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目的:应用多项量表评估中药神经生长液( Nerve Growth Decoction,NGD)改善老年帕金森病( Parkinson's disease,PD)患者临床症状情况。方法共100例老年PD患者分为NGD用药组(70例)和对照组(30例),两组在多巴丝肼治疗的基础上,用药组加用NGD口服液(1剂/d,分两次口服),30 d为一疗程;间隔1~2周进行第二疗程;采用帕金森病统一评分量表第2部分( UPDRSⅡ)、第3部分(UPDRSⅢ)、非运动症状30问卷筛查量表(NMSQuest)、日常生活自理能力量表(ADL)、帕金森病生活质量问卷( PDQ-39)及Schwab&England日常生活活动量表( Schwab),比较NGD用药组与对照组及NGD用药组治疗前后各量表的评分情况。结果(1)经2个月NGD治疗后,NGD用药组ADL、Schwab、PDQ-39及NMSQuest评分[分别为(27.78±10.54)分,(0.87±0.14)分,(26.07±19.18)分,(9.95±4.70)分],与对照组比较[分别为(34.15±13.88)分,(0.77±0.21)分,(37.47±24.05)分,(13.46±4.01)分],差异有统计学意义(P<0.05);(2)NGD用药组治疗前UPDRSⅡ、UPDRS Ⅲ、ADL、Schwab、PDQ-39S及NMSQuest评分[分别为(10.68±7.15)分,(23.79±16.64)分,(33.96±14.06)分,(0.77±0.21)分,(36.96±24.26)分,(11.96±5.17)分],与治疗后比较[分别为(8.50±6.40)分,(16.79±13.48)分,(27.78±10.54)分,(0.87±0.14)分,(26.07±19.18)分,(9.95±4.70)分],差异有统计学意义(P<0.05, P<0.01)。结论老年PD患者在多巴丝肼片治疗的基础上加用NGD可以显著改善患者的临床症状,提高患者的生活质量和日常生活能力;多种量表评估可以较为全面地评估PD患者和作为中药疗效的判断指标。“,”Objective To evaluate the improvement effect of Nerve Growth Decoction ( NGD) on symptoms in senile Parkinson’s disease (PD) patients with multi-scales.Methods Totally 100 PD patients who have previously taken Madopa therapy were divided into NGD treatment group(70 cases) and control group( 30 cases) .The NGD treatment group took a package of NGD oral solution twice a day for 30 days,and went on next period of 30 days after an interval of 1~2 weeks.The Unified Parkinson disease Rating Scale (UPDRSⅡ,UPDRSⅢ),the PD NMS Questionnaire (NMSQuest),Activity of Daily Living Scale (ADL), the 39-item Parkinson’s Disease Questionnaire ( PDQ-39 ) and Schwab & England Daily Living Scale ( Schwab) were used to evaluate both NGD treatment and control group,and within NGD treatment group be-fore and after NGD treatment.Results ( 1) There were significant differences comparing NGD treatment group with control group in ADL,Schwab,PDQ-39 and NMSQuest ( P<0.05) ((27.78±10.54)points,(0.87±0.14)points,(26.07±19.18)points,(9.95±4.70)points vs ((34.15±13.88)points,(0.77±0.21)points, (37.47±24.05)points,(13.46±4.01)points,respectively).(2)There were significant differences in UPDRSⅡ,UPDRSⅢ,NMSQuest,ADL,PDQ-39 and Schwab (10.68±7.15)points,(23.79±16.64)points,(33.96± 14.06)points,(0.77±0.21)points,(36.96±24.26)points,(11.96±5.17)points vs ((8.50±6.40)points, (16.79±13.48)points,(27.78±10.54)points,(0.87±0.14)points,(26.07±19.18)points,(9.95±4.70) points,respectively) between before and after treatment in NGD treatment group (P<0.05, P<0.01) .Con-clusion Based on Madopa therapy,the NGD may obviously improves the symptoms,the patient’s quality of life and ability of daily life in senile PD patients.Multi-scale evaluations can be used systematically to evalu-ate PD patients,and as assessment indicators for effects of Traditional Chinese drugs.