首页|美金刚联合富马酸喹硫平对阿尔茨海默病伴精神行为障碍的疗效及安全性分析

美金刚联合富马酸喹硫平对阿尔茨海默病伴精神行为障碍的疗效及安全性分析

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目的 探究对阿尔茨海默病伴精神行为障碍患者采取美金刚、富马酸喹硫平联合治疗的效果.方法 单纯随机选取2021年1月—2023年1月北京市昌平区中西医结合医院收治的100例阿尔茨海默病伴精神行为障碍患者作为研究对象,根据不同治疗方法分为对照组和观察组,各50例.对照组采用美金刚治疗,观察组采用美金刚联合富马酸喹硫平治疗.对比两组治疗效果、认知功能、生活质量及安全性.结果 观察组治疗总有效率为96.00%(48/50),高于对照组的84.00%(42/50),差异有统计学意义(χ2=4.000,P<0.05).治疗2个月、3个月后,观察组认知功能均优于对照组,差异有统计学意义(P均<0.05).治疗后,对照组生活能力评分低于观察组,差异有统计学意义(P<0.05).观察组不良事件总发生率低于对照组,差异有统计学意义(P<0.05).结论 对于阿尔茨海默病伴精神行为障碍的患者,采用美金刚联合富马酸喹硫平能够在一定程度上改善患者的智力水平,稳步提升患者的生活自理能力,且安全性较高.
Efficacy and Safety Analysis of Memantine Combined with Quetiapine Fu-marate in the Treatment of Alzheimer's Disease with Mental and Behav-ioral Disorders
Objective To explore the effect of memantine combined with quetiapine fumarate in the treatment of Al-zheimer's disease patients with mental and behavioral disorders.Methods From January 2021 to January 2023,100 patients with Alzheimer's disease and mental and behavioral disorders admitted to Beijing Changping District Hospi-tal of Integrated Traditional Chinese and Western Medicine were simple randomly selected as the research objects.Ac-cording to different treatment methods,they were divided into control group and observation group,50 cases in each group.The control group was treated with memantine,and the observation group was treated with memantine com-bined with quetiapine fumarate.The therapeutic effect,cognitive function,quality of life and safety of the two groups were compared.Results The total effective rate of treatment in the observation group was 96.00%(48/50)higher than 84.00%(42/50)in the control group,and the difference was statistically significant(χ2=4.000,P<0.05).After 2 months and 3 months of treatment,the cognitive function of the observation group was better than that of the control group,and the difference were statistically significant(both P<0.05).After treatment,the living ability score of the control group was lower than that of the observation group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion For patients with Alzheimer's disease with mental and behavior dis-orders,memantine combined with and quetiapine fumarate can improve the patient's intelligence level to a certain ex-tent,steadily improve the patient's self-care ability,and has high safety.

Alzheimer's diseaseMental behavior disorderMemantineQuetiapine fumarateTreatment effectCognitive functionQuality of lifeSafety

吴振亚、许红梅、张红

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北京市昌平区中西医结合医院,北京 102208

阿尔茨海默病 精神行为障碍 美金刚 富马酸喹硫平 治疗效果 认知功能 生活质量 安全性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(32)