帕金森稳定期合并轻度认知障碍治疗中选择丁苯酞序贯疗法的价值

The effect of sequential therapy with butylphthalide on Parkinsons patients with concomitant cognitive impairment

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(5)
作者
作者单位

承德市中心医院 急诊科 ;

摘要
【摘要】探讨帕金森稳定期合并轻度认知障碍患者治疗中,选择丁苯酞序贯疗法的价值。方法 以EXCEL表格统计2020年4月~2022年12月范围内选择80例被判定为帕金森稳定期-轻度认知障碍的患者展开本次临床对比研究,病例以随机数字表法分组,40例实施盐酸多奈哌齐治疗者入对照,在对照组基础上实施丁苯酞序贯疗法治疗的40例纳入观察组。统计治疗后临床疗效、不良反应发生率,并就治疗前后临床指标、心理状态、丙二醛( MDA)和超氧化物歧化酶(SOD)水平进行评价。结果 观察组40例患者经丁苯酞序贯疗法治疗后的临床疗效为97.50%,较对照组升高,P<0.05;观察组统计的不良反应发生率与对照组比无明显统计学意义,P>0.05;观察组帕金森评分量表评分,比对照组低,反观简易精神状态量表评分、蒙特利尔认知评估量表评分、生活质量评分数据,均比对照组评分结果高,P<0.05;观察组抑郁自评量表评分、焦虑自评量表评分,均比对照组评分结果低,P<0.05;观察组统计的MDA、SOD与对照组比差异显著,P<0.05。结论 在帕金森稳定期合并轻度认知障碍患者治疗中选择丁苯酞序贯疗法,既可改善其身心状态,亦可减轻帕金森症状,促进认知功能恢复,提升患者整体生活质量。
Abstract
[Abstract] Objective: To explore the value of sequential therapy with butylphthalide in the treatment of stable Parkinsons disease patients with mild cognitive impairment. Method: From April 2020 to December 2022, 80 patients diagnosed with stable mild cognitive impairment in Parkinsons disease were selected for this clinical comparative study using an Excel spreadsheet. The patients were randomly divided into groups using a random number table method, with 40 patients receiving donepezil hydrochloride treatment as the control group and 40 patients receiving sequential treatment with ibuprofen in addition to the control group being included in the observation group. Calculate the clinical efficacy and incidence of adverse reactions after treatment, and evaluate the clinical indicators, psychological status, levels of malondialdehyde (MDA) and superoxide dismutase (SOD) before and after treatment. The clinical efficacy of the observation group of 40 patients treated with sequential treatment with butylphthalide was 97.50%, which was higher than that of the control group, P<0.05; the incidence of adverse reactions in the observation group was not statistically significant compared to the control group, P>0.05; the Parkinsons score in the observation group was lower than that of the control group, while the scores of the Simplified Mental State Scale, Montreal Cognitive Assessment Scale, and Quality of Life Scale were higher than those of the control group, P<0.05; the depression self-evaluation scale and anxiety self-evaluation scale were lower than those of the control group, P<0.05; the MDA and SOD scores in the observation group were significantly different from those of the control group, P<0.05. Conclusion: In the treatment of patients with mild cognitive impairment during the stable phase of Parkinsons disease, choosing sequential therapy with butylphthalide can not only improve their physical and mental state, but also alleviate Parkinsons symptoms, promote cognitive function recovery, and enhance the overall quality of life of patients.
关键词
【关键词】丁苯酞序贯疗法;帕金森;认知功能障碍;心理状态;生活质量
KeyWord
[Keywords] Sequential therapy with butylphthalide; Parkinsons disease; Cognitive impairment; Psychological state; Quality of life
基金项目
页码 1507-1510
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王维*. 帕金森稳定期合并轻度认知障碍治疗中选择丁苯酞序贯疗法的价值 [J]. 国际精神病学杂志. 2024; 51; (5). 1507 - 1510.

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