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Effect of Levodopa Combined with Rivastigmine on Myotonia and Dopa Transporter in Patients with Parkinson's Disease |
ZHU Dong-mei, XIONG Xue-zhi |
Department of neurology, Ziyang Psychiatric Hospital, Ziyang, Sichuan 641300, China |
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Abstract 【Objective】To study the effect of levodopa combined with rivastigmine on myotonia and dopa transporter in patients with Parkinson's disease (PD). 【Methods】 A total of 101 patients with early Parkinson disease treated in our hospital were randomly divided into control group (n=50) and observation group (n=51). Patients in the control group were treated with levodopa, and patients in the control group were treated with levodopa plus rivastigmine in continuous treatment for 6 months. Parkinson's severity, balance function, Parkinson's grade, clinical symptom improvement time, dopamine transporter radiation count and adverse reactions were compared between the two groups. 【Results】After treatment, UP-DRS (UP-DRS) in the observation group was lower than that in the control group (P<0.05); Berg balance score higher than that of the control group (P<0.05); Parkinson's Hoehn-Yahr classification was lower than that of the control group (P<0.05); Myotonic stiffness, resting tremor and bradykinesia were shorter than those in the control group (P<0.05). The ratio of basal ganglia (BG) to occipital lobe (OC) tended to increase, but the incidence of contralateral control group was higher than that before treatment (P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). 【Conclusion】 Levodopa combined with rivastigmine can alleviate the symptoms of PD, improve the balance ability of patients and reduce the adverse reactions in patients with Parkinson's disease.
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Received: 14 December 2017
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