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吡拉西坦联合尼莫地平治疗脑梗死血管性痴呆的疗效观察。

Therapeutic effect of piracetam with nimodipine on vascular dementia after cerebral infarction.

机构信息

Outpatient Department, Tengzhou Central People's Hospital, Tengzhou, China.

Internal Medicine-Neurology, Tengzhou Central People's Hospital, Tengzhou, China.

出版信息

Pak J Pharm Sci. 2020 Sep;33(5(Special)):2405-2411.

Abstract

This article investigated the clinical effects of piracetam with nimodipine in the treatment of vascular dementia (VD) after cerebral infarction. 98 patients with vascular dementia after cerebral infarction were selected and divided into the control group and the study group according to the treatment method. The control group was treated with nimodipine alone. The study group was treated with piracetam on the basis of this observation, and we test the ADL (life ability score), MoCA(montreal cognitive assessment scale), ADAS-Cog(alzheimer's scale-cognition), MMSE(mental status examination) scores and quality of life scores before and after treatment in the two groups. Before treatment, there were no significant differences in ADL, MoCA, and ADAS-Cog scores between the two groups (P>0.05). After treatment, the ADL, MoCA, and ADAS-Cog scores of the study group were superior to the control group. The difference was statistically significant (P<0.05). There was no significant difference in MMSE scores between the two groups before treatment and 1 month after treatment (P>0.05). The MMSE scores of the study group were better than the control group after 3 months of treatment and half a year after treatment. The difference was statistically significant (P <0.05). Before treatment, there was no significant difference in the quality of life scores between the two groups (P>0.05). After treatment, the quality of life scores was significantly higher than the control group, and the difference was statistically significant (P<0.05). For patients with vascular dementia after cerebral infarction, piracetam combined with nimodipine can improve the cognitive function, improve the quality of life, and have a significant clinical effect.

摘要

这篇文章研究了吡拉西坦联合尼莫地平治疗脑梗死血管性痴呆(VD)的临床效果。选择 98 例脑梗死血管性痴呆患者,根据治疗方法分为对照组和观察组。对照组采用尼莫地平治疗,观察组在此基础上采用吡拉西坦治疗,观察两组患者治疗前后的日常生活能力(ADL,生活能力评分)、蒙特利尔认知评估量表(MoCA)、阿尔茨海默病评估量表认知部分(ADAS-Cog)、简易智能精神状态检查量表(MMSE)评分和生活质量评分。治疗前两组 ADL、MoCA 及 ADAS-Cog 评分比较差异无统计学意义(P>0.05)。治疗后观察组 ADL、MoCA 及 ADAS-Cog 评分均优于对照组,差异有统计学意义(P<0.05)。治疗前两组 MMSE 评分比较差异无统计学意义(P>0.05),治疗后观察组 MMSE 评分优于对照组,差异有统计学意义(P<0.05)。治疗前两组生活质量评分比较差异无统计学意义(P>0.05),治疗后观察组生活质量评分明显高于对照组,差异有统计学意义(P<0.05)。对于脑梗死血管性痴呆患者,吡拉西坦联合尼莫地平可改善认知功能,提高生活质量,具有显著的临床效果。

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