首页|盐酸美金刚联合奥氮平治疗阿尔茨海默病伴精神行为症状患者的有效性及安全性

盐酸美金刚联合奥氮平治疗阿尔茨海默病伴精神行为症状患者的有效性及安全性

扫码查看
目的 探讨盐酸美金刚联合奥氮平在治疗阿尔茨海默病伴精神行为症状患者中的应用效果.方法 选取2020 年 2 月—2024 年 2 月北京市石景山医院收治的 60 例阿尔茨海默病伴精神行为症状患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组 30 例.对照组采用盐酸美金刚治疗,观察组在对照组基础上联合奥氮平治疗.比较两组患者的临床疗效、认知功能、日常生活活动能力及不良反应发生情况.结果 观察组治疗总有效率为93.33%,高于对照组的 73.33%,差异有统计学意义(P<0.05).治疗后,观察组简易精神状态检查量表、日常生活活动能力量表评分均高于对照组,老年谵妄检查表评分低于对照组,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 盐酸美金刚联合奥氮平可减轻阿尔茨海默病伴精神行为症状患者精神行为症状,安全性较好.
Efficacy and Safety of Memantine Hydrochloride Combined with Olanzapine in the Treatment of Alzheimer's Disease with Psychobehavioral Symptoms
Objective To investigate the effect of memantine hydrochloride combined with olanzapine in the treatment of Alzheimer's disease with psychobehavioral symptoms.Methods Sixty patients with Alzheimer's disease with mental and behavioral symptoms admitted to Beijing Shijingshan Hospital from February 2020 to February 2024 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group was treated with memantine hydrochloride,and the observation group was treated with olanzapine on the basis of the control group.The clinical efficacy,cognitive function,ability to perform activities of daily living and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 93.33%,which was higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Mini-Mental State Examination and Activities of Daily Living scale in the observation group were higher than those of the control group,and the scores of the Geriatref Delirium Check List was lower than that of the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Memantine hydrochloride combined with olanzapine can alleviate psychobehavioral symptoms in Alzheimer's disease patients with psychobehavioral symptoms,and the safety is better.

Alzheimer's diseaseMemantine hydrochlorideOlanzapinePsychobehavioral symptomsCognitive function

杨伏肖、贾静、陈敏、王楠

展开 >

北京市石景山医院老年医学科,北京 100043

阿尔茨海默病 盐酸美金刚 奥氮平 精神行为症状 认知功能

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(14)