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| Curative Efficacy of Pramipexole Combined with Benserazide Tablets in treatment of Parkinson's Disease and Effects on Serum BDNF 5-HT and NE |
| ZHANG Binbin, HOU Yu, LOU Wei |
| The Third People's Hospital of Dalian, Liaoning Dalian 116033, China |
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Abstract Objective: To study curative efficacy of pramipexole combined with benserazide tablets in treatment of parkinson's disease and effects on serum brain derived neurotrophic factor(BDNF), 5-serotonin (5-HT) and norepinephrine (NE) level. Methods: 100 patients of parkinson's disease who received therapy from June 2015 to June 2017 in our hospital were selected as research objects, according to random number table, those patients were divided into the observation group (n=50) and the control group (n=50). The control group was treated with benserazide tablets, while the observation group was combined with pramipexole. All the patients were treated continuously for 12 weeks. The clinical effects, Parkinson's unified score scale (UPDRS) score, serum BDNF, 5-HT, NE and adverse reactions of two groups were compared. The clinical effects of two groups were compared with the Parkinson unified score scale (UPDRS), and the enzyme linked immunosorbent assay was used to detect serum BDNF, 5-HT and NE, and the adverse reactions of the two groups were recorded. Results: After treatment, the total effective rate of clinical efficacy in the observation group was 94% (47/50), which was significantly higher than that of the control group 76% (38/50) (P<0.05); after treatment, the scores of UPDRS I, UPDRSⅡ, UPDRS Ⅲ, UPDRS Ⅳ and UPDRS total score of two groups were significantly lower than those before treatment (P<0.05), and the scores of UPDRS I, UPDRSⅡ, UPDRS Ⅲ, UPDRS Ⅳ and UPDRS total score in the observation group were significantly lower than that of the control group (P<0.05); after treatment, the serum BDNF, 5-HT and NE in the two groups were significantly higher than those before the treatment (P<0.05), and the serum BDNF, 5-HT and NE in the observation group were significantly higher than that of the control group (P<0.05); there was no significant difference in the incidence of nausea, vomiting, sleeplessness, upper abdominal discomfort and visual abnormality during the treatment of the two groups (P>0.05). Conclusion: Pramipexole combined with benserazide tablets is well for parkinson's disease, which can effectively improve the clinical effect, and its internal mechanism may be related to the increase of the expression of serum BDNF, 5-HT and NE.
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2018, Vol. 24 
