吡拉西坦与卡巴拉汀对阿尔茨海默病患者精神症状及认知功的影响研究

The effect of Piracetam and Rivastigmine on mental symptoms and cognitive function in patients with Alzheimers disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

山东省新矿集团莱芜中心医院 ;
山东省枣庄市妇幼保健院 ;
山东省临沂市中医医院 ;

摘要
[摘要]目的探讨吡拉西坦与卡巴拉汀对AD干预后,患者精神症状及认知功能变化,为临床应用提供依据。方法将2013年6月至2016年1月间我院收治的100例AD患者随机分为观察组和对照组;对照组患者口服吡拉西坦片,观察组服用吡拉西坦联合卡巴拉汀进行治疗;治疗6个月时对临床疗效进行评价;治疗前后使用PANSS量表、BEHAVE-AD、Blessed-Roth行为量表对患者精神症状进行评价,使用MMSE量表、GDS量表对患者认知功能进行评价,使用TESS量表对不良反应进行调查。结果观察组患者临床有效率显著高于对照组(P<0.05);治疗后两组患者PANSS、BEHAVE-AD、Blessed-Roth评分均显著改善(P<0.05),且观察组三量表评分改善程度显著高于对照组(P<0.05);治疗后两组患者MMSE、GDS评分均显著改善(P<0.05),且观察组MMSE、GDS评分改善程度显著高于对照组(P<0.05);观察组患者易激怒临床发生率显著低于对照组(P<0.05)。结论吡拉西坦与卡巴拉汀联合使用可显著改善AD患者认知功能、精神症状,且具有较高的安全性。
Abstract
[Abstracts]Purposes Explore the changes of AD patient’s psychiatric symptoms and cognitive functions after Piracetam and Rivastigmine interventions. Methods From 6-2013 to 1-2016 in our hospital from 100 cases of AD patients were randomly divided into observation group and control group; the control group were treated with Piracetam Tablets, the observation group were treated with piracetam combined with Rivastigmine treatment; to evaluate the clinical curative effect of the treatment of 6 months; using the PANSS scale, BEHAVE-AD, Blessed-Roth behavior scale of spirit the symptoms of patients were evaluated before and after treatment, the use of MMSE scale and GDS scale were used to evaluate the cognitive function of patients with adverse reactions, questionnaire were used to investigate the use of TESS. Results The observation group of patients with clinical efficiency was significantly higher than the control group (P<0.05); the two groups after treatment in patients with PANSS, BEHAVE-AD, Blessed-Roth scores were significantly improved (P<0.05), and the observation group three scale score improvement was significantly higher than the control group (P<0.05); the MMSE of two groups after treatment, GDS scores were significantly improved (P<0.05), and the observation group MMSE, GDS score improvement was significantly higher than the control group (P<0.05); observation group of patients with irritable clinical incidence was significantly lower than the control group (P<0.05). Conclusions The combination of Piracetam and Rivastigmine can significantly improve cognitive function and psychiatric symptoms in patients with AD, and it has higher safety.
关键词
[关键词] 吡拉西坦;卡巴拉汀;阿尔茨海默病;精神症状;认知功能
KeyWord
[Keywords] Piracetam; Rivastigmine; Alzheimers Disease; Psychiatric Symptoms; Cognitive Function
基金项目
页码 1067-1070
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徐以强,郑国峰,邵广亮,王烨*. 吡拉西坦与卡巴拉汀对阿尔茨海默病患者精神症状及认知功的影响研究 [J]. 国际精神病学杂志. 2018; 45; (6). 1067 - 1070.

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