Analysis and policy recommendations of current status of traditional Chinese medicine treatment on Parkinson′s disease
YANG Yuan1 MIAO Suhua2 ZHOU Rongsong2 MA Yu2 ZHANG Yuqi1，2
1.School of Medicine Tsinghua University, Beijing 100084, China;
2.Department of Neurosurgery, Yuquan Hospital, Tsinghua University Beijing 100040, China
Abstract：Objective To comprehend the needs, cognitive status and practical application status of traditional Chinese medicine treatment from patients with Parkinson′s disease (PD) and to explore the influencing factors of service needs and utilization in traditional Chinese medicine. Methods The self-made questionnaire survey as the method was adopted to analyze PD patients in 30 provinces and regions in China in August 2018. The questions include but not limited to individual information, basic health conditions, experiences in traditional Chinese medicine treatment services in the past, and the will to consider the traditional Chinese medicine treatment services in the future. Results A total of 435 questionnaires were distributed and 417 questionnaires were recovered. The effective recovery rate was 95.86%.73.14% of the respondents were willing to use traditional Chinese medicine treatment services, and 52.76% of the respondents who have received traditional Chinese medicine treatment believed that the symptoms like sleep disorders, constipation, and muscle stiffness are relieved. However, 39.09% of the respondents thought that traditional Chinese medicine treatment did not improve their symptoms. The unsatisfactory efficacy of traditional Chinese medicine treatment was the main reason of influencing utilization of the traditional Chinese medicine treatment. Traditional Chinese medicine decoction was the most widely used method in traditional Chinese medicine. Conclusion PD patients had great enthusiasm and cognition to traditional Chinese medicine treatment services, but the number of people who used traditional Chinese medicine treatment is not consistent with the numbers of people who are willing to practice traditional Chinese medicine. Patients′ actual satisfaction rate of treatment needs is not satisfactory, while the choices of traditional Chinese medicine treatment items are not balanced.
杨媛1 苗素华2 周荣凇2 马羽2 张玉琪1，2. 帕金森病中医治疗现状分析及政策建议[J]. 中国医药导报, 2019, 16(35): 44-47.
YANG Yuan1 MIAO Suhua2 ZHOU Rongsong2 MA Yu2 ZHANG Yuqi1，2. Analysis and policy recommendations of current status of traditional Chinese medicine treatment on Parkinson′s disease. 中国医药导报, 2019, 16(35): 44-47.
[1] Zhang ZX，Roman GC，Hong Z，et al. Parkinson′s disease in China：Prevalence in Beijing，Xi′an，and Shanghai [J]. Lancet，2005，365（9459）：595-597.
[2] Dorsey ER，Constantinescu R，Thompson JP，et al. Projected number of people with Parkinson disease in the most populous nations，2005 through 2030 [J]. Neurology，2007， 68（5）：384-386.
[3] Zeng BY，Salvage S，Jenner P. Current development of acupuncture research in Parkinson′s disease [J]. Int Rev Neurobiol，2013，111：141-158.
[4] Cristian A，Katz M，Cutrone E，et al. Evaluation of acupuncture in the treatment of Parkinson′s disease：A double-blind pilot study [J]. Mov Disord，2005，20：1185-1188.
[5] Chae Y，Lee H，Kim H，et al. Parsing brain activity associated with acupuncture treatment in Parkinson′s disease [J]. Mov Disord，2009，24（12）：1794-1802.
[6] Lei H，Toosizadeh N，Schwenk M，et al. Objective assessment of electro-acupuncture benefit for improving balance and gait in patients with Parkinson′s disease（P3.074）[J]. Neurology，2014，82.
[7] 李鑫，冯涛.帕金森病非运动症状治疗国际指南解读和比较[J].中国实用内科杂志，2011，31（11）：838-840.
[8] 中共中央国务院.《中医药发展战略规划纲要（2016-2030年）》[R].2016.
[9] 李黎.中医养生保健发展现状与问题探讨[J].中医药管理杂志，2017，25（13）：3-4.
[10] 郭建恩，高飞，高占华，等.河北省社区居民对中医“治未病”的认知现状及发展策略[J].世界中医药，2017，12（6）：1460-1465.
[11] 段桂敏，李家伟，李胜，等.公众对中医服务感知价值与就医意愿调查及对策研究[J].中国卫生事业管理，2018， 35（1）：9-11，13.
[12] 丘为.梅州地区帕金森病非运动症状的临床研究[J].中国医药科学，2018，8（4）：215-217
[13] 谭巍，郭颖，殷晓月，等.2014年中国公民中医养生保健素养调查分析[J].中国健康教育，2018，34（9）：848-851.
[14] 徐州，王长青，田侃，等.不同地区中医药卫生服务需求与利用现况调查[J].南京中医药大学学报，2018，19（2）：117-120.
[15] 程薇，石学峰，房耘耘，等.北京市居民中医认知及需求情况调查研究[J].中国全科医学，2011，14（15）：1693-1695.
[16] 王美华，翁秋燕.40例帕金森病患者非运动症状的时序性分析[J].中国现代医生，2017，55（8）：94-97，封3.
[17] 中医老年颤证诊断和疗效评定标准（试行）[J].山东中医学院学报，1992（6）：55.
[18] 闫川慧.帕金森病病证结合辨证规律研究[D].济南：山东中医药大学，2010：17-18.
[19] 吴之煌.补脑熄风止痉汤治疗帕金森病的临床疗效观察[J].中国现代医生，2017，55（29）：116-118.
[20] Cristian A，Katz M，Cutrone E，et al. Evaluation of acupuncture in the treatment of Parkinson′s disease: A double-blind pilot study [J]. Mov Disord，2005，20（9）：1185-1188.
[21] 陈义良，冯为菊，张小莉.针药结合治疗帕金森病合并膀胱过度活动症[J].中国针，2012，32（3）：215-218.
[22] 许琳婷.丹参川芎嗪联合普拉克索治疗血管性帕金森综合征的疗效分析[J].中国医药科学，2019，9（12）：44-46.
[23] Kim HJ，Jeon BS. Is acupuncture efficacious therapy in Parkinson′s disease? [J]. J Neurol Sci，2014，341（1/2）：1-7.
[24] Venglar M. Tai Chi and Parkinsonism [J]. Physiother Res Int，2005，10（2）：116-121.
2019, Vol. 16 
京公网安备 11010502046598号