Zhang Meini, Hu Xiao, Wang Tao, Liu Xianghong
General Practice, Xi'an Medical University, Xi'an, 710000, China.
Department of Pediatrics, Yan'an University Affiliated Hospital, Yan'an, 716000, China.
Open Med (Wars). 2024 Mar 13;19(1):20240908. doi: 10.1515/med-2024-0908. eCollection 2024.
To explore the efficacy of ginkgo diterpene lactone (GDLM) on cognitive function in patients with acute ischemic stroke (AIS).
A total of 126 patients with AIS in Shaanxi Provincial People's Hospital from July 2019 to December 2020 were collected and randomly divided into the control group and treatment group ( = 63). All patients received conventional treatment, on which 25 mg/day GDLM was administered in the treatment group. Coagulation and inflammation indexes, National Institutes of Health Stroke Scale (NIHSS) and activities of daily living scale (ADL) scores were measured before and 14 days after treatment. NIHSS and ADL scores were performed again after 3 months. Cognitive function was assessed by Montréal Cognitive Assessment (MoCA) score, Mini-Mental State Examination (MMSE) score, and potential P300.
After 14 days of treatment, all biochemical indices were lower than before treatment ( < 0.05). The NIHSS and ADL scores of the treatment group were significantly better than those of the control group after treatment ( < 0.05). The MoCA and MMSE scores of the treatment group improved more significantly compared with the control group ( < 0.05). After treatment, the P300 indexes of both groups were significantly better than before treatment ( < 0.05).
Conventional treatment of AIS combined with GDLM can effectively improve the cognitive function of patients, which is worthy of clinical recommendation.
探讨银杏二萜内酯(GDLM)对急性缺血性脑卒中(AIS)患者认知功能的疗效。
收集2019年7月至2020年12月在陕西省人民医院就诊的126例AIS患者,并随机分为对照组和治疗组(每组 = 63例)。所有患者均接受常规治疗,治疗组在此基础上加用每日25mg的GDLM。分别于治疗前及治疗14天后检测凝血及炎症指标、美国国立卫生研究院卒中量表(NIHSS)评分及日常生活活动能力量表(ADL)评分。3个月后再次进行NIHSS和ADL评分。通过蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查表(MMSE)评分及P300电位评估认知功能。
治疗14天后,所有生化指标均低于治疗前( < 0.05)。治疗后,治疗组的NIHSS和ADL评分显著优于对照组( < 0.