|
|
Therapeutic effect of Jieyu Qingxin Decoction combined with ultra-low frequency transcranial magnetic stimulation on Parkinson disease with depression of liver stasis and blood deficiency type |
XIANG Shang ZHOU Tao WANG Yequn HONG Liang FANG Wujie |
Department of Neurology, Traditional Chinese Hospital of Lu’an, Anhui Province, Lu’an 237000, China
|
|
|
Abstract Objective To explore the therapeutic effect of Jieyu Qingxin Decoction combined with ultra-low frequency transcranial magnetic stimulation on Parkinson disease with depression of liver stasis and blood deficiency type. Methods A total of 135 patients with Parkinson disease with depression of liver stasis and blood deficiency type admitted to Lu’an Traditional Chinese Hospital of Lu’an in Anhui Province from June 2020 to April 2022 were selected as subjects, and they were divided into control group 1, control group 2, and observation group by random number table method, with 45 cases in each group. The control group 1 was treated with conventional treatment+ultra-low frequency transcranial magnetic stimulation, the control group 2 was treated with conventional treatment+Jieyu Qingxin Decoction treatment, and the observation group was treated with conventional treatment+Jieyu Qingxin Decoction+ultra-low frequency transcranial magnetic stimulation treatment, four weeks for one course, treatment of three courses. The clinical efficacy was compared; and the scores of the unified Parkinson disease rating scale (UPDRS), Montgomery-Asberg depression rating scale (MADRS), the traditional Chinese medical syndrome score before and after treatment were compared; the occurrence of adverse reactions during the treatment were observed. Results The clinical efficacy of observation group was better than that of control group 1 and control group 2 (P<0.05). After treatment, the scores of UPDRS, MADRS, and traditional Chinese medical syndrome score of three groups were lower than those before treatment, and observation group was lower than that of control group 1 and control group 2 (P<0.05). No serious adverse reactions occurred in three groups. Conclusion Jieyu Qingxin Decoction combined with ultra-low frequency transcranial magnetic stimulation can effectively improve the symptoms of patients with Parkinson disease with depression of liver stasis and blood deficiency type, and has good safety.
|
|
|
|
|
[1] 董珍,徐俊.帕金森病认知障碍与快速眼动睡眠行为障碍的相关性研究进展[J].中华老年心脑血管病杂志,2020,22(8):894-896.
[2] Buono VL,Palmeri R,Salvo SD,et al. Anxiety,depression,and quality of life in Parkinson’s disease:the implications of multidisciplinary treatment [J]. Neural Regen Res,2021,16(3):587-593.
[3] 王琳,殷旭华.帕金森病伴发抑郁的机制探讨及其治疗进展[J].脑与神经疾病杂志,2020,29(7):441-444.
[4] 张俊霞,徐沙丽,金俏,等.重复经颅磁刺激联合药物治疗对血管性帕金森综合征患者运动功能的影响[J].中华物理医学与康复杂志,2021,43(10):930-932.
[5] 朱玉娟,韩克忠.中药治疗帕金森病合并抑郁症临床观察[J].光明中医,2021,36(16):2764-2766.
[6] 王业群,周涛,项尚,等.解郁清心配方颗粒联合帕罗西汀治疗老年卒中后抑郁临床观察[J].中国药业,2021,30(16):99-102.
[7] 中华医学会神经病学分会帕金森病及运动障碍学组,中国医师协会神经内科医师分会帕金森病及运动障碍学组.中国帕金森病治疗指南(第四版)[J].中华神经科杂志,2020,53(12):973-986.
[8] 李凌江,马辛.中国抑郁障碍防治指南(第二版)[M].北京:中华医学电子音像出版社,2015:13-14.
[9] 雒晓东,李哲,朱美玲,等.帕金森病(颤拘病)中医临床诊疗专家共识[J].中医杂志,2021,62(23):2109-2116.
[10] Fahn S,Elton R. Unified Parkinson’s Disease Rating Scale [J]. Springer New York,2011,66(2):2576-2577.
[11] Montgomery SA,Smeyatsky N,Ruiter MD,et al. Profiles of antidepressant activity with the Montgomery-Asberg Depression Rating Scale [J]. Acta psychiatr Scand Suppl,2015, 32(20):38-42.
[12] 唐启盛,曲淼,包祖晓,等.抑郁症中医证候规律及诊疗标准制定的研究[J].北京中医药大学学报,2011,34(2):77-81.
[13] 上海市中医药学会神经科分会.中西医结合治疗早期帕金森病专家共识(2021)[J].上海中医药杂志,2022,56(1):1-6.
[14] 范少凯,李炳翰,韩博雅.帕金森病伴抑郁的发病机制及治疗进展[J].海南医学,2021,32(6):770-773.
[15] 陈静,朱红灿.重复经颅磁刺激治疗帕金森病失眠患者临床分析[J].中国实用神经疾病杂志,2020,23(3):216- 219.
[16] 徐凤华,罗海彦.帕金森病合并抑郁症的研究进展[J].中国当代医药,2021,28(13):29-32.
[17] 王艳昕,李俊,朱龙,等.帕金森病的中西医治疗临床概要[J].中国临床医生杂志,2020,48(4):394-397.
[18] 陈静,徐鹏飞,邹涛.抗抑郁治疗对帕金森病伴抑郁患者情绪和认知功能改善作用的比较[J].东南大学学报(医学版),2020,39(5):583-589.
[19] 刘明,杨丽静,张鑫杰.中西医治疗帕金森病抑郁研究述评[J].中国中医基础医学杂志,2021,27(1):173-177.
[20] 崔向琴,徐运启,高敏.高敏从肝论治帕金森病抑郁经验[J].广州中医药大学学报,2022,39(3):664-668.
[21] 王晨曦,袁金敏,胡域峰,等.从肝肾论治疗帕金森病合并抑郁症[J].世界中医药,2022,17(7):1003-1006, 1012.
[22] 殷文俊,方无杰.解郁清心汤联合耳穴治疗肝郁血虚型卒中后抑郁的临床观察[J].北京中医药,2020,39(9):984-987.
[23] 寿津.参志胶囊联合多奈哌齐治疗帕金森病的疗效及对血清CysC,Hcy和脑神经递质的影响[J].中国老年学杂志,2020,40(4):823-825.
[24] 范明东,黄森,王桥,等.中医药干预帕金森病相关信号通路研究进展[J].中医学报,2022,37(9):1869-1876.
[25] 何应立,刘鑫,邹冬蕾,等.从“挛证”角度浅析帕金森病肌强直中医病因及以经筋论治[J].中医药学报,2022, 50(9):56-58.
[26] 顾莹莹,焦富英.中医辨证分型论治帕金森病的研究进展[J].中西医结合心脑血管病杂志,2022,20(5):880-882. |
|
|
|