奥拉西坦治疗脑卒中后认知功能障碍疗效与不良反应观察

Oxiracetam in treatment of cognitive dysfunction after stroke clinical efficacy and adverse reactions were observed

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

郑州市第一人民医院 药学部 ;

摘要
摘要:目的:观察奥拉西坦治疗脑卒中后认知功能障碍疗效与不良反应。方法:从本院2012年9月-2016年9月收治的100例脑卒中后认知功能障碍患者作为研究对象,随机分为对照组(50例)及观察组(50例)。选用吡拉西坦药物治疗为对照组,选用奥拉西坦药物治疗为观察组。治疗前后,采用简易智能(MMSE)、日常生活能力(ADL)、蒙特利尔(MoCA)认知评估量表评估两组患者,通过计算评分变化率,分析治疗有效率,并对不良反应进行观察、统计。结果:经不同方法治疗,观察组MMSE改善情况优于对照组,差异具有统计学意义(P<0.05);观察组ADL改善情况优于对照组,两组差异显著,具有统计学意义(P<0.05);观察组MoCA改善情况优于对照组,差异具有统计学意义(P<0.05);对照组及观察组不良反应发生率分别为12.0%、6.0%,两组存在差异,但无统计学意义(P>0.05)。结论:与呲拉西坦药物相比,奥拉西坦药物可显著改善患者认知功能、获得满意疗效、减少不良反应,建议在临床中大力推广应用。
Abstract
Abstract: Objective: To observe the effect of oxiracetam in treatment of cognitive dysfunction after stroke curative effect and adverse reaction. Methods: 100 patients with cognitive impairment after stroke in our hospital were randomly divided into control group (n = 50) and observation group (n = 50). Choose a drug control group piracetam treatment, the observation group of oxiracetam treatment. Before and after treatment, using simple intelligence (MMSE), ability of daily life (ADL), Montreal cognitive assessment scale (MoCA) were evaluated in two groups, by calculating the score rate of change, analysis of the efficiency of treatment, and adverse reactions were observed. Results: after different treatment, the observation group MMSE is better than that of the control group, the difference was statistically significant (P < 0.05); the observation group ADL improvement than the control group, the difference between the two groups was statistically significant (P < 0.05); the observation group MoCA were better than those in the control group, the difference was statistically significant (P < 0.05); the control group and the observation group the incidence of adverse reaction were 12% and 6%, the two groups, but no statistical significance (P>0.05). Conclusion: compared with bared piracetam drugs, drug oxiracetam can significantly improve patients cognitive function, obtain satisfactory curative effect, reduce adverse reactions, is recommended to promote in the clinical application.
关键词
关键词:脑卒中;认知功能障碍;奥拉西坦;疗效;不良反应
KeyWord
Key words: stroke; cognitive dysfunction; oxiracetam; curative effect; adverse reaction
基金项目
页码 487-489
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胡春伟*. 奥拉西坦治疗脑卒中后认知功能障碍疗效与不良反应观察 [J]. 国际精神病学杂志. 2017; 44; (3). 487 - 489.

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