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[创伤性脑疾病的发病机制及其主要治疗方法]

[Pathogenetic mechanisms of traumatic brain disease and main lines of their treatment].

作者信息

Zhivolupov S A, Samartsev I N, Kolomentsev S V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(10):42-6.

Abstract

To assess efficacy and tolerability of axamon (ipidacrine) in the complex therapy of patients with cranial-brain injuries, 40 patients have been studied. Patients of the main group (20 persons) received, along with traditional therapy, axamon in dose 0,02 g 3 times daily during 2 months and patients of the control group (20 persons) received only traditional therapy. Clinical examination and assessment with NIS, Autonomic Symptoms Questionnaire, Hamilton anxiety scale, electrophysiological study (magnetic diagnostics, electroneuromyography with investigation of somatosensory evoked potentials, brain CT (MRI) have been conducted at the beginning of treatment and 1 and 2 months after. Axamon demonstrated the highest efficacy (p<0.05) in stopping anxiety symptoms in patients of the main group in the 1st month of treatment. After 2 months, a significant improvement of patient's state in the main group assessed by NIS and Hamilton anxiety scale (p<0.05) was found. Data of electrophysiological and neuroimaging study revealed significant positive changes reflected in the normalization of intracerebral conductance and resolution of structural changes of brain substances in the injury. Side-effects of the drug were brief and did not lead to stopping treatment.

摘要

为评估阿扎莫(匹莫林)在颅脑损伤患者综合治疗中的疗效和耐受性,对40例患者进行了研究。主要组(20人)的患者在接受传统治疗的同时,服用阿扎莫,剂量为0.02 g,每日3次,持续2个月;对照组(20人)的患者仅接受传统治疗。在治疗开始时以及治疗后1个月和2个月进行了临床检查,并使用神经功能缺损评分(NIS)、自主神经症状问卷、汉密尔顿焦虑量表进行评估,还进行了电生理研究(磁诊断、体感诱发电位检查的肌电图、脑部CT(MRI))。阿扎莫在治疗第1个月时,在主要组患者中缓解焦虑症状方面显示出最高疗效(p<0.05)。2个月后,通过NIS和汉密尔顿焦虑量表评估发现,主要组患者的状态有显著改善(p<0.05)。电生理和神经影像学研究数据显示出显著的积极变化,表现为脑内电导正常化以及损伤部位脑物质结构变化的消退。该药物的副作用短暂,未导致治疗中断。

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