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乙氧苯柳胺在脑血管疾病中的临床疗效与安全性

[Clinical efficacy and safety of Ethoxidol in cerebrovascular diseases].

作者信息

Scoromets T A, Pugacheva E L, Scoromets A A, Afanasiev V V, Laskina I Yr

机构信息

Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia.

Bekhterev National Research Medical Center for Psychiatry and Neurology, St. Petersburg, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2022;122(8):48-55. doi: 10.17116/jnevro202212208148.

DOI:10.17116/jnevro202212208148
PMID:36036403
Abstract

OBJECTIVE

Evaluation of efficacy and clinical safety of ethylmethylhydroxypyridine malate (Ethoxidol) in cerebrovascular disease in out-patient, and in-patient setting.

MATERIAL AND METHODS

In the observational study was included of the 70 patients (aged 62.84±6.54 y.o) diagnosed with unspecified cerebrovascular disease, hypertensive encephalopathy, atherosclerosis of cerebral vessels. To access neurological deficit Montreal Scale (MoCA test) was used, MFI-20 test for asthenia. Berg balancing (BBS-test), tinnitus severity score (THI), and general clinical condition score also were recorded. Quality assurance was evaluated by VAS, and EQ-VAS Scores (European life quality gr). Interventions were identical, except treated received Ethoxidol 200 mg IV once/day, or 200 mg IM once/day and 200 mg per os (400 mg/day) during 7 days, follow up by oral administration of Ethoxidol 600 mg/day (200 mg TID) for the period of 53 days.

RESULTS

The results of the observational study has shown of high clinical efficacy and tolerability of the Ethoxidol therapy. Statistical significance between baseline and treatment period was recorded on the 7th and 60th day of observation (<0.001). Stabilization of the archived condition persisted on the 60 day. Ethoxidol administration reduced asthenia cognitive dysfunction, dizziness, balance disorders, and tinnitus. CGI Score revealed reduction of the severity of patient's condition and total of clinical improvement; EQ-VAS Score showed growth of quality of life. The majority of patients were satisfied with performed therapy, attending physicians highlight Ethoxidol safety. Serious adverse events weren't recorded.

CONCLUSION

Ethoxidol was considered as efficient and safe medication for in-patient and out-patient treatment of patient with cerebrovascular diseases (chronic cerebral ischemia).

摘要

目的

评估苹果酸乙甲羟吡啶(乙氧苯柳胺)在门诊和住院环境下治疗脑血管疾病的疗效和临床安全性。

材料与方法

本观察性研究纳入了70例(年龄62.84±6.54岁)被诊断为未明确的脑血管疾病、高血压脑病、脑血管动脉粥样硬化的患者。使用蒙特利尔量表(MoCA测试)评估神经功能缺损,使用MFI-20测试评估乏力情况。还记录了伯格平衡量表(BBS测试)、耳鸣严重程度评分(THI)和一般临床状况评分。通过视觉模拟评分法(VAS)和欧洲生活质量量表(EQ-VAS评分)评估质量保证。干预措施相同,除接受治疗的患者在7天内每天静脉注射一次200毫克乙氧苯柳胺,或每天肌肉注射一次200毫克并口服200毫克(400毫克/天),之后在53天内每天口服600毫克乙氧苯柳胺(200毫克,每日三次)。

结果

观察性研究结果显示乙氧苯柳胺治疗具有较高的临床疗效和耐受性。在观察的第7天和第60天记录到基线与治疗期之间具有统计学意义(<0.001)。在第60天时存档状况持续稳定。乙氧苯柳胺的使用减少了乏力、认知功能障碍、头晕、平衡障碍和耳鸣。临床总体印象量表(CGI)评分显示患者病情严重程度降低且临床总体改善;EQ-VAS评分显示生活质量提高。大多数患者对所进行的治疗感到满意,主治医生强调乙氧苯柳胺的安全性。未记录到严重不良事件。

结论

乙氧苯柳胺被认为是治疗脑血管疾病(慢性脑缺血)住院和门诊患者的有效且安全的药物。

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