利拉鲁肽在代谢综合征轻度认知功能障碍患者中的疗效分析

Analysis of the efficacy of liraglutide in patients with mild cognitive impairment in metabolic syndrome

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

商丘市第三人民医院药剂科 ;

摘要
目的:探索应用利拉鲁肽对代谢综合征轻度认知功能障碍患者的临床疗效影响。方法:从医院2018年12月到2019年12月,96例代谢综合征患者被选为受试对象,随机抽取并将患者分为2组,对照组使用常规门冬胰岛素治疗,试验组使用利拉鲁肽治疗。评价患者认知功能障碍评分,统计不良反应发生情况和临床疗效总有效率。结果:两组患者治疗前MoCA评分与MMSE评分差距较小,差异不具有统计学意义(P>0.05);试验组治疗后MoCA评分、MMSE评分与对照组患者相比较有所上升,差异具有统计学意义(P<0.05)。试验组治疗期间共发现1例恶心,1例腹泻,1例乏力;对照组治疗期间共发现1例恶心,2例呕吐,3例腹泻,5例乏力,3例头痛;试验组不良反应总发生率6.25%与对照组29.17%相比较有所下降,差异具有统计学意义(P<0.05)。试验组疗效评价有16例基本治愈,24例好转,对照组有12例基本治愈,19例好转;试验组临床疗效总有效率83.33%与对照组临床疗效总有效率64.58%相比较有较大幅度提高,差异具有统计学意义(P<0.05)。结论:利拉鲁肽治疗方案可以有效改善代谢综合征患者的轻度认知功能障碍情况,并且治疗过程安全,临床疗效良好,适合临床推广应用。
Abstract
Objective: To explore the effect of liraglutide on the clinical efficacy of patients with mild cognitive impairment in metabolic syndrome. Methods: From December 2018 to December 2019, 96 patients with metabolic syndrome were selected as subjects, and the patients were randomly selected and divided into 2 groups. The control group was treated with conventional aspart insulin and the test group was treated with liraru peptide therapy. The patients cognitive dysfunction scores were evaluated, and the incidence of adverse reactions and total clinical efficacy were evaluated. Results: The difference between the MoCA score and the MMSE score before treatment in the two groups was small, and the difference was not statistically significant (P>0.05). The MoCA score and MMSE score in the experimental group were increased compared with those in the control group after treatment, and the difference was statistically significant. (P<0.05). One case of nausea, one case of diarrhea, and one case of fatigue were found during the treatment of the test group; one case of nausea, two cases of vomiting, three cases of diarrhea, five cases of asthenia, and three cases of headache were found during the treatment of the control group; The rate of 6.25% decreased compared with 29.17% in the control group, and the difference was statistically significant (P<0.05). In the evaluation of the experimental group, 16 cases were basically cured, 24 cases were improved, and the control group was 12 cases were basically cured, and 19 cases were improved. The total effective rate of clinical efficacy in the experimental group was 83.33%, which was larger than the total effective rate of clinical efficacy in the control group, 64.58%. The amplitude increased, and the difference was statistically significant (P<0.05). Conclusion: The liraglutide treatment scheme can effectively improve the mild cognitive dysfunction in patients with metabolic syndrome, and the treatment process is safe and the clinical effect is good, which is suitable for clinical popularization and application.
关键词
利拉鲁肽;代谢综合征;轻度认知功能障碍;疗效
KeyWord
Liraglutide; metabolic syndrome; mild cognitive impairment; efficacy
基金项目
页码 580-582
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陈东堂*. 利拉鲁肽在代谢综合征轻度认知功能障碍患者中的疗效分析 [J]. 国际精神病学杂志. 2020; 47; (3). 580 - 582.

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