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安理申联合丁苯肽治疗血管性认知障碍的对照研究 被引量:9

Case control study on the effect of combination of donepezil and butylphthalide in treating vascular cognitive impairment
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摘要 目的观察安理申联合丁苯肽对血管性认知功能障碍患者的治疗作用。方法把入选的患者随机分为安理申与丁苯肽联合治疗组30例,安理申治疗组30例,对照组28例。对照组不使用改善认知的药物。3组患者分别在治疗前进行MoCA量表的测评,治疗后2和4个月分别随访患者,再次进行MoCA量表的测评。结果安理申和丁苯肽联合治疗组与安理申治疗组认知功能改善比较差异有统计学意义(P<0.05),安理申和丁苯肽联合治疗组与安理申治疗组MoCA主要各子项目比较差异有统计学意义(P<0.05)。结论安理申和丁苯肽联合治疗对VCI患者的认知功能有较好的改善作用,且两者联合治疗对MoCA评分主要子项目都有较好的改善作用。 Objective To investigate the effect of combination of donepezil and butylphthalide in treating vascular cognitive impairment on cognitive function. Methods Eighty-eight patients with vascular cognitive impairment were randomly divided into 3 groups: the group treated with donepezil, the group treated with donepezil and butylphthalide, the control group treated without any medcine or herb to improve vascular cognitive impairment. MoCA Scale of three groups was assessed and compared before treatment and 2 months, 4 months after treatment. Results The cognitive function was improved markedly in the group treated with donepezil and butylphthatide (P〈0.05), so did in main item of MoCA. Conclusion Combination of donepezil and butylphthalide can markedly ameliorate the cognitive function and main item of MoCA in patients with vascular cognitive impairment.
出处 《中国实用神经疾病杂志》 2010年第5期9-11,共3页 Chinese Journal of Practical Nervous Diseases
关键词 安理申 丁苯肽 血管性认知障碍 MOCA量表 Donepezil Butylphthalide Vascular cognitive impairment MoCA scale
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参考文献11

  • 1Hachinski V, Iadecola C, Petersen RC, et al. National institute of neurological disorders and stroke-canadian stroke network vascular cognitive impairment harmonization standards [J]. Stroke, 2006, 37(9):2 220-2 241.
  • 2Howard RJ, J uszczak E, Ballard CG, et al. Donepezil for the treatment of agitation in Alzheimer's disease[J].N Engl J Med, 2007, 357(14): 1 382-1 392.
  • 3Zhou HD, Wang YJ, Li JC, et al. Frequency and risk factors of vascular cognitive impairment three months after ischemic stroke in china: the Chongqing stroke study[J]. Neuroepidemiology, 2005, 24(1/2): 87- 95.
  • 4Nasreddine ZS, Phillips NA, Bedirian V, et al. The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitiveimpairment[J]. Am Geriatr Soc, 2005, 53(4): 695- 699.
  • 5Hua Zhou Zhong Zhao.Diagnosis advances in vascular cognitive impairment[J].Journal of Nanjing Medical University,2009,23(4):224-227. 被引量:2
  • 6汪皖君,王新平.血管性认知障碍的研究进展[J].中国实用神经疾病杂志,2008,11(9):130-132. 被引量:16
  • 7Demaerschalk BM, Wingerchuk DM. Treatment of vascular dementia and vascular cognitive impairment[J].Neurologist, 2007, 13(1):37 -41.
  • 8闫福岭.重视Alzheimer病与脑缺血的共病研究[J].国际脑血管病杂志,2006,14(11):801-802. 被引量:15
  • 9Pirchl M, Marksteiner J, brain capillary endothelial vance to vascular dementia Humpel C. Effects of acidosis on cells and cholinergic neurons: rele- and Alzheimer's disease[J]. Neurol Res, 2006, 28(6): 657 664.
  • 10Samanta M K, Wilson B, Santhi K, et al. Alzheimer disease and its management: a review[J].AmJ Ther, 2006, 13(6): 516-526.

二级参考文献31

  • 1Milla Koistinaho,Jari Koistinaho,郑莹,袁宝玉,闫福岭.Alzheimer病与脑缺血的相互作用聚焦炎症[J].国际脑血管病杂志,2006,14(11):803-811. 被引量:2
  • 2[1]Bowler JV.The Concept of vascular cognitive impairment[J].J Neurol Sci,2002,204(1):11-15.
  • 3[2]Erkinjuntti T.Diagnosis and management of vascular cognitive impairment and dementia[J].Neural Transm Suppl,2002,63(1):91-109.
  • 4[3]Bowler JV.Modern concept of vascular cognitive impairment[J].British Medical Bulletin,2007,83:291-305.
  • 5[4]Craft S.Insulin resistance and cognitive impairment:a view through the prism of epidemiology[J].Arch Neurol.2005,62:1043-1044.
  • 6[5]Rockwood K.Vascular cognitive impairment and vascular dementia[J].J Neurol Sci,2002,23:203-204.
  • 7[6]Desmond D.The neuropsychoIogy of vascular cognitive impairment:is there a specific cognitive deficit[J].J Neurol Sci,2004,226:3.
  • 8[7]Vinkers DJ,Stek ML,van der Mast RC,et a1.Genera1ized atherosclerosis,cognitive decline,and depressive symptoms in old age[J].Neurology,2005,65(1):107-112.
  • 9[8]Forette F,Seux ML,Staessen JA,et a1.The prevention of dementia with antihypertensive treatment:new evidence from the Systolic Hypertension in Europe (Syst-Eur)study[J].Arch Intern Med,2002,162(18):2046-2052.
  • 10[9]Hassing LB,Johansson B,Nilsson SE,et a1.Diabetes mellitus is arisk factor for vascular dementia,but not for Alzheimer's disease:A population-based study of the oldest old[J].Int Psychogeriatr,2002,14(3):239-248.

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