针药结合治疗帕金森病合并膀胱过度活动症

发布时间：2018-04-27 17:08

  本文选题：帕金森病 + 膀胱过度活动症　； 参考：《中国针灸》2012年03期

【摘要】：目的:验证小剂量托特罗定结合电针治疗帕金森病(PD)合并膀胱过度活动症(OAB)的疗效。方法:将60例PD合并OAB患者随机分为针药组和西药组,每组30例。两组基础美多巴治疗量一致,均停用安坦等抗胆碱药物,针药组口服托特罗定1mg,每日2次,结合电针百会、四神聪、印堂,每日1次;西药组口服托特罗定2mg,每日2次。治疗6周后,观察两组治疗前后排尿变化、帕金森病综合量表(UPDRSⅢ)评分,并记录两组不良反应发生情况。结果:两组治疗后24h平均排尿次数、24h平均尿失禁次数、平均每次尿量均明显改善(均P0.01),且针药组的改善程度优于西药组(均P0.05);针药组治疗后UPDRSⅢ评分明显降低(P0.05),且明显低于西药组(P0.05);针药组不良反应明显少于西药组。结论:小剂量托特罗定结合电针治疗PD合并OAB疗效优于口服全量托特罗定,不良反应少,而且可改善PD患者的的运动症状。
[Abstract]:Objective: to evaluate the efficacy of low dose tolterodine combined with electroacupuncture in the treatment of Parkinson's disease (PD) with bladder hyperactivity (OAB). Methods: 60 PD patients with OAB were randomly divided into acupuncture group and western medicine group with 30 cases in each group. The two groups were treated with the same amount of basic medopa, both of which stopped taking anticholine drugs such as Antan. The acupuncture group took toterodine 1 mg twice a day, combined with electroacupuncture Baihui, Sishengcong, Yintang, once a day, and the western medicine group took toterodine 2 mg twice a day. After 6 weeks of treatment, the changes of micturition and Parkinson's disease scale (UPDRS 鈪，

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