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探寻阿尔茨海默病认知功能的新型药物干预措施:随机临床试验的系统评价

Mapping new pharmacological interventions for cognitive function in Alzheimer's disease: a systematic review of randomized clinical trials.

作者信息

Xu Lou Inmaculada, Chen Jiayue, Ali Kamran, Shaikh Abdul Lateef, Chen Qilan

机构信息

International Education College of Zhejiang Chinese Medical University, Hangzhou, China.

Department of Cardiology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, China.

出版信息

Front Pharmacol. 2023 Jun 1;14:1190604. doi: 10.3389/fphar.2023.1190604. eCollection 2023.

Abstract

Alzheimer's disease (AD) is a progressive neurodegenerative disorder, that is, characterized by cognitive decline. To date, there are no effective treatments for AD. Therefore, the objective of this study was to map new perspectives on the effects of pharmacological treatment on cognitive function and the overall psychological state in patients with AD. Two independent researchers searched for randomized clinical trials (RCTs) exploring new pharmacological approaches related to cognition in Alzheimer's disease in adults from 2018 to 2023 in PubMed, Web of Science, Scopus, and Cochrane Library databases. A total of 17 RCTs were included in this review. The results show that in recent years, new drugs have been tested in patients with Alzheimer's disease, including masitinib, methylphenidate, levetiracetam, Jiannao Yizhi, and Huannao Yicong formulas. Most studies have been conducted in populations with mild to moderate Alzheimer's disease. Although some of the drugs found suggested improvement in cognitive function, the scarcity of available studies highlights the need for further research in this area. [www.crd.york.ac.uk/prospero], identifier [CRD42023409986].

摘要

阿尔茨海默病(AD)是一种进行性神经退行性疾病,即以认知能力下降为特征。迄今为止,尚无针对AD的有效治疗方法。因此,本研究的目的是探寻药物治疗对AD患者认知功能和整体心理状态影响的新视角。两名独立研究人员在PubMed、科学网、Scopus和Cochrane图书馆数据库中检索了2018年至2023年期间探索与成人阿尔茨海默病认知相关新药物治疗方法的随机临床试验(RCT)。本综述共纳入17项RCT。结果显示,近年来,已在阿尔茨海默病患者中测试了多种新药,包括马西替尼、哌甲酯、左乙拉西坦、健脑益智和焕脑益聪配方。大多数研究是在轻度至中度阿尔茨海默病患者中进行的。尽管发现的一些药物显示出认知功能有所改善,但现有研究的匮乏凸显了该领域进一步研究的必要性。[www.crd.york.ac.uk/prospero],标识符[CRD42023409986]

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2cd/10270324/07defe94ac76/fphar-14-1190604-g001.jpg

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