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他汀类药物联合多奈哌齐治疗NAFLD合并AD的疗效及对LCN2的影响

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目的:探讨他汀类药物联合多奈哌齐治疗NAFLD合并AD的疗效及对LCN2 的影响.方法:选择本院2021 年 1月—2023 年6 月收治的66 例NAFLD合并AD患者为研究对象,按电脑随机法分组,分为观察组(33 例)和对照组(33 例);对照组给予多奈哌齐治疗,观察组在对照组基础上加用他汀类药物,比较两组治疗效果.结果:治疗后,观察组患者的氧化应激指标(MDA、SOD)对比具有显著差异(P<0.05),且观察组患者的SOD水平更高,MDA水平更低(P<0.05);治疗后,观察组ADL和MMSE评分高于对照组(P<0.05);治疗后,两组患者的LCN2 水平明显降低,且观察组患者的LCN2 指标低于对照组(P<0.05);治疗后,两组患者的不良反应发生率(6.06%VS18.18%)对比差异不大(t=2.276,P=0.131).结论:在他汀类药物联合多奈哌齐治疗NAFLD合并AD的疗效十分显著,可加以应用和推广.
Effect of Statins Combined with Donepezil in the Treatment of NAFLD with AD and Its Influence on LCN2
Objective:To investigate the efficacy of statins combined with Donepezil in the treatment of NAFLD combined with AD and the effect on LCN2.Methods:A total of66 patients with NAFLD combined with AD admitted to our hospital from January 2021 to June 2023 were selected as study subjects and divided into observation group (33 cases)and control group (33 cases)according to computer randomized method.The control group was treated with Donepezil,and the observation group was treated with statins on the basis of the control group.The therapeutic effect of the two groups was compared.Results:After treatment,there was a significant difference in the oxidative stress indicators (MDA,SOD)of the observation group patients (P<0.05),and the SOD level of the observation group patients was higher and the MDA level was lower (P<0.05);After treatment,the ADL and MMSE scores in the observation group were higher than those in the control group (P<0.05);After treatment,the LCN2 levels of the two groups of patients significantly decreased,and the LCN2 indicators of the observation group were lower than those of the control group (P<0.05);After treatment,there was no significant difference in the incidence of adverse reactions between the two groups of patients (6.06% VS 18.18%)(t=2.276,P=0.131).Conclusion:The effect of statins combined with Donepezil in the treatment of NAFLD combined with AD is very significant,and it can be used and popularized.

StatinsDonepezilNAFLD Merging ADCurative EffectLCN2

何盛泉、黄竹锋、陈恺、朱伟谦

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厦门弘爱医院 神经内科(福建 厦门 361000)

漳州市第二医院 内科综合病区(福建 漳州 363199)

漳州市第二医院 消化内科(福建 漳州 363199)

他汀类药物 多奈哌齐 NAFLD合并AD 疗效 LCN2

2023年漳州市自然科学基金

ZZ2023J15

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(1)
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