喹硫平联合多奈哌齐对阿尔茨海默病患者认知功能及单胺类递质水平的影响分析

Effect of quetiapine combined with donepezil on cognitive function and monoamine neurotransmitter levels in patients with Alzheimers disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

安阳市第八人民医院(汤阴县人民医院)神经内科 ;

摘要
分析阿尔茨海默病患者应用喹硫平联合多奈哌齐治疗后疗效。方法 采用随机数字表法将我院89例阿尔茨海默病患者分组,对照组44例给予多奈哌齐治疗,观察组45例增加喹硫平联合治疗,对比两组患者治疗后5-羟色胺(5-HT)、去甲肾上腺素(NE)、多巴胺(DA)、脑血管储备功能(CVR)、精神行为症状评分(PANSS)、认知功能评分(MMSE)、日常生活能力(ADL)、临床疗效及安全性。结果 观察组治疗后BHI值、DA、NE、5-HT水平、ADL、MMSE评分及总有效率高于对照组,NPI评分低于对照组(P<0.05);观察组不良事件发生率低于对照组(P>0.05)。结论 喹硫平联合多奈哌齐能够有效调节阿尔茨海默病患者的单胺类神经递质水平,改善脑血管储备功能及精神行为症状,促进认知功能恢复,提升日常生活能力,安全性高。
Abstract
Objective To analyze the efficacy of quetiapine combined with donepezil in patients with Alzheimers disease. Methods A total of 89 patients with Alzheimers disease were enrolled in our hospital by random number table method. Forty-four patients in the control group were treated with donepezil. In the observation group, 45 patients were treated with quetiapine. The two groups were treated with serotonin (5- HT), norepinephrine (NE), dopamine (DA), cerebrovascular reserve function (CVR), mental behavior symptom score (PANSS), cognitive function score (MMSE), daily living ability (ADL), clinical efficacy and safety. Results After treatment, the BHI, DA, NE, 5-HT, ADL, MMSE scores and total effective rate were higher in the observation group than in the control group, and the NPI score was lower than that in the control group (P<0.05). The incidence of adverse events in the observation group was lower than that in the observation group. Control group (P>0.05). Conclusion Quetiapine combined with donepezil can effectively regulate monoamine neurotransmitter levels in patients with Alzheimers disease, improve cerebral vascular reserve function and mental behavior symptoms, promote cognitive function recovery, improve daily living ability, and have high safety.
关键词
喹硫平;多奈哌齐;阿尔茨海默病;认知功能;神经递质
KeyWord
quetiapine; donepezil; Alzheimers disease; cognitive function; neurotransmitter
基金项目
页码 316-318
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张慧敏*. 喹硫平联合多奈哌齐对阿尔茨海默病患者认知功能及单胺类递质水平的影响分析 [J]. 国际精神病学杂志. 2020; 47; (2). 316 - 318.

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