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[银杏叶提取物对器质性脑综合征伴精神病患者神经生理学和心理测量结果的影响。一项与安慰剂对照的双盲研究]

[The effect of Ginkgo biloba extract on neurophysiological and psychometric measurement results in patients with psychotic organic brain syndrome. A double-blind study against placebo].

作者信息

Hofferberth B

机构信息

Klinik für Neurologie der Westfålischen Wilhelms-Universität Münster/Westf.

出版信息

Arzneimittelforschung. 1989 Aug;39(8):918-22.

PMID:2684175
Abstract

The range of typical symptoms of cerebro-organic syndrome such as dizziness, memory and concentration loss, and orientation disorders can either be measured objectively within a clinical trial or can be observed subjectively. Thirty-six patients with classical symptoms of organic syndrome were recruited into a placebo-controlled double-blind trial in which the therapeutic effect of Ginkgo biloba extract EGb 761 (rökan) was measured by the following objective criteria: quantified EEG, saccadic eye movements and psychometric tests (Wiener Determination Test, Number Connection Test). Following 2 weeks' wash-out, 40 mg. EGb 761 was administered 3 times daily (= 120 mg daily dose) for 8 weeks. The control group received placebo capsules of identical external appearance. The tests listed above were carried out prior to treatment and after 4 and 8 weeks' therapy with the exception of quantitative EEG which was recorded at the beginning and end of treatment only. Patients presenting with pathological findings for at least two of the four test criteria were admitted to the trial. Patients receiving unpermitted supplementary medication or suffering from acute cardiovascular disturbances or digestive and metabolic disorders were excluded from the trial. A highly significant difference could already been seen after 4 weeks of therapy and also after 8 weeks in the results of both the saccadic test and the psychometric tests compared to the placebo control group. Saccade duration was shortened and the latency reduced. In parallel, the number of correct answers given in the Wiener Determination Test and Number Connection Test increased significantly compared to the control group. (ABSTRACT TRUNCATED AT 250 WORDS)

摘要

脑器质性综合征的典型症状范围,如头晕、记忆力和注意力减退以及定向障碍,既可以在临床试验中进行客观测量,也可以主观观察。36名有器质性综合征典型症状的患者被纳入一项安慰剂对照双盲试验,在该试验中,通过以下客观标准测量银杏叶提取物EGb 761(罗康)的治疗效果:定量脑电图、眼球跳动和心理测量测试(韦纳判定测试、数字连接测试)。经过2周的洗脱期后,每天3次给予40毫克EGb 761(=每日剂量120毫克),持续8周。对照组服用外观相同的安慰剂胶囊。除了仅在治疗开始和结束时记录定量脑电图外,上述测试在治疗前以及治疗4周和8周后进行。在四项测试标准中至少有两项呈现病理结果的患者被纳入试验。接受未经许可的补充药物治疗或患有急性心血管疾病、消化和代谢紊乱的患者被排除在试验之外。与安慰剂对照组相比,治疗4周后以及8周后,眼球跳动测试和心理测量测试的结果已经出现了极显著差异。眼球跳动持续时间缩短,潜伏期缩短。与此同时,与对照组相比,韦纳判定测试和数字连接测试中给出的正确答案数量显著增加。(摘要截取自250字)

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