首页|注射用胞磷胆碱联合认知训练对帕金森病轻度认知障碍的影响

注射用胞磷胆碱联合认知训练对帕金森病轻度认知障碍的影响

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目的:探讨注射用胞磷胆碱联合认知训练治疗对帕金森病轻度认知障碍的影响.方法:选取 2022 年 1 月~2023 年12 月浏阳市集里医院收治的80 例帕金森病轻度认知障碍患者为研究对象.随机分为对照组与观察组各40 例.对照组予以注射用胞磷胆碱联合常规的康复干预,观察组在对照组的基础上予以认知训练治疗.治疗前后对两组患者进行生活质量量表、帕金森病评定量表、简易智力状态检查量表、蒙特利尔认知评估量表及日常生活活动能力Barthel指数评分等多项指标的评估,评价两种治疗方法的临床疗效,并详细记录两组患者在治疗过程中出现的不良反应.结果:观察组的总体疗效显著优于对照组(P<0.05).观察组的各项生活质量量表评分均高于对照组,且两组均高于治疗前,观察组的改善趋势更为明显(P<0.05).同时,观察组的帕金森病评定量表评分低于对照组与治疗前(P<0.05).治疗后两组的简易智力状态检查量表、蒙特利尔认知评估量表及日常生活活动能力Barthel指数评分均有所上升,且观察组的评分均高于对照组与治疗前(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:注射用胞磷胆碱联合认知训练在治疗帕金森病轻度认知障碍方面疗效显著,可有效改善患者的临床症状与智力水平,并提高其认知功能与日常生活活动能力,具有较高的实施安全性,可为临床治疗提供新的治疗思路.
Effect of citicoline injection combined with cognitive training on mild cognitive impairment in Parkinson's disease
Objective To investigate the effect of citicoline injection combined with cognitive training on mild cognitive impairment in Parkinson's disease.Method This study identified 80 patients with mild cognitive impairment in Parkinson's disease from January 2022 to December 2023 were selected as study subjects.These patients were divided into control group and observation group with 40 cases in each group by random number table method.Patients in the control group will receive citicoline injection combined with the u-sual rehabilitation intervention,while patients in the observation group will receive additional cognitive training therapy in addition to the control group.Before and after treatment,a number of indicators such as quality of life scale,Parkinson's Disease Rating Scale,Simple mental State Scale,Montreal Cognitive Assessment Scale and Barthel index score of activities of daily living were evaluated to evaluate the clinical efficacy of the two treatment methods,and the adverse reactions of patients in the two groups during treatment were recorded in detail.Results The overall therapeutic effect of the observation group significantly better than that of the control group(P<0.05).In the evaluation after treatment,the scores of various quality of life scales in the observation group were higher than those in the control group,and both groups were higher than before treatment,indicating a more obvious improvement trend in the observation group(P<0.05).At the same time,the Parkinson's disease rating scale score of the observation group was lower than that of the control group and before treatment(P<0.05).After treatment,the scores of the Simple mental State Examination Scale,the Montreal Cognitive Assess-ment Scale and the Barthel index of activities of daily living in both groups were increased,and the scores of the observation group were higher than those of the control group and before treatment(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Citicoline injection combined with cognitive training is effective in the treat-ment of mild cognitive impairment in Parkinson's disease,which can effectively improve the clinical symptoms and intelligence level of patients,and improve their cognitive function and activities of daily living ability.It has a high implementation safety,and can provide a new treatment idea for clinical treatment.

Citicoline for injectionCognitive trainingParkinson's disease mild cognitive impairment

黄素芬、周胜强

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浏阳市集里医院,湖南 长沙 410300

湖南中医药研究院附属医院

注射用胞磷胆碱 认知训练 帕金森病轻度认知障碍

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(12)