2.Multicenter clinical study on the treatment of children's tic disorder with Qufeng Zhidong Recipe.
Min WU ; Guang-hua XIAO ; Min YAO ; Jian-ming ZHANG ; Xin ZHANG ; Ya-bing ZHOU ; Jing-yan ZHANG ; Shu-xia WANG ; Bo MA ; Yan-ping CHEN
Chinese journal of integrative medicine 2009;15(4):254-260
OBJECTIVETo assess the effect and adverse reaction of Qufeng Zhidong Recipe (QZR) in treating children's tic disorder (TD).
METHODSWith multicenter randomized parallel open-controlled method adopted, the patients enrolled were assigned to two groups, 41 cases in the Chinese medicine (CM) group and 40 in the Western medicine (WM) group. They were treated by QZR and haloperidol plus trihexyphenidyl respectively for 12 weeks as one course. In total, two courses of treatment were given. The curative effect and adverse reactions were evaluated by scoring with Yale Global Tic Severity Scale (YGTSS), Traditional Chinese Medicine Syndrome Scale (TCMSS), and Treatment Emergent Symptom Scale (TESS), as well as results of laboratory examinations.
RESULTSAfter one course of treatment, the markedly effective rate in the CM and the WM group was 14.6% and 17.5%, respectively, and the total effective rate 43.9% and 47.5%, respectively, which showed insignificant difference between groups (P>0.05). However, after two courses of treatment, markedly effective rate in them was 73.2% and 7.5%, and the total effective rate was 100.0% and 57.5%, both showing significant differences between groups (P<0.05). Besides, the adverse reactions occurred in the CM group was less than that in the WM group obviously.
CONCLUSIONQZR has definite curative effect with no apparent adverse reaction in treating TD, and it can obviously improve the symptoms and signs and upgrade the quality of life and learning capacities in such patients.
Antiparkinson Agents ; administration & dosage ; adverse effects ; Antipsychotic Agents ; administration & dosage ; adverse effects ; Child ; Child, Preschool ; Cookbooks as Topic ; Drug Therapy, Combination ; Drugs, Chinese Herbal ; adverse effects ; therapeutic use ; Female ; Haloperidol ; administration & dosage ; adverse effects ; Humans ; Male ; Tic Disorders ; drug therapy ; Treatment Outcome ; Trihexyphenidyl ; administration & dosage ; adverse effects ; Western World
3.Electrode Position and the Clinical Outcome after Bilateral Subthalamic Nucleus Stimulation.
Sun Ha PAEK ; Jee Young LEE ; Han Joon KIM ; Daehee KANG ; Yong Hoon LIM ; Mi Ryoung KIM ; Cheolyoung KIM ; Beom Seok JEON ; Dong Gyu KIM
Journal of Korean Medical Science 2011;26(10):1344-1355
We compared the surgical outcome with electrode positions after bilateral subthalamic nucleus (STN) stimulation surgery for Parkinson's disease. Fifty-seven patients treated with bilateral STN stimulations were included in this study. Electrode positions were determined in the fused images of preoperative MRI and postoperative CT taken at six months after surgery. The patients were divided into three groups: group I, both electrodes in the STN; group II, only one electrode in the STN; group III, neither electrode in the STN. Unified Parkinson's Disease Rating Scale (UPDRS), Hoehn and Yahr stage, and activities of daily living scores significantly improved at 6 and 12 months after STN stimulation in both group I and II. The off-time UPDRS III speech subscore significantly improved (1.6 +/- 0.7 at baseline vs 1.3 +/- 0.8 at 6 and 12 months, P < 0.01) with least L-dopa equivalent daily dose (LEDD) (844.6 +/- 364.1 mg/day at baseline; 279.4 +/- 274.6 mg/day at 6 months; and 276.0 +/- 301.6 mg/day at 12 months, P < 0.001) at 6 and 12 months after STN deep brain stimulation (DBS) in the group I. Our findings suggest that the better symptom relief including speech with a reduced LEDD is expected in the patients whose electrodes are accurately positioned in both STN.
Adult
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Aged
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Antiparkinson Agents/adverse effects/*therapeutic use
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Combined Modality Therapy
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*Deep Brain Stimulation/adverse effects/instrumentation/methods
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*Electrodes, Implanted
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Female
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Humans
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Levodopa/adverse effects/therapeutic use
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Parkinson Disease/drug therapy/*therapy
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Severity of Illness Index
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Subthalamic Nucleus/*physiology
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Treatment Outcome