Clinical efficacy of fecal microbiota transplantation in treatment of Parkinson′s disease with constipation
10.3760/cma.j.issn.1006-7876.2019.12.009
- VernacularTitle: 粪菌移植治疗帕金森病患者便秘的临床疗效
- Author:
Liujun XUE
1
;
Lijun WANG
;
Zhou OU
;
Xiu YANG
;
Ming WEI
;
Jinlong ZHENG
;
Qiang TONG
Author Information
1. Department of Neurology, the Affiliated Huaian No. 1 People′s Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, China
- Publication Type:Clinical Trail
- Keywords:
Fecal microbiota transplantation;
Parkinson disease;
Constipation
- From:
Chinese Journal of Neurology
2019;52(12):1054-1058
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the safety and efficacy of fecal microbiota transplantation (FMT) in treatment of Parkinson′s disease (PD) with constipation.
Methods:From September 2017 to April 2019, 22 PD patients with serious constipation in the Department of Neurology, the Affiliated Huaian No. 1 People′s Hospital of Nanjing Medical University were treated with FMT and followed up for 12 weeks. Spontaneous bowel movement (SBM) per week and scores of Wexner Constipation Scale (Wexner), Constipation Quality of Life Scale (PAC-QOL) and Parkinson′s Disease Quality of Life Questionnaire (PDQ-39) were recorded before and after transplantation.
Results:Compared with the number of independent defecation and scores before treatment, the number of independent defecation per week (4.63±2.25, 5.38±1.23, 5.75±1.29, 5.54±1.30 vs 1.57±0.74), Wexner score (7.92±2.61, 5.67±1.78, 5.08±1.83, 4.92±1.78 vs 16.67±4.31), PAC-QOL score (62.3±3.2, 58.8±2.8, 57.1±3.9, 59.6±4.4 vs 110.3±14.7) and PDQ-39 score (44.8±14.8, 37.8±12.8, 32.8±12.3, 31.9±9.2 vs 58.7±16.7) were significantly improved by FMT treatment at two, four, eight and 12 weeks (P<0.01). After 12-week treatment, the effective rate was 100% (22/22), and the clinical cure rate was 86% (19/22). No serious adverse reactions occurred during treatment.
Conclusion:FMT is effective and safe in treating PD with constipation.
