中国药房2025，Vol.36Issue(5)：584-588,5.DOI:10.6039/j.issn.1001-0408.2025.05.14
普拉克索联合多巴丝肼治疗帕金森病的临床观察
Clinical observation of pramipexole combined with levodopa-benserazide in the treatment of Parkinson's disease
摘要
Abstract
OBJECTIVE To investigate the clinical efficacy of pramipexole combined with levodopa-benserazide in the treatment of Parkinson's disease(PD).METHODS A total of 108 PD patients treated at the Fifth People's Hospital of Wuhu City from January 1,2021,to February 28,2023,were randomly divided into observation group and control group,with 54 cases in each group.Patients in the control group were administered levodopa-benserazide(initial dose of 62.5 mg per dose),three times daily;after one month,the dose was increased to 250 mg per dose,four times daily.Patients in the observation group received the same treatment as the control group,with the addition of pramipexole(initial dose of 0.25 mg per dose)orally twice daily on an empty stomach;after 14 days,the dose was increased t0 0.25 mg per dose,three times daily.Both groups were treated for 3 months.The short-term efficacy,safety and long-term prognosis of the two groups were compared.RESULTS After treatment,the observation group had significantly lower scores on the Unified Parkinson's Disease Rating Scale part Ⅲ(UPDRS-Ⅲ),the Hamilton Depression Scale(HAMD),the Hamilton Anxiety Scale(HAMA),and the Parkinson's Disease Questionnaire-39(PDQ-39)compared to the control group;in contrast,the observation group had higher scores on the Montreal Cognitive Assessment(MoCA)scale,the Mini-mental State Examination(MMSE)scale,the Mattis Dementia Rating Scale(DRS),and the Quality of Life(QOL)scale(P＜0.05).Both groups showed a significant reduction in UPDRS-Ⅲ and PDQ-39 scores,and a significant increase in DRS scores compared to baseline(P＜0.05).However,only the observation group showed a significant increase in MoCA scale,MMSE scale,and QOL scores,and a significant decrease in HAMD and HAMA scores compared to baseline(P＜0.05).The total incidence of adverse drug reactions in both groups was not significantly different(P＞0.05).The 12 months follow-up results showed that the incidence of dementia and mortality rates in the observation group were significantly lower than the control group(P＜0.05).CONCLUSIONS Pramipexole combined with levodopa-benserazide significantly improves motor function,cognitive function,quality of life and symptoms of depression and anxiety in PD patients,and may reduce the long-term risk of dementia and mortality in these patients.关键词
普拉克索/多巴丝肼/联合用药/帕金森病/近期疗效/长期预后/运动功能/认知功能/生活质量Key words
pramipexole/levodopa-benserazide/combination therapy/Parkinson's disease/short-term efficacy/long-term prognosis/motor function/cognitive function/quality of life分类
药学引用本文复制引用
徐珩,叶成荣,谢春明..普拉克索联合多巴丝肼治疗帕金森病的临床观察[J].中国药房,2025,36(5):584-588,5.基金项目
国家自然科学基金项目(No.82071204) （No.82071204）
