肝豆灵片辅助治疗肝豆状核变性步态障碍痰瘀互结证60例临床观察

Clinical observation on Gandouling Pian(肝豆灵片) in adjuvant treatment of 60 cases of Westphal-Strumpell disease with symptoms of gait disorder and phlegm accumulating with stagnation

目的观察肝豆灵片辅助治疗肝豆状核变性(WD)步态障碍痰瘀互结证的临床疗效。方法将120例WD步态障碍痰瘀互结证患者采用随机数字表法分为对照组和治疗组,各60例。对照组在常规低铜饮食和保肝治疗的基础上予以排铜治疗,治疗组在对照组治疗方法的基础上联合肝豆灵片治疗。8 d为1个疗程,4个疗程后比较2组治疗前后的改良Young量表评分、步态障碍测试结果[包括"起立—行走"时间(TUG)和Tinetti量表评分]及24 h尿铜含量。结果治疗后2组改良Young量表评分明显降低,TUG明显缩短,Tinetti量表评分、24 h尿铜含量明显升高,与同组治疗前比较差异均有统计学意义(P<0.05或P<0.01),且治疗组对各项指标的改善作用明显优于对照组,2组比较差异均有统计学意义(P<0.05或P<0.01)。结论肝豆灵片辅助治疗WD步态障碍痰瘀互结证可明显改善患者的步态障碍及临床症状,延缓病情进展,值得临床推广应用。

Objective To observe the clinical efficacy of Gandouling Pian(肝豆灵片) in adjuvant treatment of Westphal-Strumpell disease(WD) with symptoms of gait disorder and phlegm accumulating with stagnation.Methods Totally 120 patients of WD with symptoms of gait disorder and phlegm accumulating with stagnation were divided into control group and treatment group according to random number table,with 60 in each.The control group was given the copper discharging treatment based on the routine low copper diet and liver-protective treatment,and the treatment group was combined with Gandouling Pian on the basis of the treatment of the control group.Eight days constituted a course of treatment.After 4 courses of treatment,the modified Young Rating Scale scores,gait disorder assessment results [including Timed'Up & Go'Test(TUG) and Tinetti Rating Scale scores]and 24 h urinary copper content of the 2 groups before and after treatment were compared.Results After treatment,the modified Young Rating Scale scores decreased significantly,TUG significantly shortened,Tinetti Rating scale scores and 24 h urinary copper content significantly increased,there was statistically significant difference compared with the same group before treatment(P<0.05 or P<0.01),moreover,the improvement of indicators of the treatment group was significantly superior to that of the control group,there was statistically significant difference between the two groups(P<0.05 or P<0.01).Conclusion It can significantly improve the gait disorder and clinical efficacy to use Gandouling Pian in adjuvant treatment of the patients of WD with symptoms of gait disorder and phlegm accumulating with stagnation,and delay the progression of disease,which is worthy of clinical promotion and application.