瑞舒伐他汀钙联合吡拉西坦对年龄>60岁血管性痴呆患者认知功能及事件相关电位潜伏期的影响
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R969.4

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Effects of rosuvastatin calcium combined with piracetam on cognitive function and event-related potential latency in patients with vascular dementia aged >60 years
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    摘要:

    目的探究瑞舒伐他汀钙(RS)联合吡拉西坦(Pir)对年龄>60岁血管性痴呆(VD)患者认知功能及事件相关电位(ERP)潜伏期的影响。方法选取焦作市沁阳市人民医院2018年1月至2020年11月114例年龄>60岁VD患者,进行前瞻性随机平行对照研究,按随机数字表法分成A组(n=57)、B组(n=57)。B组接受Pir治疗,A组接受RS联合Pir治疗。比较两组总有效率、治疗前、治疗6个月简易精神状态量表(MMSE)、日常生活能力量表(ADL)评分、ERP潜伏期、波幅、血清超氧化物歧化酶(SOD)、丙二醛(MDA)、过氧化脂质(LPO)水平。结果 A组总有效率较B组高(P<0.05);A组治疗6个月MMSE、ADL评分较B组高(P<0.05);A组治疗6个月ERP潜伏期较B组低,波幅较B组高(P<0.05);A组治疗6个月血清MDA、LPO水平较B组低,血清SOD水平较B组高(P<0.05)。结论 RS联合Pir治疗年龄>60岁VD患者效果明显,可有效改善患者认知功能,提高日常生活能力,且能有效调节机体血清MDA、LPO、SOD水平,缓解氧化应激状态。

    Abstract:

    【Objective】 To investigate the effects of rosuvastatin calcium(RS) combined with piracetam(Pir) on cognitive function and event-related potential(ERP) latency in patients with vascular dementia(VD) aged >60 years. 【Methods】 A total of114 VD patients older than 60 years old(January 2018 to November 2020) were selected from our hospital for a prospective randomized parallel controlled study. According to random number table method, they were divided into group A(n=57) and group B(n=57). Group B received Pir, and group A received RS combined with Pir. The total response rate, MMSE score, ADL score, ERP latency, amplitude, serum superoxide dismutase(SOD), malondialdehyde(MDA) and lipid peroxide(LPO) levels were compared between the two groups before treatment and 6 months after treatment. 【Results】 The total effective rate of group A(96.49%,55/57) was higher than that of group B(82.46%, 47/57)(P<0.05). After 6 months of treatment, the MMSE and ADL scores of group A were higher than those of group B(P<0.05). After 6 months of treatment, the latency of ERP in group A was lower than that in group B, but its amplitude was higher than that in group B(P<0.05). After 6 months of treatment, the serum MDA and LPO levels in group A were lower than those in group B, and the serum SOD levels were higher than those in group B(P<0.05).【Conclusion】 RS combined with Pir is effective in the treatment of VD patients aged >60 years. It can effectively improve the cognitive function of patients, improve the ability of daily living, and effectively regulate the levels of MDA, LPO and SOD in serum, and alleviate oxidative stress.

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胡小静.瑞舒伐他汀钙联合吡拉西坦对年龄>60岁血管性痴呆患者认知功能及事件相关电位潜伏期的影响[J].中国医学工程,2022,(1):

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  • 在线发布日期: 2023-08-02
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