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美金刚在中重度阿尔茨海默病中的应用:一项观察性上市后研究。

Memantine in moderate to severe Alzheimer's disease: an observational post-marketing study.

机构信息

Memory Clinic and Psychiatric Department, Donauspital Sozialmedizinisches Zentrum Ost, Langobardenstrasse 122, 1220, Wien, Austria.

出版信息

J Neural Transm (Vienna). 2011 Aug;118(8):1255-9. doi: 10.1007/s00702-011-0623-8. Epub 2011 Apr 2.

DOI:10.1007/s00702-011-0623-8
PMID:21461744
Abstract

Memantine is an N-methyl-D: -aspartate (NMDA) receptor antagonist, approved for the treatment of moderate to severe Alzheimer's disease (AD). We conducted a 4-month observational, post-marketing, Austrian study of memantine in 377 outpatients with moderate to severe AD. In this 'real-life' setting, memantine was well-tolerated, and produced benefits in cognition (Mini-Mental State Examination), activities of daily living (Activities of Daily Living score), and global function (Clinical Global Impression scale). Treatment effects were apparent in both pre-treated and treatment-naïve patient subgroups.

摘要

盐酸美金刚是一种 N-甲基-D-天冬氨酸(NMDA)受体拮抗剂,已获准用于治疗中重度阿尔茨海默病(AD)。我们在奥地利开展了一项为期 4 个月的、上市后的、观察性研究,共纳入 377 例中重度 AD 门诊患者,评估盐酸美金刚的疗效。在这种‘真实世界’的环境下,盐酸美金刚耐受性良好,可改善认知功能(简易精神状态检查量表)、日常生活活动能力(日常生活活动评分)和总体功能(临床总体印象量表)。在预先治疗和未经治疗的亚组患者中,治疗效果均明显。

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Effect of donepezil in patients with Alzheimer's disease previously untreated or treated with memantine or nootropic agents in Germany: an observational study.多奈哌齐在德国既往未接受治疗、或接受过美金刚或益智药治疗的阿尔茨海默病患者中的疗效:一项观察性研究。
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本文引用的文献

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Treatment effects of Memantine on language in moderate to severe Alzheimer's disease patients.美金刚对中重度阿尔茨海默病患者语言功能的治疗效果。
Alzheimers Dement. 2009 Sep;5(5):369-74. doi: 10.1016/j.jalz.2009.05.604.
2
Effects of memantine on cognition in patients with moderate to severe Alzheimer's disease: post-hoc analyses of ADAS-cog and SIB total and single-item scores from six randomized, double-blind, placebo-controlled studies.美金刚对中重度阿尔茨海默病患者认知功能的影响:来自 6 项随机、双盲、安慰剂对照研究的 ADAS-cog 和 SIB 总分及单项评分的事后分析。
Int J Geriatr Psychiatry. 2009 May;24(5):532-8. doi: 10.1002/gps.2226.
3
在痴呆症患者中,停用或继续使用胆碱酯酶抑制剂、美金刚或两者。
Cochrane Database Syst Rev. 2021 Feb 3;2(2):CD009081. doi: 10.1002/14651858.CD009081.pub2.
4
Withdrawal of Antidementia Drugs in Older People: Who, When and How?老年人停用抗痴呆药物:何人、何时以及如何停药?
Drugs Aging. 2016 Aug;33(8):545-56. doi: 10.1007/s40266-016-0384-z.
5
NMDA receptors are expressed in human ovarian cancer tissues and human ovarian cancer cell lines.N-甲基-D-天冬氨酸受体在人卵巢癌组织和人卵巢癌细胞系中表达。
Clin Pharmacol. 2015 Oct 23;7:111-7. doi: 10.2147/CPAA.S90367. eCollection 2015.
6
Protection of Radial Glial-Like Cells in the Hippocampus of APP/PS1 Mice: a Novel Mechanism of Memantine in the Treatment of Alzheimer's Disease.保护APP/PS1小鼠海马中放射状胶质样细胞:美金刚治疗阿尔茨海默病的新机制。
Mol Neurobiol. 2015 Aug;52(1):464-77. doi: 10.1007/s12035-014-8875-6. Epub 2014 Sep 9.
7
Anti-dementia drugs and co-medication among patients with Alzheimer's disease : investigating real-world drug use in clinical practice using the Swedish Dementia Quality Registry (SveDem).阿尔茨海默病患者的抗痴呆药物及联合用药:利用瑞典痴呆症质量登记系统(SveDem)调查临床实践中的实际用药情况
Drugs Aging. 2014 Mar;31(3):215-24. doi: 10.1007/s40266-014-0154-8.
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Efficacy of memantine, donepezil, or their association in moderate-severe Alzheimer's disease: a review of clinical trials.美金刚、多奈哌齐或二者联用治疗中重度阿尔茨海默病的疗效:一项临床试验综述
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Once-daily memantine: a guide to its use in moderate to severe Alzheimer's disease in the EU.每日一次美金刚:在欧盟中用于治疗中重度阿尔茨海默病的指导。
Drugs Aging. 2013 Jan;30(1):51-8. doi: 10.1007/s40266-012-0041-0.
Long-term effects of the concomitant use of memantine with cholinesterase inhibition in Alzheimer disease.
美金刚与胆碱酯酶抑制剂联合使用在阿尔茨海默病中的长期影响。
J Neurol Neurosurg Psychiatry. 2009 Jun;80(6):600-7. doi: 10.1136/jnnp.2008.158964. Epub 2009 Feb 9.
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Diagnosis and treatment of dementia: 6. Management of severe Alzheimer disease.痴呆症的诊断与治疗:6. 重度阿尔茨海默病的管理
CMAJ. 2008 Dec 2;179(12):1279-87. doi: 10.1503/cmaj.070804.
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Long-term course and effectiveness of combination therapy in Alzheimer disease.阿尔茨海默病联合治疗的长期病程及疗效
Alzheimer Dis Assoc Disord. 2008 Jul-Sep;22(3):209-21. doi: 10.1097/WAD.0b013e31816653bc.
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Int J Geriatr Psychiatry. 2008 May;23(5):546-51. doi: 10.1002/gps.1984.
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Memantine treatment in patients with mild to moderate Alzheimer's disease: results of a randomised, double-blind, placebo-controlled 6-month study.美金刚治疗轻至中度阿尔茨海默病患者:一项随机、双盲、安慰剂对照的6个月研究结果
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Analysis of the effect of memantine in reducing the worsening of clinical symptoms in patients with moderate to severe Alzheimer's disease.美金刚对中重度阿尔茨海默病患者临床症状恶化的缓解作用分析。
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Dement Geriatr Cogn Disord. 2007;24(2):111-7. doi: 10.1159/000104872. Epub 2007 Jun 29.