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维生素E用于治疗阿尔茨海默病的证据不足。

Insufficient evidence for vitamin E in Alzheimer's disease.

作者信息

Hermann Dirk M

机构信息

Department of Neurology, University Hospital Essen, Essen, Germany.

出版信息

Alzheimers Dement (N Y). 2016 Aug 29;2(3):199-201. doi: 10.1016/j.trci.2016.08.003. eCollection 2016 Sep.

Abstract

Vitamin E has recently been suggested to slow down the progression of Alzheimer's disease. Current evidence is based on three studies in patients with Alzheimer's disease and one study in patients with mild cognitive impairment which all together included only 1756 patients. Importantly, two of these studies were negative, and the two other studies had severe methodological weaknesses that preclude more definite interpretation. Based on the notion from patients suffering from cerebrovascular diseases that vitamin E may induce serious side effects (i.e., hemorhagic stroke), vitamin E cannot be recommended for use in Alzheimer's patients.

摘要

最近有人提出维生素E可减缓阿尔茨海默病的进展。目前的证据基于三项针对阿尔茨海默病患者的研究和一项针对轻度认知障碍患者的研究,这些研究总共仅纳入了1756名患者。重要的是,其中两项研究结果为阴性,另外两项研究存在严重的方法学缺陷,无法进行更确切的解读。基于脑血管疾病患者中维生素E可能会引发严重副作用(即出血性中风)这一观点,不建议在阿尔茨海默病患者中使用维生素E。

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本文引用的文献

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Vitamin E family: Role in the pathogenesis and treatment of Alzheimer's disease.维生素E家族:在阿尔茨海默病发病机制及治疗中的作用
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Risk of mortality with vitamin E supplements: the Cache County study.
Am J Med. 2007 Feb;120(2):180-4. doi: 10.1016/j.amjmed.2006.03.039.
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