甲磺酸雷沙吉兰治疗原发性帕金森病的随机、双盲、安慰剂对照临床试验

被引:9
作者
李凤 [1 ]
陈明 [2 ]
马勋泰 [1 ]
李小刚 [1 ]
谭华 [1 ]
何晓英 [1 ]
袁平 [1 ]
机构
[1] 泸州医学院附属医院神经内科
[2] 泸州医学院附属医院放射科
关键词
甲磺酸雷沙吉兰; 帕金森病; 临床试验;
D O I
10.16016/j.1000-5404.2014.07.026
中图分类号
R742.5 [震颤麻痹综合征];
学科分类号
1002 ;
摘要
目的观察甲磺酸雷沙吉兰治疗应用左旋多巴治疗但运动症状有波动的原发性帕金森病患者的疗效和安全性。方法采用随机、双盲、安慰剂平行对照临床试验观察甲磺酸雷沙吉兰对应用左旋多巴治疗但运动症状有波动的44例原发性帕金森病患者的疗效,观察16周。根据患者日记记录的"关"和"开"期时间、统一帕金森评定量表(UPDRS)各部分评分相对于基线的变化评定疗效。安全性指标为不良反应、血压、心率、实验室检查值和心电图。结果甲磺酸雷沙吉兰组治疗16周后"关"期时间自基线的(3.18±0.65)h/d缩短至(1.90±0.85)h/d,"开"期时间自基线的(10.74±1.44)h/d延长至(12.05±1.72)h/d,与安慰剂组相比差异均有统计学意义(P<0.05);甲磺酸雷沙吉兰治疗16周后UPDRSⅡⅣ各量表总评分及各单项评分均得到显著改善。未出现严重不良事件及不良反应。结论甲磺酸雷沙吉兰治疗应用左旋多巴治疗但运动症状有波动的原发性帕金森病患者有效、安全。
引用
收藏
页码:696 / 699
页数:4
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