帕金森病抑郁中西医结合诊断与治疗专家共识（2021年版）

doi:10.3969/j.issn.1672-6731.2021.12.002

中国现代神经疾病杂志 ›› 2021, Vol. 21 ›› Issue (12): 1027-1035. doi: 10.3969/j.issn.1672-6731.2021.12.002

2 帕金森病抑郁中西医结合诊断与治疗专家共识（2021年版）

杨宁¹, 刘卫国², 宁厚旭¹, 刘振国³, 许利刚², 张建斌⁴, 帕金森病抑郁中西医结合诊断与治疗专家共识写作组

1 210024 南京医科大学附属脑科医院中医科;
2 210024 南京医科大学附属脑科医院神经内科;
3 200092 上海交通大学医学院附属新华医院神经内科;
4 210017 南京中医药大学第二附属医院针灸科

收稿日期:2021-11-18 出版日期:2021-12-25 发布日期:2021-12-27
通讯作者: 刘卫国,Email:liuweiguo1111@sina.com;刘振国,Email:liuzhenguo@xinhuamed.com.cn
基金资助:
国家重点研发计划重大慢性非传染性疾病防控研究重点专项项目（项目编号：2016YFC1306600）；国家重点研发计划重大慢性非传染性疾病防控研究重点专项项目（项目编号：2017YFC1310302）；江苏省2019年省重点研发计划项目（项目编号：BE201961）；江苏省2020年度中医药科技发展专项项目（项目编号：2020ZX17）

Expert consensus on diagnosis and treatment of depression in Parkinson's disease with integrated traditional Chinese and Western medicine (2021 edition)

YANG Ning¹, LIU Wei-guo², NING Hou-xu¹, LIU Zhen-guo³, XU Li-gang², ZHANG Jian-bin⁴, Expert Consensus Writing Group on Diagnosis and Treatment of Depression in Parkinson's Disease with Integrated Traditional Chinese and Western Medicine

1 Department of Traditional Chinese Medicine, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210024, Jiangsu, China;
2 Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210024, Jiangsu, China;
3 Department of Neurology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China;
4 Department of Acupuncture, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210017, Jiangsu, China

Received:2021-11-18 Online:2021-12-25 Published:2021-12-27
Supported by:
This study was supported by National Key Research and Development Program Major Chronic Non-Communicable Disease Prevention and Control Research Key Special Project (No. 2016YFC1306600, 2017YFC1310302), Key Research and Development Program of Jiangsu Province in 2019 (No. BE201961), and Special Project of Traditional Chinese Medicine Technology Development Program of Jiangsu Province in 2020 (No. 2020ZX17).

摘要/Abstract

摘要： 抑郁是帕金森病最常见的非运动症状，帕金森病抑郁发病机制尚未完全阐明。为规范疾病诊断体系并提高临床疗效，通过组织全国7个省、直辖市中医和西医领域相关专家进行多次讨论和修改，共同制定《帕金森病抑郁中西医结合诊断与治疗专家共识（2021年版）》（以下简称共识）。共识中西医并重，参考帕金森病、抑郁症等相关诊断标准制定帕金森病抑郁西医诊断、评估量表和西医治疗的专家共识；同时参考中医颤证、郁证等相关中医诊断标准制定帕金森病抑郁中医辨证诊断体系和辨证论治的专家共识，并针对疾病早期和进展期采取不同的中西医结合治疗方法，有确切的临床优势且安全性较高，可供临床医师参考应用。

关键词: 帕金森病, 抑郁, 中西医结合疗法, 专家共识（非MeSH词）

Abstract: Depression is the most common non-motor symptom of Parkinson's disease. However, the pathogenesis of depression in Parkinson's disease (DPD) remains undetermined. In order to further standardize and improve clinical diagnosis and treatment of DPD, relevant domestic experts of traditional Chinese and Western medicine from Jiangsu, Anhui, Shandong, Guangdong and Tianjin, Beijing, Shanghai jointly developed "Expert consensus on diagnosis and treatment of depression in Parkinson's disease with integrated traditional Chinese and Western medicine (2021 edition)" after detailed discussions both online and offline. With integrated traditional Chinese and Western medicine, the consensus sorts out diagnosis, evaluation tools and treatment of Western medicine according to the diagnostic criteria of Parkinson's disease and depression, and traditional Chinese medicine diagnosis and treatment system based on syndrome differentiation of Parkinson's disease according to the traditional Chinese medicine diagnosis of tremor syndrome and depression syndrome. Different treatment methods are provided for the early and advanced stages of Parkinson's disease according to the treatment principles of integrated traditional Chinese and Western medicine. The expert consensus is superior in clinic and relatively safe, which can be used as a reference for clinicians.

Key words: Parkinson disease, Depression, TCM WM therapy, Expert consensus (not in MeSH)

杨宁, 刘卫国, 宁厚旭, 刘振国, 许利刚, 张建斌, 帕金森病抑郁中西医结合诊断与治疗专家共识写作组. 帕金森病抑郁中西医结合诊断与治疗专家共识（2021年版）[J]. 中国现代神经疾病杂志, 2021, 21(12): 1027-1035.

YANG Ning, LIU Wei-guo, NING Hou-xu, LIU Zhen-guo, XU Li-gang, ZHANG Jian-bin, Expert Consensus Writing Group on Diagnosis and Treatment of Depression in Parkinson's Disease with Integrated Traditional Chinese and Western Medicine. Expert consensus on diagnosis and treatment of depression in Parkinson's disease with integrated traditional Chinese and Western medicine (2021 edition)[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2021, 21(12): 1027-1035.

http://journal11.magtechjournal.com/cjcnn/CN/Y2021/V21/I12/1027

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