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甲磺酸双氢麦角碱(喜得镇)治疗老年精神衰退患者的双盲临床与心理学研究

Double-blind clinical and psychologic study of ergoloid mesylates (Hydergine) in subjects with senile mental deterioration.

作者信息

van Loveren-Huyben C M, Engelaar H F, Hermans M B, van der Bom J A, Leering C, Munnichs J M

出版信息

J Am Geriatr Soc. 1984 Aug;32(8):584-8. doi: 10.1111/j.1532-5415.1984.tb06137.x.

Abstract

A double-blind study of 24 weeks' duration was conducted to investigate the effects of ergoloid mesylates (Hydergine) on symptoms of senile mental deterioration. Fifty-eight residents of old people's homes were included in the trial. Thirty were treated with ergoloid mesylates and 28 with placebo, and the effects of treatment were determined by means of medical and psychological examinations. On the Sandoz Clinical Assessment Geriatric Scale, the group receiving ergoloid mesylates showed significant improvement in all items. The group receiving placebo showed slight deterioration. Psychological examination showed that no changes were observed for either group in quantitative psychometric test results, although qualitative aspects of performance such as attention and concentration did improve. There was a close correlation between improved cognitive function scores on the SCAG and improved evaluations of behavior during the psychological examinations. There were marked individual differences in the degrees of improvement.

摘要

进行了一项为期24周的双盲研究,以调查甲磺酸双氢麦角碱(喜得镇)对老年精神衰退症状的影响。58名养老院居民被纳入试验。30人接受甲磺酸双氢麦角碱治疗,28人接受安慰剂治疗,治疗效果通过医学和心理检查来确定。在桑多兹临床老年评估量表上,接受甲磺酸双氢麦角碱治疗的组在所有项目上均有显著改善。接受安慰剂治疗的组则略有恶化。心理检查表明,两组在定量心理测量测试结果上均未观察到变化,尽管注意力和专注力等表现的定性方面确实有所改善。在桑多兹临床老年评估量表上认知功能得分的改善与心理检查期间行为评估的改善之间存在密切相关性。改善程度存在明显的个体差异。

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