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石杉碱甲对不同严重程度血管性痴呆患者的疗效分析
引用本文:杜井波,翁秋霖,陈小虎,杨銮,李果,顾叶,任蕾.石杉碱甲对不同严重程度血管性痴呆患者的疗效分析[J].中国临床神经科学,2011,19(5):510-514.
作者姓名:杜井波  翁秋霖  陈小虎  杨銮  李果  顾叶  任蕾
作者单位:上海市静安区老年医院,200042
基金项目:上海市静安区十、百、千人才培养计划
摘    要:目的:分析不同剂量石杉碱甲对不同严重程度血管性痴呆(VaD)的长期疗效。方法:纳入255例VaD患者,按痴呆程度不同分层。其中180例入组石杉碱甲组,随机给予不同剂量石杉碱甲(高剂量组:0.15mg;低剂量组:0.05mg);75例设为吡拉西坦(0.4g)为对照组,均连续用药52周。分别在0、12及52周末进行简易精神状态量表(MMSE)和日常生活能力(ADL)量表进行评定。结果:不同严重度VaD患者石杉碱甲高剂量组在治疗12周后MMSE、ADL评分改善最明显(P<0.05)。轻度VaD患者石杉碱甲高剂量组在治疗12周后MMSE、ADL评分改善疗效最好。结论:不同剂量石杉碱甲对VaD的疗效与剂量呈正相关,VaD患者的认知功能呈进行性下降,高剂量石杉碱甲能延缓VaD患者的认知功能下降。

关 键 词:石杉碱甲  血管性痴呆  简易精神状态量表  日常生活能力量表

Evaluate the Therapeutic Efficacy of Huperzine A on the Different Degree of Vascular Dementia Patients in Different Dose
DU Jing-Bo,WEN Qiu-Lin,CHEN Xiao-Hu,YANG Luan,LI Guo,GU Ye,REN Lei.Evaluate the Therapeutic Efficacy of Huperzine A on the Different Degree of Vascular Dementia Patients in Different Dose[J].Chinese Journal of Clinical Neurosciences,2011,19(5):510-514.
Authors:DU Jing-Bo  WEN Qiu-Lin  CHEN Xiao-Hu  YANG Luan  LI Guo  GU Ye  REN Lei
Institution:DU Jing-Bo,WEN Qiu-Lin,CHEN Xiao-Hu,YANG Luan,LI Guo,GU Ye,REN Lei Shanghai Jingan Geriatric Hospital,Shanghai 200042,China
Abstract:Aim:To evaluate the therapeutic efficacy of Huperzine A on the different degree of vascular dementia patients in different dose.Methods:255 patients with different degree of vascular dementia were randomly divided into three groups.Patients in group1-2 were given Huperzine A in different dose for 52 weeks,while patients in the control group were given piracetam.Mini-Mental Status Examination(MMSE) and Activities of Daily Living(ADL) were evaluated and compared between the pre-programand,post-12-week-program...
Keywords:huperzine A  vascular dementia  Mini-mental Status Examination  Activities of Daily Living scale  
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