成分——PD的金标准治疗方法。(该植物)还因其抗炎、抗氧化、抗凋亡和抗帕金森病特性而受到认可,这些特性共同表明对PD患者具有治疗益处。本系统评价旨在研究(该植物)在管理PD症状方面的疗效和安全性。在PubMed、Embase和Web of Science中进行了全面检索,以查找截至2024年2月发表的临床试验。纳入了比较(该植物)与LD的研究。进行了质量评估,并对研究结果进行了叙述性综合分析。在识别出的466篇文章中,纳入了5项临床试验,共涉及108名参与者(平均年龄:60岁)。质量评估将一项研究评为高质量,一项研究存在一些问题,三项研究评为低质量。尽管(该植物)干预措施存在异质性,但研究结果一致显示PD症状和治疗相关并发症有所改善。使用(该植物)治疗与达到“开”期疾病阶段的时间缩短、该阶段持续时间延长以及不良事件减少相关,且未报告有运动障碍。(该植物)在改善PD患者运动症状和减少治疗并发症方面显示出前景。然而,目前的临床证据有限,需要进一步的高质量试验来证实其疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/36464a2a1a96/PD2025-1319419.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/b2febf8f8e4c/PD2025-1319419.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/2aaa8ec4b6bb/PD2025-1319419.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/f52310e3eba1/PD2025-1319419.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/36464a2a1a96/PD2025-1319419.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/b2febf8f8e4c/PD2025-1319419.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/2aaa8ec4b6bb/PD2025-1319419.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/f52310e3eba1/PD2025-1319419.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d3/12377966/36464a2a1a96/PD2025-1319419.004.jpg

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本文引用的文献

1
Optimization of Parkinson's disease therapy with plant extracts and nutrition's evolving roles.植物提取物对帕金森病治疗的优化及营养作用的不断演变
IBRO Neurosci Rep. 2024 May 24;17:1-12. doi: 10.1016/j.ibneur.2024.05.011. eCollection 2024 Dec.
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Implication of regional selectivity of dopamine deficits in impaired suppressing of involuntary movements in Parkinson's disease.帕金森病患者无意识运动抑制受损与多巴胺缺失的区域选择性有关。
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Interplay between α-synuclein and parkin genes: Insights of Parkinson's disease.
α-突触核蛋白与 parkin 基因的相互作用:帕金森病的研究进展。
Mol Biol Rep. 2024 Apr 29;51(1):586. doi: 10.1007/s11033-024-09520-7.
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Japanese Mucuna pruriens (Hasshou Beans) Showed Fast-acting and Long-lasting Effects in Parkinson's Disease.日本黎豆(含羞草)在帕金森病中显示出快速起效和持久的效果。
Intern Med. 2024 Oct 15;63(20):2773-2779. doi: 10.2169/internalmedicine.3171-23. Epub 2024 Mar 11.
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Investigation of Inflammation in Lewy Body Dementia: A Systematic Scoping Review.路易体痴呆症炎症的研究:系统范围综述。
Int J Mol Sci. 2023 Jul 28;24(15):12116. doi: 10.3390/ijms241512116.
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Risk-of-bias assessment using Cochrane's revised tool for randomized trials (RoB 2) was useful but challenging and resource-intensive: observations from a systematic review.使用 Cochrane 修订版随机试验偏倚风险评估工具(RoB 2)进行风险评估是有用的,但具有挑战性且资源密集型:来自系统评价的观察结果。
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