약학회지 (YAKHAK HOEJI)

  • 제59권3호
  • /
  • Pages.127-134
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  • 2015
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  • 0377-9556(pISSN)
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  • 2383-9457(eISSN)
대한약학회 (The Pharmaceutical Society of Korea)
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조기 진단 파킨슨병 환자 최초 약물의 유효성 및 약물 내성 기간에 대한 평가

Evaluation for Effectiveness and Tolerance Duration of Initial Medication on Untreated Early Parkinson's Disease

  • 천영주 (가톨릭대학교 약학대학, 임상약학연구실) ;
  • 박용성 (강동경희대학교병원 영상의학과) ;
  • 김정태 (강동경희대학교병원 약제부) ;
  • 임성실 (가톨릭대학교 약학대학, 임상약학연구실)
  • Cheon, Young Ju (College of Pharmacy, The Catholic University of Korea) ;
  • Park, Yong Sung (Department of Radiology, Kyunghee University Hospital at Gang-dong) ;
  • Kim, Jung Tae (Department of Pharmacy, Kyunghee University Hospital at Gang-dong) ;
  • Lim, Sung Cil (College of Pharmacy, The Catholic University of Korea)
  • 투고 : 2015.04.30
  • 심사 : 2015.06.10
  • 발행 : 2015.06.30
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초록

The aim of this study was to investigate the correlation among age, symptoms and initial medication (IM), and the tolerance duration of IM in Korean people with Parkinson's disease (PD). We studied 60 patients with untreated early PD who were initially diagnosed in our hospital between Jun 2006 and Sep 2014. We collected data on sex, age at diagnosis, symptom duration until diagnosis, main motor symptoms, frequency and duration of IM through electronic medical records. We divided patients into groups depending on the number of drugs (MONO/COMBI) and whether to contain dopaminergic property (DOPA/NDOPA). We analyzed the correlation between age and symptoms in each two groups and calculated the mean tolerance duration of IM in each of the groups. The mean symptom duration until diagnosis was 12.2 months. The most frequent drug was levodopa formulations (80%) compared to dopamine agonists (58.3%). The number of patients in the COMBI group (63.3%) was more than that in the MONO group (36.7%). Half of the patients in the COMBI group were taking LDF+DA (50%). Except for tremor, no other symptom showed a significant correlation between with IM. The mean tolerance duration of IM was within 200 days. The mean duration for COMBI group (342.7 days) was longer than that for MONO group (209.8 days). Among regimens, the mean tolerance duration of DOPA group (293.3 days) was longer than for NDOPA group (251.4 days). There was no difference in survival curves between any of the two groups. We found that patients experienced symptoms for over a year in Korea. This indicates that diagnosis time is faster than reported in other previous studies. The longest tolerance duration among IM was for dopaminergic combination therapy. More research is needed to design the most appropriate treatment for PD in Korean patients.

키워드

참고문헌

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