丁苯酞辅助治疗老年痴呆症的疗效研究

Study on The Effect of Butylphthalide in Adjuvant Treatment of Senile Dementia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(1)
作者
作者单位

信阳市中心医院药学科 ;

摘要
【摘要】探讨丁苯酞辅助治疗老年痴呆症的疗效及机制。方法 本研究对象为2018年1月~2019年8月我院88例老年痴呆症患者,数字表法随机均分为两组,对照组给予常规治疗,观察组在此基础上联合丁苯酞治疗。比较两组患者治疗前后病理行为评分表(BEHA VE-AD)、生活能力量表(ADL)、简易精神状况检查表(MMSE)等量表,检测血清β 淀粉样蛋白 (Aβ)水平,检测血清谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA)、超氧化物歧化酶(SOD)等氧化应激指标,检测内皮素(ET-1)、血管内皮生长因子(VEGF)等血管内皮功能指标。结果 治疗后两组ADL评分、MMSE评分显著升高,血清Aβ水平、BEHA VE-AD评分显著降低,且治疗后观察组各项指标均优于对照组,(P<0.05);治疗后两组血清GSH-Px、SOD水平升高,MDA水平降低,且治疗后观察组各项指标均优于对照组,(P<0.05);治疗后两组血清ET-1水平显著降低,VEGF水平显著升高,且治疗后观察组各项指标均优于对照组,(P<0.05)结论 丁苯酞辅助治疗老年痴呆症能够有效提升其认知及生活能力,可能与其促进血清Aβ水平降低,减轻氧化应激,提升血管内皮功能有关。
Abstract
[Abstract] Objective To explore the effect and mechanism of butylphthalide in adjuvant treatment of Alzheimers disease. Methods Eighty-eight patients with Alzheimers disease in our hospital from January 2018 to August 2019 were the subjects of this study. They were randomly divided into two groups by the number table method. The control group was given conventional treatment, and the observation group was treated with butylphthalide on this basis. Pathological behavior score scale (BEHA VE-AD), living ability scale (ADL), simple mental status checklist (MMSE) and other scales were compared between the two groups before and after treatment. Serum amyloid β (Aβ) level, detection of serum Glutathione peroxidase (GSH-Px), malondialdehyde (MDA), superoxide dismutase (SOD) and other oxidative stress indicators were detected. Endothelin (ET-1), vascular endothelial growth factor (VEGF) And other indicators of vascular endothelial function were detected. Results After treatment, the ADL score and MMSE score of the two groups were significantly increased, and the serum Aβ level and BEHA VE-AD score were significantly reduced. After treatment, the observation group was better than the control group (P<0.05). After treatment, the serum GSH-Px and SOD levels in the two groups increased, while the MDA level decreased. After treatment, the observation group was better than the control group (P<0.05). After treatment, the serum ET-1 levels of the two groups were significantly reduced, and the VEGF levels were significantly increased. After treatment, the observation group was better than the control group (P<0.05). Conclusion Butylphthalide adjuvant treatment of Alzheimers disease can effectively improve their cognition and life ability, which may be related to promoting the reduction of serum Aβ level, reducing oxidative stress, and improving vascular endothelial function.
关键词
关键词:丁苯酞;老年痴呆症; 血清β 淀粉样蛋白; 氧化应激;血管内皮功能
KeyWord
Key words Butylphthalide; Alzheimers Disease; Serum Β-Amyloid Protein; Oxidative Stress; Vascular Endothelial Function
基金项目
页码 62-64
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库丽*. 丁苯酞辅助治疗老年痴呆症的疗效研究 [J]. 国际精神病学杂志. 2021; 48; (1). 62 - 64.

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