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解放军预防医学杂志  2016, Vol. 34 Issue (4): 516-518    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
丁苯酞软胶囊与尼莫地平对卒中后血管性痴呆患者的疗效
程文姚,杨健,余新沛①*
广州军区广州总医院医务部保健科, 广州 510515① 广州军区广州总医院干部病房二科
Effect of Butylphthalide Soft Capsules and Nimodipine on Patients with Vascular Dementia after Stroke
CHENG Wenyao, YANG Jian, YU Xinpei*
Office of Health Care, General Hospital of Guangzhou Military Command, Guangzhou 510010, China
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摘要 目的 探讨丁苯酞软胶囊(NBP)及尼莫地平(NMD)治疗卒中后血管性痴呆(VD)的有效性和安全性。方法 选择2013年5月至2015年8月在广州军区广州总医院治疗的VD患者96例,按随机数字法分为NBP组和NMD组,各48例。NBP组口服丁苯酞软胶囊治疗,NMD组口服尼莫地平治疗,治疗周期6个月。治疗前及治疗后3个月和6个月随访,利用认知功能量表(MMSE、MOCA)和日常生活能力量表(ADL)对疗效进行评价,并比较2组不良反应发生情况。结果 2组治疗前,MMSE、MOCA和ADL评分相比差异不具有统计学意义(P>0.05);治疗后3个月及6个月,NBP组MMSE、MOCA评分均明显高于NMD组,而ADL评分明显低于NMD组(P<0.01);NBP组不良反应发生率为10.4%,明显低于NMD组(22.9%)(P<0.05)。结论 NBP与NMD均能明显改善卒中后血管性痴呆患者的认知功能和日常生活能力,但NBP效果更显著,且安全性更高。
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关键词 丁苯酞软胶囊尼莫地平血管性痴呆    
AbstractObjective To observe and explore the effectiveness of butylphthalide soft capsules (NBP) and nimodipine (NMD) in patients with vascular dementia (VD) after stroke.Methods A total of 96 patients with VD in General Hospital of Guangzhou Military Command were selected between May 2012 and August 2015. They were randomized into two groups of 48 patients: the NBP group and NMD group. The NBP group was treated orally with NBP while the NMD group was treated orally with NMD for 6 months respectively. The efficacy was evaluated by the cognitive function scale (MMSE, MOCA) and daily life ability scale (ADL score) before treatment and at 3 months and 6 months after treatment.The incidence of adverse reactions in both groups was recorded.Results The difference in MMSE, MOCA and ADL scores before treatment between the two groups was not statistically significant (P>0.05), but MMSE and MOCA scores in the NBP group were significantly higher than those of the NMD group 3 months and 6 months after treatment, , while ADL score was significantly lower than that of the NMD group (P<0.01). The adverse reaction rate was 10.4% (5/48) and 22.9% (11/48) respectively in the NBP group, and 22.9% (11/48) in the NMD group. The difference was statistically significant (P<0.05).Conclusion Both NBP and NMD treatment can significantly improve the cognitive function and daily life ability of VD patients, and the curative effect is remarkable, but NBP is more effective and safer than NMD.
Key wordsbutylphthalide soft capsules    NMD    vascular dementia
     出版日期: 2016-09-14
通讯作者: yxinpei@126.com   
作者简介: 程文姚(1982-),女,硕士研究生,主管护师。从事医疗保健工作。
引用本文:   
程文姚,杨健,余新沛. 丁苯酞软胶囊与尼莫地平对卒中后血管性痴呆患者的疗效[J]. 解放军预防医学杂志, 2016, 34(4): 516-518.
CHENG Wenyao, YANG Jian, YU Xinpei. Effect of Butylphthalide Soft Capsules and Nimodipine on Patients with Vascular Dementia after Stroke. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(4): 516-518.
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http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/      或      http://manu37.magtech.com.cn/Jwk_jsyxkx/jfj/CN/Y2016/V34/I4/516
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