石杉碱甲联合尼莫地平治疗轻中度血管性痴呆的疗效观察Observation of huperzine A conbined with nimodipine in the treatment of vascular dementia
徐猛;
摘要(Abstract):
目的观察石杉碱甲联合尼莫地平治疗轻中度血管性痴呆的疗效及安全性。方法 80例血管性痴呆患者随机分为治疗组40例和对照组40例,在常规治疗基础上,对照组口服尼莫地平+吡拉西坦;治疗组口服尼莫地平+石杉碱甲。2组均治疗6个月。检测2组患者治疗前后MMSE、ADL、HDS-R评分及药物不良反应。结果治疗6个月后,2组患者的MMSE、ADL、HDS-R评分比治疗前均明显升高,差异有统计学意义(P<0.01或P<0.05);而治疗组MMSE、ADL、HDS-R评分改善更显著(P<0.01)。2组均未发生严重不良反应。结论石杉碱甲联合尼莫地平治疗轻中度血管性痴呆疗效显著优于吡拉西坦联合尼莫地平,安全性相同。
关键词(KeyWords): 石杉碱甲;尼莫地平;吡拉西坦;血管性痴呆
基金项目(Foundation):
作者(Authors): 徐猛;
参考文献(References):
- [1]Kramer JH,Wetzel ME.Vascular dementia[J].Neurovasc Neuropsychol,2009,62(5):87-102.
- [2]Demaerschalk BM,Wingerchuk DM.Treatment of vascular de-mentiaand vascular cognitive impairment[J].Neurologist,2007,13(1):37-41.
- [3]洪思佳,王一涛,李铭源.石杉碱甲药理与临床研究进展[J].中药药理与临床,2007,23(1):84-85.
- [4]李红梅.盐酸美金刚治疗阿尔茨海默病疗效观察[J].中国实用神经疾病杂志,2009,12(18):10-11.
- [5]Bueters T,von Euler M,Bendel O,et al.Degeneration of newly formed CA1neurons following global ischemia in the rat[J].Exp Neurol,2008,209(1):114-124.
- [6]张立红,周永翠,王玉良,等.血管性痴呆大鼠海马胆碱乙酰基转移酶的动态变化[J].中国老年学杂志,2009,29(10):102.
- [7]Wiesje M,Elisabeth CW,Lane R,et al.Neurological signs in re-lation to type of cerebrovascular disease in vascular dementia[J].Stroke,2008,39(2):317.
- [8]Huang L,He Z,Guo LJ,et al.Improvement of cognitive deficit and neuronal damage in rats with chronic cerebral Ischemia via relative long-term inhibition of rho-kinase[J].Cellular and Mo-lecular Neurobiology,2008,28(5):757-768.
- [9]Hu T,Fu Q,Liu X,et al.Increased acetylcholinesterase and caspase-3expression in the brain and peripheral immune system of focal cerebral ischemic rats[J].J Neuroimmunol,2009,211(12):84-91.
- [10]Watanabe T,Iwasaki K,Ishikane S,et al.Spatial memory im-pairment without apoptosis induced by the combination of be-ta-amyloid oligomers and cerebral ischemia is related to de-creased acetylcholine release in rats[J].J Pharmacol Sci,2008,106(1):84-91.
- [11]洪思佳,王一涛,李铭源.石杉碱甲药理与临床研究进展[J].中药药理与临床,2007,23(1):84-85.
- [12]郑如,苏银法.石杉碱甲的临床应用研究进展[J].实用药物与临床,2008,11(2):107-108.
- [13]Karen H,Anand V,Sonia R,et al.Diagnostic criteria of vascu-lar dementia in CADASIL[J].Stroke,2008,39(3):838.
- [14]李海军.尼莫同片治疗血管性痴呆的疗效观察[J].中国实用神经疾病杂志,2007,6(10):3807-3809.