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[胞磷胆碱对老年精神衰退的影响。237例多中心经验]

[Effect of CDP-choline on senile mental deterioration. Multicenter experience on 237 cases].

作者信息

Serra F, Diaspri G P, Gasbarrini A, Giancane S, Rimondi A, Tamè M R, Sakellaridis E, Bernardi M, Gasbarrini G

机构信息

Scuola di Specializzazione in Geriatria e Gerontologia, 1a Cattedra di Patologia Speciale Medica e Metodologia Clinica, Università degli Studi di Bologna.

出版信息

Minerva Med. 1990 Jun;81(6):465-70.

PMID:2193245
Abstract

The efficacy of CDP-choline (1000 mg/die) administered for two 21-day treatment cycles, with a one-week wash-out period between them, was evaluated in out and in-patients suffering from mild to moderate brain aging. The study was performed on 237 fully evaluable patients with the use of the reduced geriatric scale of Plutchik and al., for clinical evaluation of the symptomatology. The clinical data obtained demonstrate that treatment with CDP-choline is able to determine an improvement of symptomatology since the 1st cycle of therapy (p less than 0.001), and a further improvement in the 2nd cycle (p less than 0.001). Particularly, the therapeutic effect of the 1st cycle is persistent in the intermediate wash-out period (suspension of treatment) with a further decrease, of symptomatology regarding some items of Plutchik's scale (p less than 0.01). Finally, treatment with CDP-choline 1000 mg/die for two 21-day cycles in 237 patients suffering from brain aging determined a statistically significant improvement of the cognitive and behavioural parameters taken into consideration: independence/autonomous life; human relations/social life; interest and attentive capacity; individual behaviour. Therefore citicoline is confirmed as a valid therapeutic remedy for the clinical, functional and social recovery of these patients.

摘要

对患有轻度至中度脑老化的门诊和住院患者,评估了连续两个21天治疗周期(中间有一周洗脱期)给予胞磷胆碱(1000毫克/日)的疗效。该研究对237名完全可评估的患者进行,使用Plutchik等人简化的老年量表对症状进行临床评估。获得的临床数据表明,从治疗的第1周期开始,胞磷胆碱治疗就能改善症状(p<0.001),在第2周期进一步改善(p<0.001)。特别是,第1周期的治疗效果在中间洗脱期(治疗中断)持续存在,Plutchik量表某些项目的症状进一步减轻(p<0.01)。最后,在237名脑老化患者中,给予1000毫克/日胞磷胆碱进行两个21天周期的治疗,所考虑的认知和行为参数有统计学显著改善:独立/自主生活;人际关系/社会生活;兴趣和注意力;个人行为。因此,胞磷胆碱被确认为这些患者临床、功能和社会康复的有效治疗药物。

相似文献

1
[Effect of CDP-choline on senile mental deterioration. Multicenter experience on 237 cases].[胞磷胆碱对老年精神衰退的影响。237例多中心经验]
Minerva Med. 1990 Jun;81(6):465-70.
2
CDP-choline: pharmacological and clinical review.胞磷胆碱:药理学与临床综述。
Methods Find Exp Clin Pharmacol. 1995 Oct;17 Suppl B:1-54.
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[Citicoline activity in senile mental decay].[胞磷胆碱在老年精神衰退中的活性]
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4
Treatment of chronic dyskinesia with CDP-choline.用胞磷胆碱治疗慢性运动障碍。
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Efficacy and safety of oral CDP-choline. Drug surveillance study in 2817 cases.口服胞磷胆碱的疗效与安全性。2817例药物监测研究。
Arzneimittelforschung. 1983;33(7A):1073-80.
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Double-blind placebo-controlled study with citicoline in APOE genotyped Alzheimer's disease patients. Effects on cognitive performance, brain bioelectrical activity and cerebral perfusion.在载脂蛋白E基因分型的阿尔茨海默病患者中使用胞磷胆碱的双盲安慰剂对照研究。对认知表现、脑生物电活动和脑灌注的影响。
Methods Find Exp Clin Pharmacol. 1999 Nov;21(9):633-44.
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[Citicoline in the treatment of cognitive and behavioral disorders in pathologic senile decline].[胞磷胆碱治疗病理性老年衰退中的认知和行为障碍]
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[Neuropsychological study of the senile brain during and after single and combined treatment with deanol and citicoline].[关于二甲氨基乙醇和胞磷胆碱单一及联合治疗期间及之后老年脑的神经心理学研究]
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[CDP-choline improves the postoperative rehabilitation of patients with cerebral risk].胞磷胆碱可改善有脑风险患者的术后康复情况。
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Efficacy and safety of oral citicoline in acute ischemic stroke: drug surveillance study in 4,191 cases.口服胞磷胆碱治疗急性缺血性卒中的疗效与安全性:4191例药物监测研究
Methods Find Exp Clin Pharmacol. 2009 Apr;31(3):171-6. doi: 10.1358/mf.2009.31.3.1364241.

引用本文的文献

1
Citicoline: pharmacological and clinical review, 2022 update.胞磷胆碱:药理学和临床综述,2022 年更新。
Rev Neurol. 2022 Nov 30;75(s05):S1-S89. doi: 10.33588/rn.75s05.2022311.
2
Cytidinediphosphocholine (CDP-choline) for cognitive and behavioural disturbances associated with chronic cerebral disorders in the elderly.胞二磷胆碱用于治疗老年人慢性脑部疾病相关的认知和行为障碍。
Cochrane Database Syst Rev. 2005 Apr 18(2):CD000269. doi: 10.1002/14651858.CD000269.pub3.