研究银杏叶对电休克治疗患者认知功能的疗效:一项双盲临床试验。
Investigating the efficacy of Ginkgo biloba on the cognitive function of patients undergoing treatment with electric shock: a double-blind clinical trial.
机构信息
Department of Psychiatry, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
J Med Life. 2022 Dec;15(12):1540-1547. doi: 10.25122/jml-2021-0262.
Cognitive impairment is common in patients undergoing electroconvulsive therapy (ECT). Researchers are seeking pharmaceutical compounds with low side effects to decrease these outcomes. This study aimed to investigate the effectiveness of Ginkgo biloba therapy on the cognitive function of patients treated with electroshock. In a double-blinded clinical trial, 80 patients with psychiatric disorders who were candidates for ECT in 2019 were randomly assigned to two groups: the intervention group (receiving Ginkgo biloba drug) and the control group (receiving placebo). We used the Mini-Mental State Examination (MMSE) and Wechsler Memory Scale Recipe III (WMS-III) questionnaires to evaluate the efficacy of the drug on the cognitive function at time 0, after 4 sessions and 72 hours post-final session of ECT. The data were analyzed by SPSS version 22, with a significance level of 0.05. Patients' assessment after the intervention showed that the average MMSE scores in the intervention group (28.92±1.04) were statistically higher than in the control group (27.85±1.56). The average scores of the WMS-III in the intervention group and the control group were 97.45±8.04 and 92.00±4.45 after 4 sessions of ECT, and 100.26±8.33 and 92.40±3.92 after the intervention (p=0.001). According to the findings, Gingko biloba increased MMSE and WMS-III scores in older patients (patients over 40 had better scores in both questionnaires, the drug was more effective, and with no side effects).
认知障碍在接受电抽搐治疗(ECT)的患者中很常见。研究人员正在寻找副作用低的药物化合物来降低这些结果。本研究旨在探讨银杏叶治疗对电休克治疗患者认知功能的影响。在一项双盲临床试验中,2019 年 80 名有精神障碍且适合接受 ECT 的患者被随机分为两组:干预组(服用银杏叶药物)和对照组(服用安慰剂)。我们使用简易精神状态检查表(MMSE)和韦氏记忆量表食谱 III(WMS-III)问卷评估药物对 0 时、4 次治疗后和 ECT 最后一次治疗后 72 小时的认知功能的疗效。数据采用 SPSS 22 版进行分析,显著性水平为 0.05。干预后患者评估显示,干预组的平均 MMSE 评分(28.92±1.04)明显高于对照组(27.85±1.56)。ECT 后 4 次治疗后,干预组和对照组的 WMS-III 平均评分分别为 97.45±8.04 和 92.00±4.45,干预后分别为 100.26±8.33 和 92.40±3.92(p=0.001)。根据研究结果,银杏叶可提高老年患者(40 岁以上患者在两个问卷中的得分均较高,药物更有效,且无副作用)的 MMSE 和 WMS-III 评分。