首页|艾地苯醌联合左乙拉西坦对癫痫合并轻度认知功能障碍患者认知功能及脑电功能的影响

艾地苯醌联合左乙拉西坦对癫痫合并轻度认知功能障碍患者认知功能及脑电功能的影响

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目的 探讨艾地苯醌联合左乙拉西坦对癫痫(EP)合并轻度认知功能障碍(MCI)患者认知功能及脑电功能的影响.方法 选取 2020年 5 月—2023 年5 月莒县人民医院收治的 84 例EP合并MCI患者为研究对象,按随机数字表法将其分为对照组和试验组,各42 例.对照组采用左乙拉西坦治疗,试验组在对照组基础上联合艾地苯醌治疗.比较两组临床疗效、认知功能、脑电功能及不良反应发生情况.结果 试验组治疗总有效率为 95.24%,高于对照组的73.81%,差异有统计学意义(P<0.05).治疗后,试验组蒙特利尔认知评估量表各个维度评分及总分均高于对照组,组间差异有统计学意义(P<0.05);试验组P300 潜伏期短于对照组,P300 波幅长于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在针对EP合并MCI患者的治疗中,将艾地苯醌联合左乙拉西坦使用可取得显著的效果,有利于提升患者认知功能,改善其脑电功能,且较为安全.
Effects of Idebenquinone Combined with Levetiracetam on Cognitive Function and Electroencephalogram Function in Patients with Mild Cognitive Impairment Associated with Epilepsy
Objective To explore the effects of edbenquinone combined with levetiracetam on cognitive function and EEG in patients with epilepsy(EP)and mild cognitive impairment(MCI).Methods Eighty-four patients with EP combined with MCI admitted to Juxian People's Hospital from May 2020 to May 2023 were selected as the research objects,and were divided into a control group and an experimental group according to random number table method,with 42 cases in each group.The control group was treated with levetiracetam,and the experimental group was treated with idebenquinone based on the control group.The clinical efficacy,cognitive function,electroencephalogram function and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the experimental group was 95.24%,which was higher than 73.81%of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of all dimensions and total scores of Montreal Cognitive Assessment in experimental group were higher than those in control group,and the differences between the groups were statistically significant(P<0.05);the latency period of P300 in experimental group was shorter than that in the control group,and the amplitude of P300 was longer than that in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of EP patients with MCI,the combination of edbenquinone and levetiracetam can achieve significant effects,which is beneficial to improve the cognitive function of patients and improve their EEG function,and is relatively safe.

EpilepsyMild cognitive impairmentIdebenquinoneLevetiracetam

王忠艳、黄玉霞、王思彬、唐莎、张瑾

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莒县人民医院功能检查科,山东日照 276500

莒县人民医院神经内科,山东日照 276500

莒县人民医院影像科,山东日照 276500

莒县人民医院护理部,山东日照 276500

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癫痫 轻度认知功能障碍 艾地苯醌 左乙拉西坦

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(13)