首页|二氢麦角碱治疗脑小血管病性认知障碍对患者神经功能、认知功能及炎症因子水平的影响

二氢麦角碱治疗脑小血管病性认知障碍对患者神经功能、认知功能及炎症因子水平的影响

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目的:探讨二氢麦角碱治疗脑小血管病性认知障碍的效果及对炎症因子的影响.方法:选择 2022 年 4 月—2023 年 7 月南通市第六人民医院收治的脑小血管病性认知障碍患者 73 例,按照随机数字表法分为观察组(n=37)、对照组(n=36).两组患者均应用标准的脑小血管病治疗方案,对照组给予盐酸多奈哌齐片,观察组给予甲磺酸二氢麦角碱缓释片.对比两组治疗前后神经功能[美国国立卫生研究院卒中量表(NIHSS)]、简易智力状态检查量表(MMSE)评分、日常生活活动能力量表(ADL)评分、炎症因子,评估两组治疗效果及不良反应发生率.结果:治疗 90 d后,两组NIHSS均降低,观察组低于对照组,MMSE、ADL评分均升高,观察组均高于对照组,差异均有统计学意义(P<0.05).观察组总有效率高于对照组(P<0.05).治疗 90 d后,两组超敏C反应蛋白、同型半胱氨酸、白细胞介素-6 均降低,且观察组均低于对照组(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论:对于脑小血管病性认知障碍,采用二氢麦角碱治疗的效果满意,可显著改善患者神经功能及认知功能,提高日常生活能力,降低血清炎症因子水平,且安全性高.
Effects of Dihydroergotoxine on Neurologic Function,Cognitive Function and Inflammatory Factors Levels in Patients with Cerebral Small Vessel Disease Cognitive Impairment
Objective:To investigate the effect of Dihydroergocline in the treatment of cerebral small vessel disease cognitive impairment and its influence on inflammatory factors.Method:A total of 73 patients with cerebral small vessel disease cognitive impairment admitted to the Sixth People's Hospital of Nantong from April 2022 to July 2023 were selected and divided into observation group(n=37)and control group(n=36)according to random number table.Patients in both groups were treated with standard treatment for cerebral small vessel disease.The control group was given Donepezil Hydrochloride Tablets,and the observation group was given Dihydroergotoxine Methanesulfonate Sustained Release Tablets.The neurologic function[national institutes of health stroke scale(NIHSS)],mini-mental state examination(MMSE)scores,activity of daily living(ADL)score and inflammatory factors before and after treatment were compared between the two groups.The therapeutic effect and the incidence of adverse reactions were evaluated in both groups.Result:After 90 days of treatment,NIHSS in both groups were decreased,that in the observation group was lower than that in the control group,MMSE and ADL scores were increased,those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of observation group was higher than that of control group(P<0.05).After 90 days of treatment,hypersensitive C reactive protein,homocysteine and interleukin-6 were decreased in both groups,those in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:For cerebral small vessel disease cognitive impairment,the treatment effect of Dihydroergodine is satisfactory,which can significantly improve the neurologic function and cognitive function of patients,improve the ability of daily living,reduce the levels of serum inflammatory factors,and have high safety.

Cerebral small vessel diseaseCognitive impairmentDihydroergosineHypersensitive C reactive protein

孙文强、王洪亮

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南通市第六人民医院神经内科 江苏 南通 226011

脑小血管病 认知障碍 二氢麦角碱 超敏C反应蛋白

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(24)