郭军治疗老年男性患者帕金森合并下尿路症状验案
增强出版Treatment of Parkinson's Disease with Lower Urinary Tract Symptoms in Elderly Male Patients by Guo Jun
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1.中国中医科学院西苑医院,北京 100091
2.中国中医科学院研究生院,北京 100700
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邓楹君, 郭军. 郭军治疗老年男性患者帕金森合并下尿路症状验案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614888&Fpath=home&index=0
DENG Yingjun, GUO Jun. Treatment of Parkinson's Disease with Lower Urinary Tract Symptoms in Elderly Male Patients by Guo Jun[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614888&Fpath=home&index=0
邓楹君, 郭军. 郭军治疗老年男性患者帕金森合并下尿路症状验案[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614888&Fpath=home&index=0 DOI:
DENG Yingjun, GUO Jun. Treatment of Parkinson's Disease with Lower Urinary Tract Symptoms in Elderly Male Patients by Guo Jun[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=28614888&Fpath=home&index=0 DOI:
病史摘要,2,老年男性患者,67岁,因“尿频尿急尿道灼热3年余”就诊,夜尿3~4次,伴排尿不尽感,大便正常。2016年曾在外院行前列腺增生手术,既往有帕金森病史11年,现服用多巴丝肼、金刚烷、普拉克索、恩他卡朋等药物。诊断为下尿路综合征(神经源性),帕金森综合征,经过3个月纯中药和针灸治疗后,患者下尿路症状明显改善,夜尿0~1次,收效良好。老年男性本就是LUTS高发人群,帕金森患者长期服用药物也对排尿症状有一定影响,从而加重排尿症状。郭军教授基于脑-心-肾-精室轴治疗该病,以脑-心-肾为基础,精室为靶点治疗该病,综合调理,对治疗思路有新的拓展。中医诊断 热淋,肾虚湿热证。西医诊断 1. LUTS(神经源性),2.帕金森氏综合征。干预措施 使用中药治疗,以补肾活血、清利湿热中药为主,非药物疗法使用针灸治疗改善患者下尿路症状,未给患者加用其他除治疗帕金森氏综合征以外的药物治疗或手术治疗。疗效转归 经过3个月纯中药和针灸治疗后,患者下尿路症状明显改善,夜尿0~1次,收效良好。
Summary of case history ,An elderly male patient, 67 years old, was treated for "frequent urination, urgent urination and urethral burning for more than 3 years". He got up 3-4 times at night, accompanied by a sense of incomplete urination, and his stool was normal. In 2016, he had prostate hyperplasia surgery in an external hospital. He had a history of Parkinson's disease for 11 years and is now taking Madopa, adamantane, senfro and KODAN. The diagnosis was: lower urinary tract syndrome (Neurogenic) and Parkinson's syndrome. After three months of pure traditional Chinese medicine and acupuncture treatment, the patient's lower urinary tract symptoms were significantly improved, 0-1 times in the night, with good results. Elderly men are the people with high incidence of LUTS. Long term medication for Parkinson's patients also has a certain impact on micturition symptoms, which aggravates micturition symptoms. Based on the "brain heart kidney seminal chamber" axis, the treatment target is in the seminal chamber. Comprehensive conditioning has a new expansion of the treatment idea.,TCM diagnosis ,Heat drenching, kidney deficiency damp heat syndrome.,Western medicine diagnosis ,1. LUTS(Neurogenic)、2.PD(Parkinson's disease,PD)。,Therapeutic methods ,The patients were treated with traditional Chinese medicine, mainly traditional Chinese medicine for tonifying the kidney and activating blood circulation, clearing away damp heat, and non drug therapy used acupuncture to improve the symptoms of the lower urinary tract. The patients were not treated with other drugs or surgery other than Parkinson's syndrome.,Clinical outcomes ,After 3 months of pure traditional Chinese medicine and acupuncture treatment, the patient's lower urinary tract symptoms were significantly improved, and nocturia was 0~1 time, with a favorable outcome.
老年男性下尿路综合征帕金森氏综合征
elderly maleLower urinary tract syndromeParkinson's syndrome
贾春松, 崔昕, 廖利民, 等. 帕金森病患者下尿路症状的特点[J]. 中华泌尿外科杂志, 2017,38(11):811-814.
张艳平, 王一鹤, 汲凤平, 等. 伴有下尿路症状的帕金森病和多系统萎缩患者的尿动力学改变[J]. 中华老年医学杂志, 2020,39(9):1006-1010.
Ogawa T, Sakakibara R, Kuno S,et al.Prevalence and treatment of LUTS in patients with Parkinson disease or multiple system atrophy[J].Nat Rev Urol,2017,14(2):79-89.
郭军.基于"脑-心-肾-精室"轴的男科用药原则与规律探讨[J].中华男科学杂志,2021,27(4):291-294.
杨新新,张沈阳,沈霞,等. 帕金森病患者泌尿系统障碍的特点及其影响因素分析[J]. 徐州医学院学报,2015(7):441-443.
沈百欣,卫中庆,丁留成,等. 索利那新联合坦索罗辛治疗男性帕金森病患者下尿路症状的疗效观察[J]. 中华泌尿外科杂志,2015,36(1):63-65.
李健生.坦索罗辛联合托特罗定改善老年男性帕金森病患者下尿路症状效果观察[J].山东医药,2016,56(4):75-76.
Mitra R, Aronsson P, Winder M, et al. Local change in urinary bladder contractility following CNS dopamine denervation in the 6-OHDA rat model of Parkinson's disease[J]. J Parkinson's Dis, 2015, 5(2): 301-311.
赵晴,蔡永亮,王艳昕.帕金森病相关性膀胱尿道功能障碍的临床研究进展[J].中医药临床杂志,2012,24(11):1120-1121.
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