益肾补脑片治疗老年性痴呆46例临床观察

目的:探讨益肾补脑片对老年性痴呆(AD)的疗效.方法:将91例AD患者随机分为治疗组46例,给予益肾补脑片治疗;对照组45例,给予石杉碱甲片治疗.观察治疗前后两组临床疗效,检测超氧化物歧化酶(SOD)、丙二醛(MDA)、一氧化氮(NO)等的变化情况.结果:两组总体疗效差异无显著性;治疗组治疗后语言理解及命令服从计分较治疗前显著提高(P＜0.05或P＜0.01),对照组治疗后各主要症状计分虽有改善,但与治疗前比较差异无显著性(P＞0.05).治疗组治疗后SOD明显上升,MDA和NO明显下降(P＜0.01),且SOD、MDA的变化较对照组明显(P＜0.01).结论:益肾补脑片可促进AD患者智能康复,提高AD患者生活质量,其近期疗效可能优于石杉碱甲片.

Clinical Observation on 46 Cases of Alzheimer''''s Disease Treated with Yishen Bunao Tablet

Objective:To investigate the effect of Yishen Bunao Tablet on Alzheimer's Disease(AD).Methods:91 cases of AD were randomly divided into a treatment group(n=46)treated with Yishen Bunao Tablet and a control group(n=45)treated with huperzine A. Their clinical therapeutic effects,changes of superoxide dismutase(SOD)activity,malondialdehyde(MDA)and nitric oxide(NO) contents before and after treatment were determined.Results:There was no significant difference between the two groups in the total therapeutic effect;After treatment,the scores for language comprehend and order obey in the treatment group increased significantly(P<0.05 or P<0.01);After treatment,the scores for main symptoms improved but with no significant difference in the control group(P>0.05).SOD activity increased significantly,and contents of MDA and NO decreased significantly in the control group(P<0.01),and the changes of SOD and MDA were more significant in the treatment group than those in the control group(P<0.01).Conclusion:Yishen Bunao Tablet can promote intelligence recovery and increase quality of life for the patient of AD,and the shot-term therapeutic effect is better than that of huperzine A.